Clark's Mountain Nursing Center
Piedmont, Wayne County, Missouri · CCN 265416 · For-profit (LLC) · part of Americare Senior Living (23 facilities, chain average 3.6 stars)
CMS rates Clark's Mountain Nursing Center 5 of 5 overall as of August 2026. 91 certified beds, 64 residents a day on average. 8 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 3 / 5 of 5 |
Staffing
| Total nurse staffing | 3.70131 hours per resident per day |
|---|---|
| Registered nurses | 0.32828 hours per resident per day |
| Weekend total | 3.0873 hours per resident per day |
| Nursing staff turnover | 38.5% (registered nurses 37.5%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-22 |
| 2026-05-14 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-22 |
| 2026-05-14 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-22 |
| 2025-01-31 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · tag F0728 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-16 |
| 2025-01-31 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-16 |
| 2025-01-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-16 |
| 2023-12-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-18 |
| 2023-12-06 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-18 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Hwj LLC Organization | 5% or greater direct ownership interest | 100% | 2012-01-01 |
| Americare Systems, Inc. Organization | operational/managerial control | — | 2012-01-01 |
| Ford, Julianna Individual | 5% or greater indirect ownership interest | 33% | 2012-01-01 |
| Montgomery, Henley Individual | 5% or greater indirect ownership interest | 33% | 2012-01-01 |
| Montgomery, William Individual | 5% or greater indirect ownership interest | 33% | 2012-01-01 |
| Schade, Kyle Individual | corporate officer | — | 2021-03-01 |
| Crosson, Clay Individual | operational/managerial control | — | 2001-10-29 |
| Turner, William Individual | w-2 managing employee | — | 2013-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Clark's Mountain Nursing Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Wayne County.