Clara City Care Center
CLARA CITY CARE CENTER in CLARA CITY, MN — inspection on October 23, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
the director of nursing (DON) was interviewed and stated R1's care plan had not been updated yet to include individualized interventions for his exit seeking behavior and it was not part of the remaining follow up after the elopement event. On 10/22/25 at 12:30 p.m., trained medical assistant (TMA)-A, was interviewed and stated that the care plan should indicate if a resident is at risk for elopement. On 10/22/25 at 12:45 p.m., RN-B was interviewed and stated residents who are elopement risks have a section about safety and falls in their care plans.
There are interventions staff are doing that is not documented in the care plans when residents had been exit seeking. RN-B said those interventions could be added to the care plans. On 10/22/25 at 1:30 p.m., nursing assistant (NA)-B was interviewed, and was able to list interventions for each resident with exit seeking behaviors but was unsure where those interventions were documented.
The facility policy, Resident MDS and Care Planning, last modified on 1/13/21 directs that all residents will have a comprehensive assessment completed upon admission, annually and with a significant change.
Risk factors and assessment to be competed by a nurse on an admission, quarterly and PRN and includes elopement.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Clara City Care Center
1012 North Division Street Clara City, MN 56222
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited CLARA CITY CARE CENTER in CLARA CITY, MN for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-10-23.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 2 deficiencies cited during this inspection of CLARA CITY CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-12.