Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Clarkson Community Care Center Inc

Clarkson, NE · 51 certified beds · Last Life Safety survey September 3, 2025

CMS Certification Number 285116 · first certified April 1992

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Other

Ownership changed July 14, 2021 (change of ownership)from CITY OF CLARKSON

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NE

17 citations — more than 56% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to November 2026. This facility’s last Life Safety survey was September 2025. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	17
Median facility in NE	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 26, 2023	4
August 22, 2024	8
September 3, 2025	5

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-09-03
K-0712	Have simulated fire drills held at unexpected times.	2	2024-08-22
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2025-09-03
K-0911	Meet requirements for the installation and maintenance of electrical systems.	1	2024-08-22
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	1	2023-09-26
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2024-08-22
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	1	2025-09-03
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2025-09-03

What the citations cover

Citations by CMS category

Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 2
Egress Deficiencies 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	2
Egress Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 3, 2025 — 5 citations

Citations issued on September 3, 2025
Tag	What the surveyor checks	Status
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 18, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (November 18, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 18, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (November 18, 2025)
K-0925	Ensure that sources of ignition are removed from patients receiving respiratory therapy.	Deficient, Provider has date of correction (November 18, 2025)

August 22, 2024 — 8 citations

Citations issued on August 22, 2024
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (October 7, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 7, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 7, 2024)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (October 7, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 7, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (October 7, 2024)
K-0922	Meet requirements for the use and maintenance of medical gas equipment.	Deficient, Provider has date of correction (October 7, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 7, 2024)

September 26, 2023 — 4 citations

Citations issued on September 26, 2023
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (November 1, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 1, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 2, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 1, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.