CCN 165269 · Ringgold County, Iowa
Clearview Home
406 West Washington, Mount Ayr, IA 50854
Clearview Home is a 82-bed for-profit nursing home in Mount Ayr, Iowa, first certified for Medicare or Medicaid in 1996. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 72.2 residents a day, about 88% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 82
- Average residents per day
- 72.2 (88.0% of beds)
- Ownership type
- For profit - Partnership
- Certification
- Medicare and Medicaid
- Legal business name
- Clearview - Routh LP
- Certified since
- May 3, 1996
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.25 | 3.69 | 3.68 |
| RN hours per resident per day | 0.60 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 2.90 | ||
| Nursing staff turnover | 43.8% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 88.0% | 83.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 2 (Jul 24, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Clearview Home meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Routh, GaryIndividual | Direct Ownership Interest | 50% | 02/01/1997 |
| Routh, PatriciaIndividual | Direct Ownership Interest | 50% | 02/01/1997 |
| Casteel, MonicaIndividual | Operational / Managerial Control | n/a | 10/17/2016 |
| Fooken, AmberIndividual | Operational / Managerial Control | n/a | 03/23/2017 |
| Marsh-Narigon, WhitneyIndividual | Operational / Managerial Control | n/a | 04/15/2018 |
| Ramsey, RobinIndividual | Operational / Managerial Control | n/a | 11/02/2021 |
| Routh, GaryIndividual | Operational / Managerial Control | n/a | 02/01/1997 |
| Routh, MatthewIndividual | Operational / Managerial Control | n/a | 05/16/2004 |
| Routh, PatriciaIndividual | Operational / Managerial Control | n/a | 02/01/1997 |
| Willcox, KathleenIndividual | Operational / Managerial Control | n/a | 01/01/2022 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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