nursing home in Ava, MO
Heart of the Ozarks Healthcare Center
2004 Crestview Street, Ava, MO 65608 · (417) 683-4129
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Heart of the Ozarks Healthcare Center at a glance
Heart of the Ozarks Healthcare Center is a 120-bed for-profit nursing home in Ava, Missouri (Douglas County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 3.4 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (August 22, 2024) found 6 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 52.9% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Circle B Enterprises
- Medicare-certified since
- June 4, 1984
- Resident/family council
- Resident
- County
- Douglas County
- CMS Certification Number
- 265254
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.8 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.37 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.45 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 2.91 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52.9% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 41.7% | 47.8% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 45 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 103 | 107 | |
| Average residents per day | 75 | 73 | 86 | |
| Occupancy | 62.5% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.5% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.4% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16.4% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.6% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.3% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.9% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 8.7% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 51.4% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 12.7% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 7.4% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 91.5% | 63.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.1% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 25, 2025 Complaint | 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 | E Potential harm, pattern | Corrected May 9, 2025 |
| December 12, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected January 26, 2025 |
| August 22, 2024 Standard | 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 Potential harm, widespread | Corrected October 6, 2024 |
| August 22, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 6, 2024 |
| August 22, 2024 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected October 6, 2024 |
| August 22, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected October 6, 2024 |
| August 22, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 6, 2024 |
| August 22, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected October 6, 2024 |
| May 3, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 24, 2024 |
| November 3, 2022 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected December 18, 2022 |
| November 3, 2022 Standard | 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 Potential harm, widespread | Corrected December 18, 2022 |
| November 3, 2022 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | E Potential harm, pattern | Corrected December 18, 2022 |
| November 3, 2022 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected December 18, 2022 |
| November 3, 2022 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 18, 2022 |
| November 3, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 18, 2022 |
| November 3, 2022 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected December 18, 2022 |
| October 22, 2019 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected December 6, 2019 |
| October 22, 2019 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected December 6, 2019 |
| October 22, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected December 6, 2019 |
| October 22, 2019 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected December 6, 2019 |
| October 22, 2019 Standard | 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 | E Potential harm, pattern | Corrected December 19, 2019 |
| October 22, 2019 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected December 6, 2019 |
| October 22, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 6, 2019 |
| October 22, 2019 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected December 6, 2019 |
| October 22, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 6, 2019 |
| October 22, 2019 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 6, 2019 |
| October 22, 2019 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 6, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AVA EXEMPT TR Organization | 5% or greater direct ownership interest | 100% | 04/23/2004 |
| AGH1 LLC Organization | adp of the snf | NOT APPLICABLE | 05/05/2025 |
| AVA RE LLC Organization | adp of the snf | NOT APPLICABLE | 03/12/2013 |
| BEAIRD, TODD Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| CAVERO, FERNANDO Individual | adp of the snf | NOT APPLICABLE | 09/01/2022 |
| CUTBIRTH, BRANDEE Individual | adp of the snf | NOT APPLICABLE | 12/19/2022 |
| DCB REAL ESTATE PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 03/12/2013 |
| FG LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2016 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 08/16/2021 |
| MID STATES INC Organization | adp of the snf | NOT APPLICABLE | 02/02/2015 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/06/2025 |
| VAN DE VEN LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2000 |
| BEDELL, DONALD Individual | corporate director | NOT APPLICABLE | 04/23/2004 |
| BEAIRD, TODD Individual | corporate officer | NOT APPLICABLE | 01/01/2022 |
| BEDELL, DONALD Individual | corporate officer | NOT APPLICABLE | 04/23/2004 |
| BEDELL, BRYAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/12/2025 |
| AGH1 LLC Organization | operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| BEDELL, DONALD Individual | operational/managerial control | NOT APPLICABLE | 04/23/2004 |
| CAVERO, FERNANDO Individual | operational/managerial control | NOT APPLICABLE | 09/01/2022 |
| CUTBIRTH, BRANDEE Individual | operational/managerial control | NOT APPLICABLE | 12/19/2022 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| AVA EXEMPT TR Organization | trustee of the snf | NOT APPLICABLE | 04/23/2004 |
Other nursing homes near Heart of the Ozarks Healthcare Center
Rocky Ridge Manor
3111 Highway A, Mansfield, MO 65704 · 15.1 mi
For-profit · 65 beds · Part of James & Judy Lincoln
- Abuse citation
★★★★★1Much below averageGlenwood Rehabilitation & Health Care Center
851 Thoroughfare, Seymour, MO 65746 · 15.9 mi
For-profit · 60 beds · Part of James & Judy Lincoln
★★★★★4Above averageHartville Care Center
649 West Rolla Street, Hartville, MO 65667 · 23.2 mi
For-profit · 58 beds · Part of James & Judy Lincoln
★★★★★3AverageAutumn Oaks Caring Center
1310 Hovis Street, Mountain Grove, MO 65711 · 26.7 mi
For-profit · 120 beds · Part of Circle B Enterprises
★★★★★1Much below averageGainesville Nursing
77 Medical Drive, Gainesville, MO 65655 · 28.7 mi
For-profit · 99 beds · Part of Community Care Centers
★★★★★3Average- ★★★★★1Much below average
Frequently asked questions
What is Heart of the Ozarks Healthcare Center's rating?
Heart of the Ozarks Healthcare Center has 4 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Heart of the Ozarks Healthcare Center receive?
Its most recent standard health inspection found 6 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Heart of the Ozarks Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Heart of the Ozarks Healthcare Center?
It is for profit - limited liability company and part of Circle B Enterprises. The ownership section on this page lists the owners and managers reported to CMS.
Where is Heart of the Ozarks Healthcare Center and how do I contact it?
Heart of the Ozarks Healthcare Center is at 2004 Crestview Street, Ava, MO 65608. Phone: (417) 683-4129.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.