Heart of the Ozarks Healthcare CenterCMS ratings, inspections and fines
- Address
- 2004 Crestview Street, Ava, MO 65608
- CCN
- 265254
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Circle B Enterprises
- Residents per day
- 75
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Heart of the Ozarks Healthcare Center an overall rating of 4 of 5 stars. The last standard survey was on 22 Aug 2024. The latest survey cycle has 6 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Missouri median | US average (CMS) |
|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 22 Aug 2024 | 6 | 9 |
| Cycle 2 | 3 Nov 2022 | 8 | 10 |
| Cycle 3 | No date | 9 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Aug 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Oct 2024 |
| 22 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Oct 2024 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2025 | F0728 | 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. | E | Complaint investigation | 9 May 2025 |
| 3 Nov 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 18 Dec 2022 |
| 3 Nov 2022 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 18 Dec 2022 |
| 3 Nov 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 18 Dec 2022 |
| 3 Nov 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Dec 2022 |
| 3 Nov 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Dec 2022 |
| 3 Nov 2022 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 18 Dec 2022 |
| 3 Nov 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 18 Dec 2022 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 May 2024 |
| 22 Oct 2019 | F0584 | 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. | E | Standard survey | 19 Dec 2019 |
| 22 Oct 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 6 Dec 2019 |
| 22 Oct 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 6 Dec 2019 |
| 22 Oct 2019 | F0625 | 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. | E | Standard survey | 6 Dec 2019 |
| 22 Oct 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Dec 2019 |
| 22 Oct 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 6 Dec 2019 |
| 22 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Dec 2019 |
| 22 Oct 2019 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 6 Dec 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.37 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.51 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.41 | 0.68 | |
| Nurse aides | 2.45 | 2.29 | |
| All nurse staff, weekends | 2.91 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 52.9%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 41.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.4% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.4% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Ava No 1 Inc
- Chain
- Circle B Enterprises (36 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Agh1 LLC | Operational/managerial control | 2 Dec 2016 | |
| Sovereign Healthcare Group LLC | Operational/managerial control | 23 Apr 2021 | |
| Agh1 LLC | Adp of the snf | 5 May 2025 | |
| Ava Re LLC | Adp of the snf | 12 Mar 2013 | |
| DCB Real Estate Partnership LP | Adp of the snf | 12 Mar 2013 | |
| FG LLC | Adp of the snf | 2 Dec 2016 | |
| Forvis Mazars LLP | Adp of the snf | 16 Aug 2021 | |
| Mid States Inc | Adp of the snf | 2 Feb 2015 | |
| Sovereign Healthcare Group LLC | Adp of the snf | 6 Apr 2025 | |
| Van De Ven LLC | Adp of the snf | 1 Jan 2000 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Heart of the Ozarks Healthcare Center (CCN 265254). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/heart-of-the-ozarks-healthcare-center-ava-mo-265254/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Heart of the Ozarks Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 25 Mar 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 3 Nov 2022.
- Who operates Heart of the Ozarks Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Circle B Enterprises. The CMS ownership file names Agh1 LLC and Sovereign Healthcare Group LLC for operational or managerial control. This site does not show the names of persons.
- Is Heart of the Ozarks Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.