Heart of the Ozarks Healthcare Center

Name: Heart of the Ozarks Healthcare Center
Address: 2004 CRESTVIEW STREET, Ava, MO, 65608, US
Telephone: 4176834129

2004 Crestview Street, Ava, MO 65608 · Douglas County · 120 certified beds · avg 75 residents/day · certified since Jun 4, 1984

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.24

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 25, 2025	E · Potential for harm, repeated	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint
Aug 22, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 22, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 3, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Nov 3, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 3, 2022	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Nov 3, 2022	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Nov 3, 2022	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 3, 2022	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Nov 3, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 3, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Oct 22, 2019	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 22, 2019	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Oct 22, 2019	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Oct 22, 2019	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 22, 2019	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Oct 22, 2019	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Oct 22, 2019	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Oct 22, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).

Year	Citations	Worst severity that year
2019	8	E
2022	7	F
2024	7	F
2025	1	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.24	3.66	3.95	bottom 34% in Missouri; bottom 24% in the U.S.
Registered Nurse hours	0.49	0.49	0.69	top 37% in Missouri; bottom 37% in the U.S.
Weekend total nurse staffing	2.80	3.22	3.50	bottom 32% in Missouri; bottom 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.33	0.48	bottom 48% in Missouri; bottom 24% in the U.S.
Total nursing staff turnover (%)	52.9	56.0	45.8	top 40% in Missouri; bottom 30% in the U.S.
RN turnover (%)	41.7	47.8	42.9	top 41% in Missouri; top 50% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.51, weekend 2.91. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Ava Exempt Tr	Organization	5% or Greater Direct Ownership Interest	100%	04/23/2004
Agh1 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/02/2016
Agh1 LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/05/2025
Ava Exempt Tr	Organization	Trustee of the SNF	NOT APPLICABLE	04/23/2004
Ava Re LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/12/2013
Beaird, Todd	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Beaird, Todd	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Bedell, Bryan	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/12/2025
Bedell, Donald	Individual	Corporate Director	NOT APPLICABLE	04/23/2004
Bedell, Donald	Individual	Corporate Officer	NOT APPLICABLE	04/23/2004
Bedell, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	04/23/2004
Cavero, Fernando	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Cavero, Fernando	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2022
Cutbirth, Brandee	Individual	Operational/Managerial Control	NOT APPLICABLE	12/19/2022
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	Operational/Managerial Control	NOT APPLICABLE	04/23/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Rocky Ridge Manor	15.1 mi	Mansfield, MO	★☆☆☆☆	2/5	abuse
Glenwood Rehabilitation & Health Care Center	15.9 mi	Seymour, MO	★★★★☆	4/5

Compare this facility with the 2 closest →

All facilities in Ava →

Facility data as of CMS processing date 2026-08-01. CCN 265254.

The Care File

Visit checklist — Heart of the Ozarks Healthcare Center

2004 Crestview Street, Ava, MO 65608 · 4176834129

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265254 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)