Heart of the Ozarks Healthcare Center

2004 Crestview Street · Ava, MO · 65608 · 4176834129

120 certified beds For profit - Limited Liability company Chain: Circle B Enterprises

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 100
Staffing 20% 63
Federal penalties 15% 100
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.343.48 min · 4.1 strong
RN hours / resident-day0.600.55–0.75
Weekend hours / resident-day2.93≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)none

Inspection citations (23 in the current record)

  • Potential for harm · E March 25, 2025 · found via 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.

    Corrected May 9, 2025 · Nursing and Physician Services

  • Potential for harm · D August 22, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected October 6, 2024 · Resident Rights

  • Potential for harm · D August 22, 2024

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected October 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected October 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 6, 2024 · Pharmacy Service

  • Potential for harm · F August 22, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 6, 2024 · Nutrition and Dietary

  • Potential for harm · D May 3, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 24, 2024 · Resident Rights

  • Potential for harm · D November 3, 2022

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected December 18, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E November 3, 2022

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected December 18, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 3, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected December 18, 2022 · Quality of Life and Care

  • Potential for harm · D November 3, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 18, 2022 · Quality of Life and Care

  • Potential for harm · F November 3, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 18, 2022 · Nutrition and Dietary

  • Potential for harm · F November 3, 2022

    Keep all essential equipment working safely.

    Corrected December 18, 2022 · Environmental

  • Potential for harm · E November 3, 2022

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected December 18, 2022 · Environmental

  • Potential for harm · E October 22, 2019

    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.

    Corrected December 19, 2019 · Resident Rights

  • Potential for harm · D October 22, 2019

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 6, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 22, 2019

    Respond appropriately to all alleged violations.

    Corrected December 6, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E October 22, 2019

    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.

    Corrected December 6, 2019 · Resident Rights

  • Potential for harm · D October 22, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 6, 2019 · Quality of Life and Care

  • Potential for harm · E October 22, 2019

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected December 6, 2019 · Quality of Life and Care

  • Potential for harm · E October 22, 2019

    Provide and implement an infection prevention and control program.

    Corrected December 6, 2019 · Infection Control

  • Potential for harm · E October 22, 2019

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected December 6, 2019 · Environmental

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265254 · certified since June 4, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.