Heart of the Ozarks Healthcare Center
Ava, Missouri · CCN 265254
10 surveys since 2013. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 33
- Surveys
- 10
- Harm or worse
- 1
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- CIRCLE B ENTERPRISES
- County
- Douglas · rural
- Medicare-certified since
- 1984
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=17, floor 20).
Last survey on record
Mar 25, 2025
594 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.37 | 3.32 |
| Registered-nurse hours per resident day | 0.51 | — |
| Annual nurse turnover | 52.9% | 57.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1252.2% | E834.8% | F313.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F5841×
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.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Heart of the Ozarks Healthcare Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Aug 22, 2024
Based on observation, record review, and interview, the facility failed to keep all food safe from potential contamination when staff failed to keep dented cans separate from other canned goods and failed to ensure food from a dented cans was not served to residents. The facility census was 81. Review of the 2022 Food and Drug Administration (FDA) Food Code showed the following information: -Depending on the circumstances, rusted, and pitted or dented cans may present a serious potential hazard; -Damaged or incorrectly applied packaging may allow the entry of bacteria or other contaminants into the contained food; -If the integrity of the packaging has been compromised, contaminants may find their way into the food. […]
- No harm, potential for more than minimal, widespreadF812Nov 3, 2022
Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and served in a manner that prevent possible contamination when the ice machine has a black substance present, wet cups were stacked, and staff failed to keep potential food contact surfaces clean. The facility census was 78. 1. Record review of the 2013 Missouri Food Code showed the following information: -Equipment food-contact surfaces and utensils shall be clean to sight and touch. Record review of the facility's policy regarding Sanitization of the Kitchen, revised on October 2008, showed the following: -Ice machines and ice storage containers will be drained, cleaned and sanitized per manufacturer's instructions and facility policy. […]
- No harm, potential for more than minimal, widespreadF908Nov 3, 2022
Based on observation, interview, and record review, the facility failed to maintain equipment in the kitchen in a safe operating condition when nine stove knobs were missing. The facility census was 78. Record review showed the facility did not provide a policy regarding upkeep of kitchen appliances. 1. Observations on 10/31/22, beginning at 10:40 A.M., and on 11/03/22, at 9:30 A.M., showed the following: -The cook stove located in the kitchen had nine of the twelve burner control knobs missing. […]
- No harm, potential for more than minimal, patternF728Mar 25, 2025
Based on interview and record review, the facility failed to have a system in placed to ensure nurse aides (NA) completed their training, competencies, and testing in a timely manner when two NA's failed to complete a state approved certified nursing assistant (CNA) training program, competency evaluation, and certification test within four months of hire and continued to work providing direct care to residents. The facility's census was 71. Review of the facility policy titled Nurse Aide Qualifications and Training Requirements, dated 08/2022, showed the following: -Nurse aide is any individual providing nursing or nursing related services to residents in a facility; -Facility will only employ those nurse aides who meet the requirements set forth in the federal and state statutes… […]
- No harm, potential for more than minimal, patternF638Nov 3, 2022
Based on record review and interview, facility staff failed to complete a quarterly Minimum Data Set (MDS - a federally mandated comprehensive assessment instrument completed by facility staff) assessment for four residents (Residents #14, #47, #57 and #72) within 14 days from the assessment reference date (ARD). The facility had a census of 78. Record review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, Chapter 2, Assessments for the RAI, showed the following information: -The quarterly assessment is an Omnibus Budget Reconciliation Act of 1987 (OBRA) non-comprehensive assessment for a resident that must be completed at least every 92 days following the previous OBRA assessment of any type; -The quarterly assessment is… […]
Read 21 findings in full →The most serious and the most recent: 21 of 33 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 25, 2025Complaint1 finding
- Aug 22, 2024Standard6 findings
- May 3, 2024Complaint1 finding
- Nov 3, 2022Standard7 findings
- Jun 30, 2022Complaint2 findings
- Oct 22, 2019Standard8 findings
- Oct 24, 2018Standard2 findings
- Aug 22, 2018Complaint4 findings · 1 harm
Show the 2 earlier surveys
- Nov 6, 2015Standard1 finding
- Nov 8, 2013—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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