Senior CareScorecard

Nursing home · Ava, MO

Heart of the Ozarks Healthcare Center

2004 Crestview Street, Ava, MO 65608 · 120 certified beds · for profit ownership · part of Circle B Enterprises

Medicare & Medicaid
Medicare overall rating4 / 5Above averageWest Plains area 3.1 · Missouri 2.51 · U.S. 2.99
4/5Health inspections Above average
2/5Staffing Below average
2/5Quality measures Below average
1/5Short-stay (rehab) quality Much below average
4/5Long-stay quality Above average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Mar 25, 2025, when they cited 1 problem from a complaint investigation. The most common area was nursing and physician services (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 22, 2024) it had 6 citations, compared with an average of 7.4 for West Plains-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.37 hours per resident per day here, about the same as the Missouri average (3.43) and 13% less than the U.S. average (3.86). Registered nurses account for 0.51 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 53% over the past year, 3 points lower than Missouri (56%) and 7 points higher than the U.S. (46%).

How Heart of the Ozarks Healthcare Center compares

This home's latest CMS figures next to the averages for West Plains-area homes (18), Missouri (487) and the U.S. (14,680).

This homeWest Plains areaMissouriU.S.
Total nurse hours per resident per day3.373.373.433.86
Registered nurse hours per resident per day0.510.470.460.68
Weekend nurse hours per resident per day2.912.923.013.42
Nursing staff turnover (past year)53%51%56%46%
Registered nurse turnover (past year)42%39%48%43%
Citations at the most recent standard inspection67.411.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Mar 25, 20251complaint
Aug 22, 20246standard
May 3, 20241complaint
Nov 3, 20227standard
Oct 22, 20198standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 23 of 23 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Mar 25, 2025Ensure 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 · complaint
EDeficient, Provider has date of correction
Aug 22, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Aug 22, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident rights
DDeficient, Provider has date of correction
Aug 22, 2024Provide 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
DDeficient, Provider has date of correction
Aug 22, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Aug 22, 2024Provide enough food/fluids to maintain a resident's health.
Quality of life and care
DDeficient, Provider has date of correction
Aug 22, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy service
DDeficient, Provider has date of correction
May 3, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
DDeficient, Provider has date of correction
Nov 3, 2022Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Nov 3, 2022Provide 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
DDeficient, Provider has date of correction
Nov 3, 2022Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident assessment and care planning
DDeficient, Provider has date of correction
Nov 3, 2022Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
EDeficient, Provider has date of correction
Nov 3, 2022Assure that each resident’s assessment is updated at least once every 3 months.
Resident assessment and care planning
EDeficient, Provider has date of correction
Nov 3, 2022Keep all essential equipment working safely.
Environmental
FDeficient, Provider has date of correction
Nov 3, 2022Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Oct 22, 2019Honor 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
EDeficient, Provider has date of correction
Oct 22, 2019Notify 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
EDeficient, Provider has date of correction
Oct 22, 2019Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of life and care
EDeficient, Provider has date of correction
Oct 22, 2019Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Oct 22, 2019Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
EDeficient, Provider has date of correction
Oct 22, 2019Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Oct 22, 2019Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Oct 22, 2019Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Heart of the Ozarks Healthcare Center

Answers computed from CMS data for this facility.

What is Heart of the Ozarks Healthcare Center's Medicare rating?

Medicare rates Heart of the Ozarks Healthcare Center 4 out of 5 stars overall (above average). The average for West Plains-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.

How did Heart of the Ozarks Healthcare Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Mar 25, 2025, when they cited 1 problem from a complaint investigation. The most common area was nursing and physician services (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 22, 2024) it had 6 citations, compared with an average of 7.4 for West Plains-area homes, 11.4 in Missouri and 9.2 nationally.

Has Heart of the Ozarks Healthcare Center been fined?

CMS reports no federal fines for this facility in the past three years.

Does Heart of the Ozarks Healthcare Center accept Medicaid?

Heart of the Ozarks Healthcare Center is certified for both Medicare and Medicaid. Call (417) 683-4129 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.