Heart of the Ozarks Healthcare Center — nursing home in Ava, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: 120 state-licensed beds · Missouri Department of Health and Senior Services
State license: 053358 active · licensee AVA NO. 1, INC
Average residents per day: 73.0 CMS, MDS-derived
CMS Certification Number: 265254
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 4, 1984
Ownership type: For profit - Limited Liability company
Operator (legal business name): Ava No 1 Inc
CMS chain: Circle B Enterprises 36 facilities
Phone: (417) 683-4129
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Mar 25, 2025

Citations

27

23 health · 4 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E10	F5
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265254
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jun 4, 1984
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 4, 2026
Evidence: Verified

State license

Authority: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number: 053358
State facility ID: 01290
License type: Skilled nursing facility
License status: active
Licensed beds: 120
Link to CMS record: Linked by exact CCN Verified
Licensee: AVA NO. 1, INC · Profit Corporation
Current license: Feb 1, 2026 → Jan 31, 2028
Certification (per state): Medicare/Medicaid
As of: Nov 4, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 25, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 12, 2024	Fire safety	Fire Safety Complaint	1	Potential harm	—	Open →
Aug 22, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 22, 2024	Health	Health Standard	6	Potential harm	—	Open →
May 3, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 3, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Nov 3, 2022	Health	Health Standard	7	Potential harm	—	Open →
Oct 22, 2019	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 22, 2019	Health	Health Standard	8	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E10	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 25, 2025	F-0728	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. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected May 9, 2025	Complaint
Dec 12, 2024	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 26, 2025	Complaint
Aug 22, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 6, 2024
Aug 22, 2024	F-0678	Provide 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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 6, 2024
Aug 22, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 6, 2024
Aug 22, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 6, 2024
Aug 22, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 6, 2024
Aug 22, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 6, 2024
May 3, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 24, 2024	Complaint
Nov 3, 2022	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 18, 2022
Nov 3, 2022	F-0638	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 18, 2022
Nov 3, 2022	F-0690	Provide 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 Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 18, 2022
Nov 3, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 18, 2022
Nov 3, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Dec 18, 2022
Nov 3, 2022	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 18, 2022
Nov 3, 2022	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 18, 2022
Oct 22, 2019	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 6, 2019
Oct 22, 2019	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 6, 2019
Oct 22, 2019	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 6, 2019
Oct 22, 2019	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 19, 2019
Oct 22, 2019	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 6, 2019
Oct 22, 2019	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 6, 2019
Oct 22, 2019	F-0625	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 6, 2019
Oct 22, 2019	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 6, 2019
Oct 22, 2019	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 6, 2019
Oct 22, 2019	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 6, 2019
Oct 22, 2019	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 6, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.8

Staffingstate 2.2

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.33

State avg 3.40US avg 3.90

Registered nurse (RN)0.51

State avg 0.46US avg 0.69

Licensed practical nurse0.41

State avg 0.68US avg 0.86

Nurse aide2.41

State avg 2.26US avg 2.35

Weekend total nurse2.72

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.18 (case-mix index 1.47).

Staff turnover

Total nursing staff turnover50.7%

State avg 56.9%US avg 45.3%

Registered nurse turnover33.3%

State avg 50.0%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 22, 2024
Cycle 1 health score: 36
Total weighted score: 45

Operating entity

Ava No 1 Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Circle B Enterprises

36 facilities in 2 states. CMS chain ID 145.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.6

Ownership disclosures

Disclosures

22

Organizations

9

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ava Exempt Tr	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 23, 2004

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ava Exempt Tr	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 23, 2004
Bryan Bedell	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	May 12, 2025
Agh1 LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 2, 2016
Sovereign Healthcare Group LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 23, 2021
Donald Bedell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 23, 2004
Fernando Cavero	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Brandee Cutbirth	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 19, 2022
Donald Bedell	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 23, 2004
Todd Beaird	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2022
Donald Bedell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 23, 2004
Ava Exempt Tr	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Apr 23, 2004
Agh1 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 5, 2025
Ava Re LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 12, 2013
Dcb Real Estate Partnership LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 12, 2013
Fg LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 2, 2016
Forvis Mazars LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 16, 2021
Mid States Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 2, 2015
Sovereign Healthcare Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 6, 2025
Van De Ven LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2000
Todd Beaird	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Fernando Cavero	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2022
Brandee Cutbirth	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 19, 2022

Same chain in Missouri

All 35 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
River Oaks Care Center 1001 North Walnut, Steele, MO 63877 CCN 265210	90	Aug 8, 2025	192 IJ	$41k
Shady Oaks Healthcare Center 335 Business Route 63, Thayer, MO 65791 CCN 265246	120	Dec 5, 2025	18	—
Truman Healthcare & Rehabilitation Center 206 West First Street, Lamar, MO 64759 CCN 265253Abuse icon	109	May 6, 2026	64	—
Clinton Healthcare and Rehabilitation Center 1009 East Ohio, Clinton, MO 64735 CCN 265255Abuse icon	120	Aug 5, 2026	371 IJ	$83k
Adair Village 1801 North Gaines Drive, Clinton, MO 64735 CCN 265347	120	Jan 23, 2026	483 harm	$51k
Quail Run Health Care Center 1405 West Grand Ave, Cameron, MO 64429 CCN 265353	84	Mar 27, 2026	54	—
Valley Manor and Rehabilitation Center 1410 Hospital Drive, Excelsior Springs, MO 64024 CCN 265356	120	Aug 4, 2026	65	—
Riverdell Care Center 1121 11th Street, Boonville, MO 65233 CCN 265361	60	May 29, 2026	14	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2004 Crestview Street, Ava, MO 65608
ZIP: 65608
County: Douglas County FIPS 29067
State: Missouri
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265254	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265254	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Missouri DHSS Long-Term Care Directory MO	01290	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Nov 4, 2026	Nov 7, 2026

Record-level source links for CCN 265254

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction