Adair Village — nursing home in Clinton, 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: 053208 active · licensee CLINTON NO. 2 INC
Average residents per day: 61.8 CMS, MDS-derived
CMS Certification Number: 265347
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1989
Ownership type: For profit - Individual
Operator (legal business name): Clinton No 2 Inc
CMS chain: Circle B Enterprises 36 facilities
Phone: (660) 885-8196
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Jan 23, 2026

Citations

48

33 health · 15 fire

Harm or worse

3

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D19	E17	F9
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

2

$50,606

Payment denials

0

Latest

Jan 23, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265347
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jan 1, 1989
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: 053208
State facility ID: 08521
License type: Skilled nursing facility
License status: active
Licensed beds: 120
Link to CMS record: Linked by exact CCN Verified
Licensee: CLINTON NO. 2 INC · Profit Corporation
Current license: Dec 4, 2025 → Dec 3, 2027
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
Jan 23, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 23, 2026	Health	Health Standard	9	Actual harm	—	Open →
Feb 21, 2025	Health	Health Complaint	5	Actual harm	—	Open →
Aug 28, 2024	Health	Health Complaint	3	Actual harm	—	Open →
Mar 14, 2024	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
Mar 14, 2024	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Oct 25, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Apr 7, 2022	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Apr 7, 2022	Health	Health Standard	5	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.

Date	Type	Amount	Payment denial	Record
Jan 23, 2026	Civil money penalty (fine)	$41,496	—	265347\|Fine\|139418
Feb 21, 2025	Civil money penalty (fine)	$9,110	—	265347\|Fine\|90746

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D19	E17	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 23, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 8, 2026
Jan 23, 2026	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 8, 2026
Jan 23, 2026	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 8, 2026
Jan 23, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 8, 2026
Jan 23, 2026	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 8, 2026
Jan 23, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 8, 2026
Jan 23, 2026	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 8, 2026
Jan 23, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 8, 2026
Jan 23, 2026	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 8, 2026
Jan 23, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 8, 2026
Jan 23, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 8, 2026
Jan 23, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 8, 2026
Feb 21, 2025	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	G · Actual harm Isolated	Corrected Apr 5, 2025	Complaint
Feb 21, 2025	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 Apr 5, 2025	Complaint
Feb 21, 2025	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 Apr 5, 2025	Complaint
Feb 21, 2025	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 Apr 5, 2025	Complaint
Feb 21, 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 Apr 5, 2025	Complaint
Aug 28, 2024	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Oct 11, 2024	Complaint
Aug 28, 2024	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 Oct 11, 2024	Complaint
Aug 28, 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 11, 2024	Complaint
Mar 14, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 22, 2024
Mar 14, 2024	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 22, 2024
Mar 14, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 22, 2024
Mar 14, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 22, 2024
Mar 14, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 22, 2024
Mar 14, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 22, 2024
Mar 14, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 22, 2024
Mar 14, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 22, 2024
Mar 14, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 22, 2024
Mar 14, 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 Apr 22, 2024
Mar 14, 2024	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 22, 2024	Complaint
Mar 14, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 22, 2024
Mar 14, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 22, 2024
Mar 14, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 22, 2024
Mar 14, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 22, 2024	Complaint
Mar 14, 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	E · Potential harm Pattern	Corrected Apr 22, 2024
Mar 14, 2024	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 Apr 22, 2024
Mar 14, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 22, 2024
Mar 14, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Apr 22, 2024
Oct 25, 2023	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 Nov 17, 2023	Complaint
Apr 7, 2022	K-0221	Provide rooms that can be unlocked from inside without a key. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 3, 2022
Apr 7, 2022	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 3, 2022
Apr 7, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 3, 2022
Apr 7, 2022	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 3, 2022
Apr 7, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 3, 2022
Apr 7, 2022	F-0700	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 3, 2022
Apr 7, 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 Jun 3, 2022
Apr 7, 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	F · Potential harm Widespread	Corrected Jun 3, 2022

“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 staffing3.67

State avg 3.40US avg 3.90

Registered nurse (RN)0.21

State avg 0.46US avg 0.69

Licensed practical nurse1.34

State avg 0.68US avg 0.86

Nurse aide2.13

State avg 2.26US avg 2.35

Weekend total nurse3.21

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.86 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover57.9%

State avg 56.9%US avg 45.3%

Registered nurse turnover60.0%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 23, 2026
Cycle 1 health score: 68
Total weighted score: 83

Operating entity

Clinton No 2 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

23

Organizations

9

Individuals

12

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Circle B Enterprises Holding Company Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 11, 2021

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
Circle B Enterprises Holding Company Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 11, 2021
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	Mar 1, 2022
Sovereign Healthcare Group LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2022
Donald Bedell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 11, 2021
Mark Vogt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2000
Stacia Wilson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 17, 2023
Donald Bedell	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 11, 2021
Todd Beaird	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 11, 2021
Donald Bedell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 11, 2021
Kevin Britton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2022
Agh1 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 5, 2025
Dcb Real Estate Partnership LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 9, 2022
Fg LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2022
Forvis Mazars LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2022
Gaines Drive Property LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 9, 2022
Mid States Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2022
Sovereign Healthcare Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 11, 2025
Van De Ven LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2022
Todd Beaird	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 11, 2021
Kevin Britton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2022
Mark Vogt	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2000
Stacia Wilson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 17, 2023

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	—
Heart of the Ozarks Healthcare Center 2004 Crestview Street, Ava, MO 65608 CCN 265254	120	Mar 25, 2025	27	—
Clinton Healthcare and Rehabilitation Center 1009 East Ohio, Clinton, MO 64735 CCN 265255Abuse icon	120	Aug 5, 2026	371 IJ	$83k
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: 1801 North Gaines Drive, Clinton, MO 64735
ZIP: 64735
County: Henry County FIPS 29083
State: Missouri
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Clinton Healthcare and Rehabilitation Center 1009 East Ohio, Clinton, MO 64735 CCN 265255Abuse icon	2.8 km	120		Aug 5, 2026	371 IJ	$83k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265347	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265347	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	08521	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 265347

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