What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Heart of the Ozarks Healthcare Center

AVA, MO 65608-8903 View Map

Heart of the Ozarks Healthcare Center is a Nursing Home in Missouri

Heart of the Ozarks… is a Nursing Home in Missouri

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Overview of Heart of the Ozarks Healthcare Center

Heart of the Ozarks Healthcare is a skilled nursing and rehabilitation center located in Ava, Missouri. It offers 24-hour skilled nursing care, individualized rehabilitation programs, and a warm, family-oriented atmosphere. The facility focuses on enhancing the quality of life for its residents through engaging activities and comprehensive support.

(417) 683-4129 adm@heartoftheozarkshealthcare.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.22/day

Overall rating

4/5

Health Inspection

4/5

Staffing

2/5

Quality Measures

2/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 120

This home usually has availability

Lower occupancy suggests more openings may be available.

64.1%

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

53% of new residents, often for short stays.

Typical stay 1 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Home revenue

$8.2M

Profit

$737.2K

Proprietary home Corporation

Home revenue

$8,163,069.00

Profit

$737,195.00

Payroll costs

$2.2M

27.4% of revenue

Other operating costs

$5.2M

Total costs $7.4M

120-bed community

A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type

SNF

Additional licensing details

CMS Certification Number: 265254

Certification type: Medicare/Medicaid

County: DOUGLAS

Ownership & operating entity

Heart of the Ozarks Healthcare Center is administrated by RANDEE JO EVANS.

Owner name: AVA NO. 1, INC

Care Services

Nursing Services

Rehabilitation Services

Skilled Nursing

Licensed Nurses/CNAs

24-Hour Staffing

All Levels of Care

Skilled Nursing

Rehabilitation

Amenities & Lifestyle

Private and semi-private accommodations

Engaging recreational and social activities

24-hour skilled nursing oversight

Emotional and spiritual support

A warm

family-oriented atmosphere

Programs & Activities

Specific Programs

Transportation Services, 24-Hour Nursing Care, Professional staff, Additional Services

Volunteer Programs

Yes

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

Heart of the Ozarks Healthcare Center

SNF

MO 65608-8903

120

AVA EXEMPT TR

64.1%

$7,821,512.00

$2,239,184.00

28.6%

72.00

4/5

3.2198

4/5

2/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

Operator: CHANCE, DON

CCN: 265678

Occupancy: 78.8%

Home Revenue: $5,145,452.00

Payroll Costs: $2,268,233.00

Payroll %: 44.1%

Avg Residents/Day: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Heart of the Ozarks Healthcare Center

Type of care: SNF AL

Community: MO 65608-8903

Bed Count: 120

Pets Allowed: No

Operator: AVA EXEMPT TR

CCN: 265254

Occupancy: 64.1%

Home Revenue: $7,821,512.00

Payroll Costs: $2,239,184.00

Payroll %: 28.6%

Avg Residents/Day: 72.00

Overall Rating: 4/5

Adj Nurse Hours: 3.2198

Health Insp Rating: 4/5

Staffing Rating: 2/5

QM Rating: 2/5

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

AVA, MO 65608-8903

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Total Staff

Employees

Contractors

24,046

Total Hours (Quarter)

Avg Staff/Day

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	12	8.3	No
Licensed Practical Nurse	6	9.7	No
Certified Nursing Assistant	25	8.5	No

Staff by Category

Administration

3 staff

8hs shift avg

Nursing Staff

73 staff

8.4hs shift avg

Physicians & Practitioners

1 staff

8hs shift avg

Therapy Services

11 staff

6.4hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

0 staff

0hs shift avg

Dietary Services

0 staff

0hs shift avg

Other Services

1 staff

7.7hs shift avg

Contractor Analysis

9.2%

of total hours from contractors

2,215 contractor hours this quarter

Physical Therapy Assistant: 2 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Respiratory Therapy Technician: 3 Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	25	0	25	8,597	91	100%	8.5
Nurse Aide in Training	22	0	22	4,369	91	100%	7.4
Registered Nurse	12	0	12	2,818	91	100%	8.3
Medication Aide/Technician	8	0	8	2,757	91	100%	9.2
Licensed Practical Nurse	6	0	6	1,807	82	90%	9.7
Physical Therapy Aide	0	2	2	998	64	70%	8.8
Speech Language Pathologist	0	2	2	913	67	74%	8.3
Administrator	2	0	2	520	65	71%	8
Nurse Practitioner	1	0	1	504	63	69%	8
Dental Services Staff	1	0	1	460	60	66%	7.7
Physical Therapy Assistant	0	2	2	168	56	62%	3
Respiratory Therapy Technician	0	3	3	48	56	62%	0.9
Medical Director	0	1	1	32	4	4%	8
Occupational Therapy Assistant	0	1	1	32	4	4%	8
Occupational Therapy Aide	0	1	1	24	3	3%	8

View All Staffing Data

Total Health inspections 5

24% below Missouri average

Missouri average: 6.6

Last Health inspection on Mar 2025

Total Health citations 23

37% below Missouri average

Missouri average: 36.5

4.6 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 21 citations

Complaint investigations 2 citations

Breakdown of citations

Critical Health citations 0

100% below Missouri average

Missouri average: 0.7

Serious Health citations 0

100% below Missouri average

Missouri average: 1.0

Moderate Health citations 23

Minor Health citations 0

Citations history (last 3 years)

Nursing Services moderate citation Mar 25, 2025

Corrected

Nutrition moderate citation Aug 22, 2024

Corrected

Pharmacy moderate citation Aug 22, 2024

Corrected

Quality of Care moderate citation Aug 22, 2024

Corrected

Ownership: For-Profit LLC

Part of: AVA NO 1 INC

Resident Census by Payment Source

81 Total Residents

Medicare 6 (7.4%)

Medicaid 51 (63%)

Private Pay/Other 24 (29.6%)

Programs & Services

Residents' Group

Nurse Aide Training

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 12.2

12% worse than Missouri average

Missouri average: 10.9

Functional decline score 22.6

16% worse than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 25.2%

28% above Missouri average.

Walking Ability Worsened 19.1%

7% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 23.4%

29% above Missouri average.

Falls with Major Injury 4.4%

10% above Missouri average.

High Risk Residents with Pressure Ulcers 9.5%

89% above Missouri average.

Urinary Tract Infection 2.3%

14% below Missouri average.

Depressive Symptoms 1.2%

91% below Missouri average.

Antipsychotic Use 20.3%

8% below Missouri average.

Pneumococcal Vaccine 100.0%

17% above Missouri average.

Influenza Vaccine 100.0%

10% above Missouri average.

Lost Too Much Weight 2.7%

51% below Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 98.3%

48% better than Missouri average

Antipsychotic medication increase 3.2%

44% worse than Missouri average

Influenza Vaccine 91.5%

44% better than Missouri average

Financial Trends

Historical financial and operational data for Heart of the Ozarks Healthcare Center based on CMS SNF Cost Reports.

Occupancy Rate 64.1% ↓ 0.0pp vs 2022

Net Income $737,195 ↑ ~$556K vs 2022

Total Payroll $3,416,908 ↑ ~$540K vs 2022

Profit Margin 9.4% ↑ 6.7pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	71.5%	75.4%	69.8%	68.8%	73.5%	76.9%	77.5%	75.3%	74.8%	65.7%	59.4%	64.1%	64.1%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	$399,337	$516,697	$398,937	$344,718	$392,576	$664,791	$395,905	$420,353	$477,558	$1,518,762	$574,603	$181,149	$737,195
Gross Revenue	$4,326,777	$5,023,379	$5,114,736	$4,940,779	$5,224,574	$5,442,027	$5,709,408	$6,068,711	$6,082,880	$5,564,027	$5,637,647	$6,635,813	$7,821,512
Operating Expenses	$4,037,905	$4,333,515	$4,451,791	$4,440,425	$4,674,449	$4,755,014	$5,060,618	$5,181,412	$5,271,751	$5,221,929	$4,891,576	$5,667,787	$5,880,274
Net Patient Revenue	$4,409,061	$4,788,509	$4,804,587	$4,749,815	$5,026,025	$5,354,038	$5,388,292	$5,475,717	$5,647,350	$5,358,706	$4,897,290	$5,685,193	$6,275,912
Total Payroll	$2,073,512	$2,215,171	$2,190,185	$2,149,421	$2,350,490	$2,464,335	$2,562,396	$2,623,973	$2,557,085	$2,507,594	$2,717,831	$2,876,742	$3,416,908
Profit Margin %	9.2%	10.3%	7.8%	7.0%	7.5%	12.2%	6.9%	6.9%	7.9%	27.3%	10.2%	2.7%	9.4%
Medicare %	9.3%	5.3%	7.1%	5.6%	4.5%	3.4%	4.4%	5.5%	3.7%	8.3%	4.7%	6.8%	6.5%
Medicaid %	54.8%	56.7%	61.2%	60.8%	58.5%	62.8%	64.7%	59.2%	61.5%	66.4%	76.9%	80.2%	80.9%
Private %	35.9%	38.0%	31.7%	33.6%	37.0%	33.8%	30.9%	35.3%	34.8%	25.3%	18.4%	13.0%	12.6%
Revenue/Day	$141	$145	$157	$158	$156	$159	$159	$166	$172	$186	$188	$202	$224
Cost/Day	$129	$131	$146	$147	$145	$141	$149	$157	$161	$181	$188	$202	$210
Avg Length of Stay	173.9 days	201.8 days	176.7 days	184.9 days	18.9 days	366.9 days	141.4 days	108.1 days	128.5 days	147.3 days	130.2 days	131.9 days	138.3 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

Heart of the Ozarks Healthcare Center

Heart of the Ozarks Healthcare Center is a Nursing Home in Missouri

Heart of the Ozarks… is a Nursing Home in Missouri

Heart of the Ozarks Healthcare Center

Heart of the Ozarks Healthcare Center is a Nursing Home in Missouri

Heart of the Ozarks… is a Nursing Home in Missouri

Quality ratings

Capacity and availability

Medium-capacity home

This home usually has availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

All Levels of Care

Amenities & Lifestyle

Programs & Activities

Compare Nursing Homes around Missouri

Places of interest near Heart of the Ozarks Healthcare Center

Calculate Travel Distance to Heart of the Ozarks Healthcare Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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