Facility type
Snf
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.
Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
Occupancy rate
64.1%
Residents per day (avg)
72
Occupancy rate
64.1%
Residents per day (avg)
72
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Privately-owned community
Operated by a business corporation.
Home revenue
$8.2M
Profit
$737.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$8,163,069.00
Profit
$737,195.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.4M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
County:
DOUGLAS
Additional licensing details
CMS Certification Number:
265254
Certification type:
Medicare/Medicaid
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
Amenities & Lifestyle
Programs & Activities
Specific Programs
Transportation Services, 24-Hour Nursing Care, Professional staff, Additional Services
Volunteer Programs
Yes
Health Inspection History
Inspections
Total health inspections
5
Missouri average 6.6
Last Health inspection on Mar 2025
Total health citations
23
Citations per inspection
4.6
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 23 citations resulted from standard inspections; and 2 of 23 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
23 moderate citations
0 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
9
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
10
+42%-2%+18%
Heart of the Ozarks Healthcare Center
+72%
-14%
-4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65608-8903
120
-
AVA EXEMPT TR
64.1%
$7,821,512.00
$2,239,184.00
28.6%
72.00
3.2198
23
+72%-14%-4%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
38
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
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:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Heart of the Ozarks Healthcare Center
Type of care:
SNF
AL
Community:
MO 65608-8903
Bed Count:
120
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:
Adj Nurse Hours:
3.2198
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
23
RN share vs State Avg:
+72%
+72%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
-4%
-4%
Places of interest near Heart of the Ozarks Healthcare Center
0.0 miles from city center
AVA, MO 65608-8903
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
89
Total Staff
77
Employees
12
Contractors
24,046
Total Hours (Quarter)
33
Avg Staff/Day
8
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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
81 residents
Residents by payment source
Medicare
6 residents (7.4%)
Medicaid
51 residents (63%)
Private pay or other
24 residents (29.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
12% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.6
16% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.2%
Percent of long-stay residents whose need for help with daily activities has increased
25.2%
28% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.1%
Percent of long-stay residents whose ability to move independently worsened
19.1%
7% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
29% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
10% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.5%
Percent of long-stay high risk residents with pressure ulcers
9.5%
89% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
14% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.7%
Percent of long-stay residents who lose too much weight
2.7%
51% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
91% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.3%
Percent of long-stay residents who received an antipsychotic medication
20.3%
8% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
48% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
44% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
44% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
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