Heart of the Ozarks Healthcare Center

Nursing Home & Assisted Living · Ava, MO

CMS overall rating

2004 Crestview St, Ava, MO 65608-8903 View map

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Heart of the Ozarks Healthcare Center accepts Medicare, Medicaid, and private pay.

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Heart of the Ozarks Healthcare Center accepts Medicare, Medicaid, and private pay.

Overview of Heart of the Ozarks Healthcare Center

Owned by Ava Exempt Trust, Heart of the Ozarks Healthcare Center is a 120-bed skilled nursing facility located on Crestview Street in Ava, Missouri. The center is operated by Ava No 1, Inc. It accepts Medicare, Medicaid, and private pay, providing families with multiple ways to access short-term rehabilitation and longer-term nursing care.

The facility has 24-hour staffing. Total nurse staffing averages 3 hours and 13 minutes per resident each day. Registered nurses on staff provide 36 minutes per resident daily, alongside nurse aides and licensed practical nurses. The community supports residents who need skilled nursing oversight and rehabilitation services. Residents stay an average of 138 days, including post-acute recovery residents and those remaining for ongoing care.

The community’s occupancy rate is 59%, with 71 residents. Ava’s location has a Walk Score of 55, so it’s a moderately walkable area where some errands can be done on foot; however, most trips still require driving.

State inspections reviewed the facility’s staffing training, clinical documentation, and care protocols around medication management and resident monitoring. Families touring Heart of the Ozarks should ask how the center complies with these operational standards.

Residents can choose from private and semi-private room options. The home promotes a family-oriented environment and provides emotional and spiritual support alongside medical care. There are engaging recreational and social activities as part of daily life. Those evaluating skilled nursing care in the Ava area may find Heart of the Ozarks a practical option as it’s a straightforward option with solid staffing-to-resident ratios and a stable operational presence in the region.

Facility Direct Line (417) 683-4129 adm@heartoftheozarkshealthcare.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 13m per day

vs avg

3 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +29% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	36m per day	▲ 29% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	19m per day	▼ 53% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 25m per day	▲ 4% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 56m per day	▼ 4% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 83% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	24m per day	▲ 19% State avg: 20m per day · National avg: 28m per day

Capacity and availability

138 days

120-bed community

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

Walk Score: 55 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

59%

Lower than the Missouri average: 66.6%

Occupied beds

71 / 120

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceFebruary 1, 2026

ExpirationJanuary 31, 2028

CountyDouglas

License Number053358

CMS Certification Number265254

Certification TypeMedicare / Medicaid

Heart of the Ozarks Healthcare Center is legally operated by Ava No 1, Inc., and administered by Randee Jo Evans.

Corporate EntityAVA NO. 1, INC

Owner NameAva No. 1, Inc

Skilled Nursing Facility

120 units

Total beds

120 units

Rehabilitation Services

24-Hour Staffing

Private And Semi-Private Accommodations

Engaging Recreational And Social Activities

24-Hour Skilled Nursing Oversight

Emotional And Spiritual Support

A Warm

Family-Oriented Atmosphere

Volunteer Program

Since 2018 · 8 years of data 76 deficiencies 18 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection March 25, 2025 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	76	35	This facility has 117% more total deficiencies than a typical Missouri assisted living residence (76 vs. MO avg 35).↑ 117% worse
Deficiencies per year Average deficiencies per year since 2018.	9.5	4.4	This facility has 116% more deficiencies per year than a typical Missouri assisted living residence (9.5 vs. MO avg 4.4).↑ 116% worse
Deficiencies per inspection Average deficiencies per inspection.	4.2	5	This facility has 16% fewer deficiencies per inspection than a typical Missouri assisted living residence (4.2 vs. MO avg 5).↓ 16% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	18	7	This facility has 157% more total inspections than a typical Missouri assisted living residence (18 vs. MO avg 7).↑ 157% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

March 25, 2025 inspection found failure to ensure two nurse aides completed state-approved CNA training and competency within four months of hire.
August 22, 2024 routine inspection cited six deficiencies including medication errors, inconsistent code status documentation, elopement risk monitoring, weight loss interventions, and serving food from dented cans.
Annual inspections on June 1 and August 30, 2023 closed with no deficiencies.

Show Inspection Reports

Inspections since 2019

Total health inspections 5

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

4.6

State average N/A

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 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

23 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 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

Total staff 92

Employees 80

Contractors 12

Staff to resident ratio 1.14 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 25,269

Nursing staff breakdown

8.9 hours

8.6 hours

Contractor staffing

2,078 contractor hours this quarter

Speech Language Pathologist: 2 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	26	0	26	7,752	92	100%	8.6
Nurse Aide in Training	26	0	26	5,581	92	100%	7.7
Registered Nurse	9	0	9	3,486	92	100%	8.9
Medication Aide/Technician	10	0	10	2,731	92	100%	9.4
Licensed Practical Nurse	6	0	6	2,132	92	100%	8.9
Physical Therapy Aide	0	2	2	995	67	73%	8.6
Speech Language Pathologist	0	2	2	741	65	71%	8.1
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Dental Services Staff	1	0	1	454	61	66%	7.4
Physical Therapy Assistant	0	1	1	150	45	49%	3.3
Qualified Social Worker	0	2	2	58	35	38%	1.5
Occupational Therapy Aide	0	1	1	47	4	4%	11.8
Respiratory Therapy Technician	0	2	2	39	38	41%	1
Medical Director	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	24	3	3%	8

26 Certified Nursing Assistant

% of Days 100%

26 Nurse Aide in Training

% of Days 100%

9 Registered Nurse

% of Days 100%

10 Medication Aide/Technician

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

2 Physical Therapy Aide

% of Days 73%

2 Speech Language Pathologist

% of Days 71%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

1 Dental Services Staff

% of Days 66%

1 Physical Therapy Assistant

% of Days 49%

2 Qualified Social Worker

% of Days 38%

1 Occupational Therapy Aide

% of Days 4%

2 Respiratory Therapy Technician

% of Days 41%

1 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 12.2

12% worse than State average

State average: 10.9

Functional decline score 22.6

16% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 25.2%

28% worse than State average

State average: 19.8%

Walking Ability Worsened 19.1%

7% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 23.4%

29% worse than State average

State average: 18.1%

Falls with Major Injury 4.4%

10% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 9.5%

89% worse than State average

State average: 5.0%

Urinary Tract Infection 2.3%

14% better than State average

State average: 2.7%

Lost Too Much Weight 2.7%

51% better than State average

State average: 5.6%

Depressive Symptoms 1.2%

91% better than State average

State average: 12.8%

Antipsychotic Use 20.3%

8% better than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 2.04

In line with State average

State average: 2.08

ED visits per 1,000 days 1.96

17% better than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 98.3%

48% better than State average

State average: 66.6%

Antipsychotic medication increase 3.2%

44% worse than State average

State average: 2.2%

Influenza Vaccine 91.5%

44% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 16.4%

35% better than State average

State average: 25.3%

Emergency department visits 19.1%

43% worse than State average

State average: 13.4%

Falls with major injury 1.5%

100% worse than State average

State average: 0.8%

Ability to care for self at discharge 44.1%

18% worse than State average

State average: 53.7%

Successful return to home or community 47.1%

7% worse than State average

State average: 50.6%

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

Total residents 81

Medicare

7.4% of residents

Medicaid

63% of residents

Private pay or other

29.6% of residents

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.

Financial Trends

Historical financial and operational data for Heart of the Ozarks Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 64.1% ↓ 0.0pp vs 2022

Net Patient Income $395.6K ↑ ~$378.2K vs 2022

Payroll Costs $2.5M ↑ ~$94.8K vs 2022

Operating Margin 6.3% ↑ 6.0pp vs 2022

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 Income	$371,156	$454,994	$352,796	$309,390	$351,576	$599,024	$327,674	$294,305	$375,599	$136,777	$5,714	$17,406	$395,638
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
Payroll Costs	$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	$2,146,462	$2,367,965	$2,462,750
Operating Margin %	8.4%	9.5%	7.3%	6.5%	7.0%	11.2%	6.1%	5.4%	6.7%	2.6%	0.1%	0.3%	6.3%
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%
Net Patient 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

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.3M

Net patient income

$395.6K

For-profit Operated by a single business entity.

Net patient revenue

$6.3M

Net patient income

$395.6K

Other income

$341.6K

Payroll costs

$2.5M 39.2% of net patient revenue

Other operating costs

$3.4M

Total costs

$5.9M

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.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 1 months.

Coverage residents most often arrive under.

Medicare 26%

Private pay 53%

Medicaid 21%

Coverage residents most often leave under.

Medicare 14%

Private pay 52%

Medicaid 33%

0.0 miles from city center Estimated distance in miles from Ava's city center to Heart of the Ozarks Healthcare Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Heart of the Ozarks Healthcare Center	NH AL	Ava	-	120	-	55	-
Armour Oaks Senior Living Community	NH AL IL	Kansas City (Waldo Homes)	-	38	A+	73	Studio / 1 Bed / 2 Bed / 3 Bed
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
John Knox Village	NH AL HC IL MC RC	Lee's Summit	-	408	A+	58	1 Bed / 2 Bed
Farmington Presbyterian Manor	NH AL IL MC	Farmington	-	90	A+	66	-

Nursing Home Explorer

Who is the owner of Heart of the Ozarks Healthcare Center?

Heart of the Ozarks Healthcare Center is legally operated by Ava No 1, Inc., and administered by Randee Jo Evans.

Is Heart of the Ozarks Healthcare Center in a walkable area?

Heart of the Ozarks Healthcare Center has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Heart of the Ozarks Healthcare Center?

According to MO state health department records, Heart of the Ozarks Healthcare Center's license number is 053358.

When does Heart of the Ozarks Healthcare Center's license expire?

According to MO state health department records, Heart of the Ozarks Healthcare Center's license expires on January 31, 2028.

What is the occupancy rate at Heart of the Ozarks Healthcare Center?

Heart of the Ozarks Healthcare Center's occupancy is 59%.

Does Heart of the Ozarks Healthcare Center operate as a for-profit or non-profit?

Heart of the Ozarks Healthcare Center is registered as a for-profit in MO.

Who is the administrator of Heart of the Ozarks Healthcare Center?

Randee Jo Evans is the administrator of Heart of the Ozarks Healthcare Center.

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Heart of the Ozarks Healthcare Center

Overview of Heart of the Ozarks Healthcare Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Heart of the Ozarks Healthcare Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

26 Certified Nursing Assistant

26 Nurse Aide in Training

9 Registered Nurse

10 Medication Aide/Technician

6 Licensed Practical Nurse

2 Physical Therapy Aide

2 Speech Language Pathologist

1 Administrator

1 Nurse Practitioner

1 Dental Services Staff

1 Physical Therapy Assistant

2 Qualified Social Worker

1 Occupational Therapy Aide

2 Respiratory Therapy Technician

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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