Heart of the Ozarks Healthcare Center: Staffing, Turnover, and Inspection Record
Heart of the Ozarks Healthcare Center is a 120-bed for-profit nursing home in Ava, Missouri, part of Circle B Enterprises. In the CMS August 2026 release it reported 2.45 nurse aide hours per resident per day, 7% above the Missouri average of 2.29, and 52.9% nursing staff turnover (Missouri average 56.0%).
Heart of the Ozarks Healthcare Center
2004 Crestview StreetAva, MO 65608
Douglas County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Heart of the Ozarks Healthcare Center, nurse aides logged 2.45 hours per resident per day, 7% above the Missouri average. With about 75 residents a day, that works out to roughly 184 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.45 | 2.29 | 2.32 |
| Licensed practical nurses | 0.41 | 0.68 | 0.86 |
| Registered nurses | 0.51 | 0.46 | 0.69 |
| All nursing staff | 3.37 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.91 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.9% of nursing staff at Heart of the Ozarks Healthcare Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 41.7%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 22, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Heart of the Ozarks Healthcare Center holds 4 of 5 overall; the Missouri average is 2.5.
About Heart of the Ozarks Healthcare Center
- Ownership: For profit - Limited Liability company
- Chain: Circle B Enterprises, 36 homes
- Legal name: Ava No 1 Inc
- Medicare and Medicaid certified since: Jun 4, 1984
- Councils: resident council
- Area: rural
Nursing homes near Heart of the Ozarks Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Rocky Ridge Manor Mansfield · abuse citation | 15.1 | 65 | 2.33 | 3.07 | 51.2% | 1 | None |
| Glenwood Rehabilitation & Health Care Center Seymour | 15.9 | 60 | 2.23 | 3.11 | 49.0% | 4 | None |
| Hartville Care Center Hartville | 23.2 | 58 | 2.26 | 3.05 | 36.7% | 3 | None |
| Autumn Oaks Caring Center Mountain Grove | 26.7 | 120 | 2.67 | 3.79 | 55.7% | 1 | $48,539 |
| Gainesville Nursing Gainesville | 28.7 | 99 | 1.83 | 2.63 | 48.6% | 3 | None |
| Copper Rock Healthcare Rogersville | 29.1 | 90 | 2.47 | 3.54 | 77.6% | 1 | None |
| Forsyth Rehabilitation & Health Care Center Forsyth | 30.0 | 120 | 2.00 | 2.90 | 36.5% | 2 | None |
| Ozark Care & Rehab Center Ozark | 30.3 | 93 | 1.94 | 2.90 | — | 1 | $48,557 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.