Nursing homeActive

Adair Village

1801 North Gaines Drive, Clinton, MO 647356608858196120 certified beds · 58 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
34
0313
Penalties · 3 yrs
$72,950
2 fines
Last survey
2026-01-23
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-23Standard081CMS-2567 (Care Compare)
2025-02-21Complaint041CMS-2567 (Care Compare)
2024-08-28Complaint021CMS-2567 (Care Compare)
2024-03-14Standard0100CMS-2567 (Care Compare)
2023-10-25Complaint010CMS-2567 (Care Compare)
2023-09-28Complaint010CMS-2567 (Care Compare)
2022-04-07Standard050CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-23Standard survey · 9 deficienciesOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-08Record 265347-20260123-F692
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F582
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F628
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F655
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F658
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F698
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F759
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F760
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-08Record 265347-20260123-F880
2025-02-21Complaint survey · 5 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-05Record 265347-20250221-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-05Record 265347-20250221-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-05Record 265347-20250221-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-05Record 265347-20250221-F695
F728Ensure 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-05Record 265347-20250221-F728
2024-08-28Complaint survey · 3 deficienciesOfficial report
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-11Record 265347-20240828-F697
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265347-20240828-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 265347-20240828-F689
2024-03-14Standard survey · 10 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F561
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F580
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F690
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F758
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265347-20240314-F880
2023-10-25Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 265347-20231025-F609
2023-09-28Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 265347-20230928-F684
2022-04-07Standard survey · 5 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-03Record 265347-20220407-F607
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-03Record 265347-20220407-F695
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-03Record 265347-20220407-F700
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-03Record 265347-20220407-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-03Record 265347-20220407-F921

Penalties & enforcement

DateActionAmountSource
2026-01-23Civil money penalty$63,840CMS · Penalties
2025-02-21Civil money penalty$9,110CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.24
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day4.01
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.36
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover62%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover67%
Facility
Missouri
National
Missouri 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.7%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
9.8%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
28.6%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
35.8%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.3%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
25.8%25.6%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Circle B Enterprises Holding Company Inc
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Agh1 LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bedell, Donald
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sovereign Healthcare Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vogt, Mark
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wilson, Stacia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Agh1 LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Beaird, Todd
Individual
CORPORATE OFFICERNOT APPLICABLE
Beaird, Todd
Individual
ADP OF THE SNFNOT APPLICABLE
Bedell, Bryan
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Bedell, Donald
Individual
CORPORATE DIRECTORNOT APPLICABLE
Bedell, Donald
Individual
CORPORATE OFFICERNOT APPLICABLE
Britton, Kevin
Individual
CORPORATE OFFICERNOT APPLICABLE
Britton, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Dcb Real Estate Partnership LP
Organization
ADP OF THE SNFNOT APPLICABLE
Fg LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Gaines Drive Property LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Mid States Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Sovereign Healthcare Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Van De Ven LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Vogt, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Wilson, Stacia
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Circle B Enterprises36 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.

No county cost figures on file for Henry.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Clinton Healthcare And Rehabilitation Center
Clinton
1.7 mi2025-03-260171
Truman Lake Manor Inc
Lowry City
17.7 mi2026-05-220202
Windsor Rehabilitation & Health Care Center
Windsor
16.7 mi2025-06-252170
Appleton City Manor
Appleton City
19.2 mi2026-02-271502
Ridge Crest Nursing Center
Warrensburg
25.3 mi2025-09-080341
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01