Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ozark Rehabilitation & Health Care Center during CMS and state inspections, most recent first.
A resident suffered a spiral fracture requiring surgery after a CNA introduced an unauthorized stretch during a restorative program. The resident, dependent on staff for assistance, experienced severe pain following the stretch, which was not part of the care plan. The facility's policy prohibits continuing stretches past resistance or pain, and staff are regularly trained on proper techniques.
A resident with a history of inappropriate sexual behavior touched another resident's chest inappropriately in the facility's lobby. The resident who was touched, being cognitively intact, responded by striking the other resident. Despite having a care plan to manage such behaviors, the facility failed to prevent the incident, which was witnessed by staff and reported to the administrator.
Facility staff failed to document medication administration and reasons for omissions for two residents, violating professional standards. One resident did not receive documented doses of furosemide, tramadol, quetiapine, and melatonin, while another reported missing doses of melatonin, hydrocodone/acetaminophen, and baclofen, leading to increased pain. A CMT admitted to running late and not documenting properly, and both the DON and administrator confirmed this as a medication error.
Improper Stretching Technique Leads to Resident Injury
Penalty
Summary
Facility staff failed to properly perform a leg stretch for a resident, resulting in an injury that required surgical intervention. The resident, who was cognitively intact but totally dependent on two or more staff for assistance, was participating in a restorative program as tolerated. During a leg stretching session, a loud pop was heard from the resident's right knee, followed by severe pain. An x-ray revealed a spiral fracture of the right femur, necessitating surgery. The incident occurred when a new CNA introduced a non-routine stretch, which was not part of the resident's care plan. Interviews revealed that the CNA, who had a background in sports, believed the new stretch would benefit the resident. However, this stretch was not approved or part of the resident's prescribed therapy. The facility's policy clearly stated that staff should not continue stretches past the point of resistance or pain. The Director of Nursing confirmed that staff are trained on passive range of motion exercises and should not introduce new stretches without proper authorization. Despite regular training, the CNA's actions led to the resident's injury.
Failure to Prevent Sexual Abuse Between Residents
Penalty
Summary
The facility failed to protect a resident from sexual abuse when another resident, who had a history of inappropriate sexual behavior, touched the resident's chest inappropriately. The incident occurred in the facility's lobby, where the two residents were seated next to each other. The resident who was touched responded by striking the other resident in the chest. The facility's Abuse Prevention Program, which prohibits mistreatment and abuse, was not effectively implemented to prevent this incident. The resident who was touched was cognitively intact, while the resident who committed the act had cognitive impairments and a documented history of sexual behaviors and aggression. The facility's records showed that the resident with a history of inappropriate behavior had been on medications to manage sexual behaviors, which were discontinued shortly before the incident. The resident's care plan included interventions such as removing the resident to a quiet environment during episodes of inappropriate behavior and providing redirection. However, these measures were not sufficient to prevent the incident. Multiple staff members, including the Social Service Director and Activities Director, witnessed or were informed of the incident, and it was reported to the administrator, who acknowledged the resident's history of inappropriate comments.
Failure to Document Medication Administration
Penalty
Summary
Facility staff failed to meet professional standards by not documenting the administration of medications and not providing reasons for omissions for two residents. The facility's Medication Administration policy requires that after a drug is given, the date, time, name of drug, dose, and route must be recorded on the resident's Medication Administration Record (MAR). Additionally, any medications not administered should be documented with the reason for omission. However, for Resident #1, staff did not document the administration of furosemide, tramadol, quetiapine, and melatonin as directed by the physician, nor did they document the reason for not administering these medications. Similarly, for Resident #2, staff failed to document the administration of melatonin, hydrocodone/acetaminophen, and baclofen. The resident reported that on a specific night, a Certified Medication Technician (CMT) administered medications late and possibly omitted some, leading to increased pain due to missed doses. The CMT, who was working at the facility for the first time through a staffing agency, admitted to running late with medication passes and acknowledged the failure to document the administration of medications. Both the Director of Nursing and the administrator confirmed that staff are trained to document medication administration and that failure to do so is considered a medication error.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Osage Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake Regional Health Systems | 0.2 mi | ★★★★★ | 3 | 0 |
| Arrowhead Senior Living Community | 1.5 mi | ★★★★★ | 0 | 0 |
| Osage Beach Rehabilitation And Health Care Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Stonebridge Lake Ozark | 5.5 mi | ★★★★★ | 1 | 0 |
| Laurie Care Center | 9.6 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.