Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ADAIR VILLAGE

CLINTON, MO · 120 certified beds · Last Life Safety survey January 23, 2026

CMS Certification Number 265347 · first certified January 1989

Ownership

Operated by CIRCLE B ENTERPRISES · For profit - Individual

  • Ownership changed March 1, 2022 (change of ownership)from N & R OF CLINTON LLC
15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within MO

15 citations — more than 41% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was January 2026. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility15MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-0492024-0332026-01
Citations at each Life Safety survey
Survey dateCitations
April 7, 20223
March 14, 20249
January 23, 20263

Most-cited tags

Most-cited tags at this facility
K-03533K-03451K-01611K-03411K-03721K-03631K-02711K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-01-23
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-03-14
K-0161Use approved construction type or materials.12026-01-23
K-0341Install a fire alarm system that can be heard throughout the facility.12024-03-14
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-03-14
K-0363Install corridor and hallway doors that block smoke.12024-03-14
K-0271Have exits that are accessible at all times.12026-01-23
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-03-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Egress Deficiencies 4
  • Construction Deficiencies 1
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Egress Deficiencies4
Construction Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 23, 2026 — 3 citations

Citations issued on January 23, 2026
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 8, 2026)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (March 8, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 8, 2026)

March 14, 2024 — 9 citations

Citations issued on March 14, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 22, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (April 22, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 22, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 22, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 22, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 22, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 22, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 22, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 22, 2024)

April 7, 2022 — 3 citations

Citations issued on April 7, 2022
TagWhat the surveyor checksStatus
K-0221Provide rooms that can be unlocked from inside without a key.Deficient, Provider has date of correction (June 3, 2022)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (June 3, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 3, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.