Avenir at Maple Grove
2407 Kentucky Street · Louisiana, MO · 63353 · 5737545456
90 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.17 | 0.55–0.75 |
| Weekend hours / resident-day | 2.53 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D March 5, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · E November 13, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 28, 2025 · Nutrition and Dietary
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Potential for harm · D April 30, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D April 30, 2025
Ensure each resident receives an accurate assessment.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 30, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 30, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · F April 30, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · E April 30, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · D April 30, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · F April 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · E April 30, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · E April 30, 2025
Implement a program that monitors antibiotic use.
Corrected June 13, 2025 · Infection Control
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Potential for harm · F April 30, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected June 13, 2025 · Infection Control
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Potential for harm · E April 30, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · E April 30, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 13, 2025 · Nursing and Physician Services
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Potential for harm · E October 10, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 24, 2023 · Nutrition and Dietary
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Potential for harm · F August 10, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected September 20, 2023 · Resident Rights
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Potential for harm · D August 10, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 20, 2023 · Resident Rights
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Potential for harm · E August 10, 2023
Ensure 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.
Corrected September 20, 2023 · Nursing and Physician Services
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Potential for harm · E August 10, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 24, 2023 · Nutrition and Dietary
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Potential for harm · D August 10, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 20, 2023 · Environmental
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Potential for harm · D August 10, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 10, 2023 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 20, 2023 · Nursing and Physician Services
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Potential for harm · E December 20, 2019
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 3, 2020 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265740 · certified since August 26, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.