C-
55/100

AVENIR AT MAPLE GROVE Inspection Report, Violations & Safety Grade (LOUISIANA, Missouri)

2407 KENTUCKY STREET, LOUISIANA, Missouri 63353

Phone: 5737545456

CMS Overall:1/5

Overview & Bed Count

Certified Beds
90
Avg Residents/Day
56.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Pike
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.140.46-0.32
Total Nurse Hours per Resident per Day2.953.40-0.45
CMS Staffing Rating1/52.2/5-
Nursing Staff Turnover52.2%56.9%-

Health Citation History

32 health citations on record

DateCategoryDescriptionSeverity
2026-03-05Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-11-13Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-04-30Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2025-04-30Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-04-30Infection Control DeficienciesEducate 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.F – Moderate Harm Potential
2025-04-30Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2025-04-30Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2025-04-30Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2025-04-30Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2025-04-30Nutrition and Dietary DeficienciesEnsure 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.E – Moderate Harm Potential
2025-04-30Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-04-30Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2025-04-30Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2025-04-30Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-04-30Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-04-30Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D – Moderate Harm Potential
2023-10-10Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2023-08-10Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.F – Moderate Harm Potential
2023-08-10Nursing and Physician Services DeficienciesEnsure 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.E – Moderate Harm Potential
2023-08-10Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2023-08-10Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2023-08-10Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2023-08-10Nursing and Physician Services DeficienciesHave 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.D – Moderate Harm Potential
2023-08-10Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2019-12-20Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2019-12-20Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2019-12-20Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2019-12-20Quality of Life and Care DeficienciesEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E – Moderate Harm Potential
2019-12-20Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2019-12-20Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2019-12-20Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2019-12-20Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.C – Minimal Harm Potential

Fire Safety Citation History

26 fire safety citations on record

DateCategoryDescriptionSeverity
2025-04-30Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2025-04-30Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2025-04-30Emergency Preparedness DeficienciesProvide family notifications of emergency plan.F – Moderate Harm Potential
2025-04-30Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2025-04-30Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-04-30Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2025-04-30Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2025-04-30Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2025-04-30Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2025-04-30Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.E – Moderate Harm Potential
2023-08-10Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2023-08-10Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2023-08-10Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-08-10Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2023-08-10Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-08-10Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.E – Moderate Harm Potential
2023-08-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-08-10Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2023-08-10Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2023-08-10Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2023-08-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2023-08-10Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-08-10Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2019-12-20Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2019-12-20Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2019-12-20Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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