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Avenir at Maple Grove
2407 Kentucky Street, Louisiana, MO 63353 (opens Google Maps) · Pike County · (573) 754-5456· 90 certified beds · avg 53 residents/day · certified since Aug 26, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected Apr 30, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.69
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 32 inspection findings. Open the full record below to read every finding.
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint F-0804
The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. F-0801
View all 32 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Nov 13, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Apr 30, 2025 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Apr 30, 2025 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 30, 2025 | F · Potential for more than minimal harm, widespread | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Apr 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Apr 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Apr 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Apr 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
| Apr 30, 2025 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Apr 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Apr 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Apr 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Apr 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Oct 10, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Aug 10, 2023 | F · Potential for more than minimal harm, widespread | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553 |
| Aug 10, 2023 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · F-0728 |
| Aug 10, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Dec 20, 2019 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Dec 20, 2019 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| Dec 20, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Dec 20, 2019 | E · Potential for more than minimal harm, pattern | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · F-0741 |
| Dec 20, 2019 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Dec 20, 2019 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 20, 2019 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Dec 20, 2019 | C · Potential for minimal harm, widespread | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 14).
All citationsSerious citations (G–L)
2019
All citations: 8
Serious citations (G–L): 0
2023
All citations: 8
Serious citations (G–L): 0
2025
All citations: 15
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 8 | 0 | F |
| 2023 | 8 | 0 | F |
| 2025 | 15 | 0 | F |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.69
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.29
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.26
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.69 | 3.66 | 3.95 | top 45% in Missouri; bottom 47% in the U.S. |
| Registered Nurse hours | 0.29 | 0.49 | 0.69 | bottom 25% in Missouri; bottom 8% in the U.S. |
| Weekend total nurse staffing | 3.26 | 3.22 | 3.50 | top 45% in Missouri; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.13 | 0.33 | 0.48 | bottom 9% in Missouri; bottom 3% in the U.S. |
| Total nursing staff turnover (%) | 48.8 | 56.0 | 45.8 | top 30% in Missouri; bottom 40% in the U.S. |
| RN turnover (%) | — | 47.8 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.18, RN 0.25, weekend 2.80.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.18 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avenir at Maple Grove. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| By Family 2012 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| Maple Grove Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2025 |
| Wagner, Bezalel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| Wagner, Yitzchok | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| By Family 2012 Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Delta Edge Strategic Advisors | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Felheim, Yitchok | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| HHHH Ventures LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Jacobovitch, Yossi | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Jacobovitch, Yossi | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| KRPSS Partners | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Lapciuc, Avraham | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Lapciuc, Avraham | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| MG Realty Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| NBH2 Mgpropco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| San, Manuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| San, Manuel | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Wagner, Bezalel | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Wagner, Yitzchok | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Weid, Amelita | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
- "CMS records an ownership change here in the last 12 months — what changed for residents and staff?"
- "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Country View Nursing | 10.5 mi | Bowling Green, MO | ★☆☆☆☆ | 1/5 | abuse |
| Barry Healthcare & Sr Living | 17.3 mi | Barry, IL | ★☆☆☆☆ | 3/5 | |
| Pittsfield Manor | 17.4 mi | Pittsfield, IL | ★☆☆☆☆ | 1/5 | abuse |
| Eastside Health and Rehabilitation Center | 18.8 mi | Pittsfield, IL | ★★★☆☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 265740.
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