Pike County, Missouri · Nursing home
Avenir at Maple Grove
1 of 5 overall from CMS
2407 Kentucky Street, Louisiana, MO 63353
At a glance
- Overall rating 1 of 5 Below the state average of 2.5
- Nurse time per resident, per day 3.18 hours Below the state average of 3.43
- Nursing staff who left in a year 48.8% Below the state average of 56.0%
- Health citations, last 3 inspection cycles 32 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 59.1% of 90 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avenir at Maple Grove is a 90-bed nursing home in Louisiana, Missouri (Pike County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.18 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists no fines in the past three years.
- Certified beds
- 90
- Residents per day (average)
- 53.2
- Certified since
- 2002 (24 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidOwnership changed in last 12 months
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avenir at Maple Grove
Chosen from this home's public data.
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Apr 30, 2025 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.80 hours per resident on weekends against 3.18 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- CMS shows an ownership change in the last 12 months. Has the management or care team changed?Ownership change flag in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Missouri average 2.5
- Health inspections 2 of 5 Missouri average 2.8
- Staffing 1 of 5 Missouri average 2.2
- Quality measures 2 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.18 h Missouri average 3.43
- Nurse aides 1.99 h Missouri average 2.29
- Licensed practical nurses 0.94 h Missouri average 0.68
- Registered nurses 0.25 h Missouri average 0.46
- All staff, weekends 2.80 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.8%
- Missouri average56.0%
- Registered nurse turnoverNot reported
- Missouri average47.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 20.2% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.1% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.2% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 24.7% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.9% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.5% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.5% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 18.8% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.86 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.64 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.7% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 19.2% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 32 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 5 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 30, 2025 | 16 | 10 |
| Aug 10, 2023 | 7 | 13 |
| Dec 20, 2019 | 9 | 3 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (32)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Nov 28, 2025)
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 13, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 13, 2025)
-
FPotential for more than minimal harm, widespread
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.
Infection Control · Deficient, Provider has date of correction (Jun 13, 2025)
Show 25 more
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Jun 13, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Jun 13, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 13, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 13, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 24, 2023)
-
FPotential for more than minimal harm, widespread
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (Sep 20, 2023)
-
EPotential for more than minimal harm, pattern
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 20, 2023)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 24, 2023)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 20, 2023)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Sep 20, 2023)
-
DPotential for more than minimal harm, isolated
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 20, 2023)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Sep 20, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 3, 2020)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 3, 2020)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 3, 2020)
-
EPotential for more than minimal harm, pattern
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 3, 2020)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 3, 2020)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 3, 2020)
Showing the 30 most recent of 32.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size296 of 487 by certified beds
- Missouri average residents per day73.0
- ChainNone listed
- Resident or family councilResident
- Homes in Pike County2
Common questions
What is the CMS star rating for Avenir at Maple Grove?
Avenir at Maple Grove has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 2.
How many beds does Avenir at Maple Grove have?
Avenir at Maple Grove has 90 certified beds. It averages 53.2 residents per day, about 59.1% of its certified beds.
How much nursing care do residents get at Avenir at Maple Grove?
The home reports 3.18 hours of nurse staffing per resident per day, including 0.25 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Avenir at Maple Grove been fined?
CMS lists no fines for this home in the past three years.
Does Avenir at Maple Grove accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Country View Nursing 60beds 66.0%in use 3.25nurse hours a day
- 1 of 5 Barry Healthcare & Sr Living 76beds 77.1%in use 3.14nurse hours a day
- 1 of 5 Pittsfield Manor 89beds 74.4%in use 3.84nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Pike County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265740. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.