Nursing homeActive
Avenir At Maple Grove
2407 Kentucky Street, Louisiana, MO 63353573754545690 certified beds · 53 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
32
● 1● 31● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-05
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-30 | Standard | 0140 | CMS-2567 (Care Compare) | — |
| 2023-10-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-10 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2019-12-20 | Standard | 170 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 265740-20260305-F677
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-28Record 265740-20251113-F804
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F561
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F725
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F801
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F803
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F881
F887Educate 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.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 265740-20250430-F887
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 265740-20231010-F804
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-20Record 265740-20230810-F553
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-20Record 265740-20230810-F600
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-20Record 265740-20230810-F623
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-20Record 265740-20230810-F727
F728Ensure 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-20Record 265740-20230810-F728
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 265740-20230810-F804
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-20Record 265740-20230810-F921
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-03Record 265740-20191220-F607
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-03Record 265740-20191220-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-03Record 265740-20191220-F677
F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Scope/severity EStandard
Care planningStaffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-03Record 265740-20191220-F741
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-03Record 265740-20191220-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2020-02-03Record 265740-20191220-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-03Record 265740-20191220-F880
F838Conduct 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2020-02-03Record 265740-20191220-F838
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.25
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.18
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.80
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover49%
Facility
Missouri
National
Missouri 56% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.5% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.6% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.8% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.2% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.1% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 35.9% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Maple Grove Holdco LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Jacobovitch, Yossi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lapciuc, Avraham Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| San, Manuel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Weid, Amelita Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yowell, Dakota Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| By Family 2012 Irrevocable Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| By Family 2012 Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Delta Edge Strategic Advisors Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Felheim, Yitchok Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hhhh Ventures LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jacobovitch, Yossi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krpss Partners Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lapciuc, Avraham Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mg Realty Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nbh2 Mgpropco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| San, Manuel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wagner, Bezalel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wagner, Bezalel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Wagner, Yitzchok Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Wagner, Yitzchok Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Weid, Amelita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yowell, Dakota Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Pike.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Country View Nursing Bowling Green | 10.5 mi | 2026-05-21 | 3408 |
| Barry Healthcare & Sr Living Barry | 17.3 mi | 2026-01-16 | 0143 |
| Pittsfield Manor Pittsfield | 17.4 mi | 2026-06-04 | 0314 |
| Eastside Health and Rehabilitation Center Pittsfield | 18.7 mi | 2025-06-06 | 090 |
| Elsberry Missouri Health Care Center Elsberry | 24.0 mi | 2025-07-31 | 0112 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |