Senior CareScorecard

Nursing home · Louisiana, MO

Avenir at Maple Grove

2407 Kentucky Street, Louisiana, MO 63353 · 90 certified beds · for profit ownership

Medicare & MedicaidChanged owners in last 12 months
Medicare overall rating1 / 5Much below averageHannibal area 1.5 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
1/5Staffing Much below average
2/5Quality measures Below average
2/5Short-stay (rehab) quality Below average
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Mar 5, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Apr 30, 2025) it had 16 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.18 hours per resident per day here, 7% less than the Missouri average (3.43) and 18% less than the U.S. average (3.86). Registered nurses account for 0.25 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 49% over the past year, 7 points lower than Missouri (56%) and 3 points higher than the U.S. (46%).

How Avenir at Maple Grove compares

This home's latest CMS figures next to the averages for Hannibal-area homes (15), Missouri (487) and the U.S. (14,680).

This homeHannibal areaMissouriU.S.
Total nurse hours per resident per day3.183.513.433.86
Registered nurse hours per resident per day0.250.340.460.68
Weekend nurse hours per resident per day2.803.163.013.42
Nursing staff turnover (past year)49%55%56%46%
Registered nurse turnover (past year)—52%48%43%
Citations at the most recent standard inspection1616.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Mar 5, 20261complaint
Nov 13, 20251complaint
Apr 30, 202514standard + complaint
Oct 10, 20231complaint
Aug 10, 20237standard
Dec 20, 20198standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 32 of 32 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Mar 5, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 13, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary · complaint
EDeficient, Provider has date of correction
Apr 30, 2025Ensure 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
EDeficient, Provider has date of correction
Apr 30, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and dietary
DDeficient, Provider has date of correction
Apr 30, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Apr 30, 2025Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 30, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights
DDeficient, Provider has date of correction
Apr 30, 2025Implement a program that monitors antibiotic use.
Infection control
EDeficient, Provider has date of correction
Apr 30, 2025Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Apr 30, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and physician services · complaint
EDeficient, Provider has date of correction
Apr 30, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
EDeficient, Provider has date of correction
Apr 30, 2025Develop 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
EDeficient, Provider has date of correction
Apr 30, 2025Honor 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.
Resident rights · complaint
EDeficient, Provider has date of correction
Apr 30, 2025Educate 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
FDeficient, Provider has date of correction
Apr 30, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 30, 2025Employ 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
FDeficient, Provider has date of correction
Oct 10, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary · complaint
EDeficient, Provider has date of correction
Aug 10, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
DDeficient, Provider has date of correction
Aug 10, 2023Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
DDeficient, Provider has date of correction
Aug 10, 2023Have 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
DDeficient, Provider has date of correction
Aug 10, 2023Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident rights
FDeficient, Provider has date of correction
Aug 10, 2023Protect 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
DDeficient, Provider has date of correction
Aug 10, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 10, 2023Ensure 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
EDeficient, Provider has date of correction
Dec 20, 2019Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Dec 20, 2019Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Dec 20, 2019Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
EDeficient, Provider has date of correction
Dec 20, 2019Ensure 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
EDeficient, Provider has date of correction
Dec 20, 2019Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Dec 20, 2019Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Dec 20, 2019Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Dec 20, 2019Conduct 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.
Administration
CDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Avenir at Maple Grove

Answers computed from CMS data for this facility.

What is Avenir at Maple Grove's Medicare rating?

Medicare rates Avenir at Maple Grove 1 out of 5 stars overall (much below average). The average for Hannibal-area nursing homes is 1.5, for Missouri 2.51 and for the U.S. 2.99.

How did Avenir at Maple Grove do on its last inspection?

Inspectors' most recent visit in the CMS data was on Mar 5, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Apr 30, 2025) it had 16 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.

Has Avenir at Maple Grove been fined?

CMS reports no federal fines for this facility in the past three years.

Does Avenir at Maple Grove accept Medicaid?

Avenir at Maple Grove is certified for both Medicare and Medicaid. Call (573) 754-5456 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.