AVENIR AT MARK TWAIN
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-01-21 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2024-01-19 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.83
state median 2.42
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −11%
RN hours / resident / day
0.30
registered nurses only
Contract (agency) staff
18%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
71%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
10 enforcement action(s), totaling $195,310 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-21 | Fine | $134,043 |
| 2025-01-21 | Payment Denial | payment denial |
| 2024-01-19 | Fine | $26,687 |
| 2024-01-19 | Payment Denial | payment denial |
| 2023-09-25 | Fine | $4,587 |
| 2023-09-18 | Fine | $4,587 |
| 2023-09-11 | Fine | $4,587 |
| 2023-09-05 | Fine | $4,587 |
| 2023-08-28 | Fine | $4,587 |
| 2023-08-07 | Fine | $11,645 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-19 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-19 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-19 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-07 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-20 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-20 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-20 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-20 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-20 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-20 | F0620 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-20 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-08-20 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-08-20 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-20 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-20 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-20 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-08-20 | F0700 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-08-20 | F0770 | Administration Deficiencies | D | not recorded |
| 2025-08-20 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-20 | F0806 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-20 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-08-20 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-20 | F0865 | Administration Deficiencies | E | not recorded |
| 2025-08-20 | F0868 | Administration Deficiencies | D | not recorded |
| 2025-08-20 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-08-20 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2025-08-20 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2025-08-20 | F0925 | Environmental Deficiencies | D | not recorded |
| 2025-08-20 | F0947 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-01-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-21 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-21 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-09-25 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-05 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-05 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-01-19 | F0568 | Resident Rights Deficiencies | E | not recorded |
| 2024-01-19 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-19 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-01-19 | F0661 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-19 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-19 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-19 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-01-19 | F0712 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-01-19 | F0730 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-01-19 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-01-19 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-01-19 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-09-07 | F0678 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-11-08 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2019-11-08 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2019-11-08 | F0623 | Resident Rights Deficiencies | B | not recorded |
| 2019-11-08 | F0625 | Resident Rights Deficiencies | B | not recorded |
| 2019-11-08 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2019-11-08 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2019-11-08 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2019-11-08 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-11-08 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2019-11-08 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2019-11-08 | F0802 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-11-08 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-11-08 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-11-08 | F0880 | Infection Control Deficiencies | E | not recorded |