Quick answers
- Where is Avenir at Maple Grove?
- 2407 Kentucky Street, Louisiana, MO 63353, in Pike County, Missouri.
- What is the phone number of Avenir at Maple Grove?
- (573) 754-5456, as listed by Medicare (CMS).
- What is the Medicare star rating of Avenir at Maple Grove?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avenir at Maple Grove been fined?
- Medicare lists no fines for Avenir at Maple Grove.
- What did inspectors find at Avenir at Maple Grove?
- In its last three inspection cycles (December 20, 2019 to March 5, 2026), Medicare lists 32 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 20, 2019 to March 5, 2026), Avenir at Maple Grove had 32 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 2.95 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 30, 2025 — 16 health citations
Inspections in this cycle: April 30, 2025 (standard health inspection); November 13, 2025 (complaint investigation); March 5, 2026 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0801 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0887 Level F
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0584 Level E
“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.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0803 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0881 Level E
“Implement a program that monitors antibiotic use.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
Previous cycle: August 10, 2023 — 7 health citations
Inspections in this cycle: August 10, 2023 (standard health inspection); April 30, 2025 (complaint investigation).
Show 7 citations (levels A to F, no actual harm)
F0553 Level F
“Allow resident to participate in the development and implementation of his or her person-centered plan of care.”
F0728 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0727 Level D
“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.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
Earlier cycle: December 20, 2019 — 9 health citations
Inspections in this cycle: December 20, 2019 (standard health inspection); October 10, 2023 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0741 Level E
“Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0838 Level C
“Conduct 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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (26)
E0015 Level F
“Address subsistence needs for staff and patients.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
E0035 Level F
“Provide family notifications of emergency plan.”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0311 Level E
“Have an enclosure around a vertical opening shaft.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0039 Level F
“Conduct testing and exercise requirements.”
E0041 Level F
“Implement emergency and standby power systems.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
E0020 Level E
“Establish policies and procedures including evacuation.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
K0351 Level F
“Install an approved automatic sprinkler system.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.14 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.88 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 1.93 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 2.95 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.56 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.12 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 52.2% | 56.9% | 45.3% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: NBH2 Mgopco LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Maple Grove Holdco LLC | Direct owner | 100% | October 1, 2025 |
| By Family 2012 Irrevocable Trust | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Wagner, Bezalel | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Wagner, Yitzchok | Indirect owner | NOT APPLICABLE | October 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 90 |
| Average residents per day | 56.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | NBH2 Mgopco LLC |
| First approved by Medicare/Medicaid | 2002-08-26 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | Yes |
| Address | 2407 Kentucky Street, Louisiana, MO 63353 |
| County | Pike County |
| State | Missouri |
| Phone | (573) 754‑5456 |
| CMS Certification Number | 265740 |
| Name in Medicare records | AVENIR AT MAPLE GROVE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Country View Nursing10 mi · Bowling Green, MO · 1 of 5 stars
- Barry Healthcare & SR Living17 mi · Barry, IL · 1 of 5 stars
- Pittsfield Manor17 mi · Pittsfield, IL · 1 of 5 stars
- Eastside Health and Rehabilitation Center19 mi · Pittsfield, IL · 3 of 5 stars
- Elsberry Missouri Health Care Center24 mi · Elsberry, MO · 4 of 5 stars
Nearest hospital emergency rooms
- Pike County Memorial Hospital0.1 mi · Louisiana, MO · Critical Access Hospital
- Illini Community Hospital18 mi · Pittsfield, IL · Critical Access Hospital
- Hannibal Regional Hospital27 mi · Hannibal, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13