Avenir at Maple Grove

Nursing Home, Adult Day Care, Respite Care & Skilled Nursing · Louisiana, MO

CMS overall rating

2407 Kentucky St, Louisiana, MO 63353-2503 View map

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Avenir at Maple Grove accepts Medicaid, Medicare, and private pay.

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Avenir at Maple Grove accepts Medicaid, Medicare, and private pay.

Overview of Avenir at Maple Grove

Avenir at Maple Grove is a 90-bed skilled nursing and rehabilitation facility at 2407 Kentucky Street in Louisiana, Pike County, Missouri. Administrator Dakota Yowell operates this privately-owned community, which accepts Medicare, Medicaid, and private pay. The facility provides long-term care, short-term rehabilitation, wound care, and adult day services in a mixed-stay setting.

In August 2023, residents complained through Resident Council that meals arrived cold; inspection confirmed that food temperatures fell dangerously below safe standards. By October 2023, a follow-up complaint investigation found that corrective measures had not been implemented. In November 2025, after nearly two years of promises and continued failures, a third complaint investigation discovered the deficiency persists.

Registered nurses provide 19 minutes per resident per day, 32% below state average; licensed practical nurses deliver 48 minutes (modestly above the 41-minute state average); and certified nursing aides supply 1 hour 50 minutes daily, 21% below state average. Weekend nursing coverage measures 2 hours 32 minutes per resident per day, 17% below state average. Total nursing care averages 3 hours 12 minutes per resident per day, 16% below Missouri’s 3-hour-48-minute benchmark. Physical therapy is an outlier, at 4 minutes per resident per day (100% above state average).

Long-stay emergency department visits reach 2.97 per 1,000 resident days, 26% worse than Missouri’s average of 2.35. Long-stay hospitalizations are recorded at 2.29 per 1,000 days, 10% above state average. The high-risk clinical events score (measuring falls, pressure ulcers, weight loss, and functional decline) is 34.2, 76% worse than Missouri’s 19.5 benchmark. Functional decline in activities of daily living affects long-stay residents at higher-than-average rates: 31.6% of long-stay residents show increased need for ADL help (60% worse than state average), and 33.6% experience worsening walking ability (63% worse than state average).

Only 25.1% of short-stay residents successfully return to home or community, 50% below Missouri’s average of 50.6%.

Occupancy stands at 54%, lower than Missouri’s average of 66.6% and below the 85% threshold that typically signals full capacity. Current census is 49 residents. Payer mix is 67.3% Medicaid, 26.5% private pay, and 6.1% Medicare.

The facility recorded 5.2 million in gross revenue with a $200,700 operating loss in 2023; payroll represents 52.3% of revenue at 2.7 million dollars annually.

The facility’s CMS ratings reflect mixed performance: 1 star overall (62% below state average), 1 star for health inspection (31% below state average), 1 star for staffing (53.7% below state average), and 2 stars for quality measures (43.4% above state average).

Across seven years of inspections, the facility received zero critical citations and one serious citation, with 30 moderate and 1 minor citation.

No immediate jeopardy findings, fines, or license suspensions have been imposed.

Families considering Avenir at Maple Grove should request verification of corrective measures for persistent food temperature deficiencies and clarify staffing model given RN shortage.

Facility Direct Line (573) 754-5456 admissions@aveniratmaplegrove.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 12m per day

vs avg

4 of 6 metrics below state avg

Standout metric Physical Therapist is +417% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	10m per day	▼ 64% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	51m per day	▲ 25% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 47m per day	▼ 23% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 32m per day	▼ 17% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	10m per day	▲ 417% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	10m per day	▼ 50% State avg: 20m per day · National avg: 28m per day

Capacity and availability

109 days

90-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 58 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

64%

Similar to the Missouri average: 66.6%

Occupied beds

58 / 90

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

IssuanceOctober 1, 2025

ExpirationMay 31, 2026 Expired

CountyPike

License Number053502

Certification TypeMedicare / Medicaid

Avenir at Maple Grove is legally operated by Nbh2 Mgopco LLC, and administered by Dakota Yowell.

Corporate EntityNBH2 MGOPCO LLC

Owner NameNbh2 Mgopco LLC

Skilled Nursing Facility

90 units

Total beds

90 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Subacute Care

Wound Care

Pets not allowed

Private And Semi-Private Rooms

Restaurant-Style Dining

Landscaped Courtyards

Therapy Gym

Beauty Salon

Activities For Social Engagement

Since 2019 · 7 years of data 34 deficiencies 5 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Missouri state average

Overall vs. MO average

Latest Inspection November 13, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	34	35	This facility has 3% fewer total deficiencies than a typical Missouri assisted living residence (34 vs. MO avg 35).↓ 3% better
Deficiencies per year Average deficiencies per year since 2019.	4.9	5	This facility has 2% fewer deficiencies per year than a typical Missouri assisted living residence (4.9 vs. MO avg 5).↓ 2% better
Deficiencies per inspection Average deficiencies per inspection.	6.8	2.9	This facility has 134% more deficiencies per inspection than a typical Missouri assisted living residence (6.8 vs. MO avg 2.9).↑ 134% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	5	12	This facility has had 58% fewer total inspections than the Missouri average (5 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 58% fewer

Show Inspection Reports

Inspections since 2019

Total health inspections 6

State average N/A

Last Health inspection on Nov 2025

Total health citations

State average N/A

Citations per inspection

5.33

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

25 of 32 citations resulted from standard inspections; 3 of 32 resulted from complaint investigations; and 4 of 32 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

30 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 7 years)

Nutrition moderate citation Nov 13, 2025

Corrected

Infection Control moderate citation Apr 30, 2025

Corrected

Infection Control moderate citation Apr 30, 2025

Corrected

Infection Control moderate citation Apr 30, 2025

Corrected

Total staff 84

Employees 84

Contractors 0

Staff to resident ratio 1.71 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 19,165

Nursing staff breakdown

8.3 hours

8.8 hours

8.7 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	30	30	8,855	92	100%	8.7
Licensed Practical Nurse	17	17	4,440	92	100%	8.8
Physical Therapist	12	12	1,428	91	99%	8.7
Dietitian	3	3	1,211	92	100%	7.3
Respiratory Therapy Technician	2	2	892	67	73%	7
Registered Nurse	2	2	617	64	70%	8.3
Administrator	1	1	488	61	66%	8
Mental Health Service Worker	2	2	445	56	61%	7.9
Medication Aide/Technician	3	3	294	27	29%	8.9
Nurse Practitioner	1	1	264	33	36%	8
Qualified Social Worker	2	2	75	30	33%	2.5
Nurse Aide in Training	4	4	66	4	4%	8.2
Physical Therapy Assistant	3	3	64	31	34%	2
Physical Therapy Aide	2	2	28	7	8%	3.9

30 Certified Nursing Assistant

% of Days 100%

17 Licensed Practical Nurse

% of Days 100%

12 Physical Therapist

% of Days 99%

3 Dietitian

% of Days 100%

2 Respiratory Therapy Technician

% of Days 73%

2 Registered Nurse

% of Days 70%

1 Administrator

% of Days 66%

2 Mental Health Service Worker

% of Days 61%

3 Medication Aide/Technician

% of Days 29%

1 Nurse Practitioner

% of Days 36%

2 Qualified Social Worker

% of Days 33%

4 Nurse Aide in Training

% of Days 4%

3 Physical Therapy Assistant

% of Days 34%

2 Physical Therapy Aide

% of Days 8%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 17.1

57% worse than State average

State average: 10.9

Functional decline score 34.2

76% worse than State average

State average: 19.5

Long-stay resident measures

Below average

Need for Help with Daily Activities Increased 31.6%

60% worse than State average

State average: 19.8%

Walking Ability Worsened 33.6%

63% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 37.5%

107% worse than State average

State average: 18.1%

Falls with Major Injury 3.3%

18% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 6.0%

19% worse than State average

State average: 5.0%

Urinary Tract Infection 1.0%

64% better than State average

State average: 2.7%

Lost Too Much Weight 11.1%

100% worse than State average

State average: 5.6%

Depressive Symptoms 0.5%

96% better than State average

State average: 12.8%

Antipsychotic Use 10.5%

52% better than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 96.5%

6% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 2.29

10% worse than State average

State average: 2.08

ED visits per 1,000 days 2.97

26% worse than State average

State average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 97.7%

47% better than State average

State average: 66.6%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.2%

Influenza Vaccine 91.7%

44% better than State average

State average: 63.5%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Successful return to home or community 25.1%

50% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

44% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Total residents 49

Medicare

6.1% of residents

Medicaid

67.3% of residents

Private pay or other

26.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Avenir at Maple Grove from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 09/2023.

Occupancy Rate 54.0% ↓ 0.6pp vs 2022

Net Patient Income -$201.7K ↑ ~$714.9K vs 2022

Payroll Costs $2.5M ↑ ~$330.9K vs 2022

Operating Margin -5.1% ↑ 23.5pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	61.1%	58.9%	61.9%	63.4%	61.5%	60.4%	63.0%	60.4%	56.8%	46.2%	54.6%	54.0%
Beds	90	90	90	90	90	90	90	90	90	90	90	90
Net Income	-$582,337	-$430,634	$87,242	-$21,839	-$246,864	-$305,853	-$110,915	-$265,435	-$321,833	-$549,281	-$717,906	-$200,654
Gross Revenue	$17,926,785	$17,158,003	$18,054,913	$18,397,747	$17,911,979	$17,490,434	$18,236,932	$17,640,964	$7,331,072	$3,396,889	$3,820,731	$5,238,935
Operating Expenses	$3,737,162	$3,523,579	$3,230,434	$3,391,527	$3,483,135	$3,466,870	$3,352,864	$3,599,600	$3,709,697	$4,272,175	$4,128,680	$4,177,008
Net Patient Income	-$595,099	-$453,099	$80,431	-$35,483	-$264,605	-$324,915	-$125,006	-$281,820	-$412,072	-$1,530,862	-$916,574	-$201,661
Net Patient Revenue	$3,142,063	$3,070,480	$3,310,865	$3,356,044	$3,218,530	$3,141,955	$3,227,858	$3,317,780	$3,297,625	$2,741,313	$3,212,106	$3,975,347
Payroll Costs	$2,032,247	$2,023,682	$1,938,832	$2,052,009	$2,119,617	$2,150,919	$2,086,076	$2,221,543	$2,012,610	$1,431,372	$2,192,750	$2,523,636
Operating Margin %	-18.9%	-14.8%	2.4%	-1.1%	-8.2%	-10.3%	-3.9%	-8.5%	-12.5%	-55.8%	-28.5%	-5.1%
Medicare %	8.7%	6.8%	8.5%	8.2%	6.3%	4.7%	4.6%	7.2%	6.7%	6.9%	4.6%	3.8%
Medicaid %	59.8%	62.8%	56.2%	59.7%	64.7%	67.7%	62.3%	60.8%	61.4%	59.6%	60.9%	62.3%
Private %	31.5%	30.4%	35.3%	32.1%	29.0%	27.6%	33.1%	32.0%	31.9%	33.6%	34.5%	33.8%
Net Patient Revenue/Day	$156	$159	$163	$161	$159	$158	$156	$167	$176	$181	$179	$224
Cost/Day	$186	$182	$159	$163	$172	$175	$162	$181	$198	$282	$230	$236
Avg Length of Stay	120.4 days	102.4 days	95.8 days	91.3 days	107.2 days	136.9 days	116.9 days	171.0 days	168.4 days	244.6 days	284.9 days	108.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Net patient revenue

$4.0M

Net patient income

-$201.7K

For-profit Operated by a single business entity.

Net patient revenue

$4.0M

Net patient income

-$201.7K

Other income

$1.0K

Payroll costs

$2.5M 63.5% of net patient revenue

Other operating costs

$1.7M

Total costs

$4.2M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (44% of admissions), and a typical private pay stay runs around 3 - 4 months.

Coverage residents most often arrive under.

Medicare 24%

Private pay 44%

Medicaid 32%

Coverage residents most often leave under.

Medicare 21%

Private pay 45%

Medicaid 34%

0.0 miles from city center Estimated distance in miles from Louisiana's city center to Avenir at Maple Grove's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Avenir at Maple Grove	NH ADC RC SNF	Louisiana	-	90	-	58	-

Nursing Home Explorer

Who is the owner of Avenir at Maple Grove?

Avenir at Maple Grove is legally operated by Nbh2 Mgopco LLC, and administered by Dakota Yowell.

Is Avenir at Maple Grove in a walkable area?

Avenir at Maple Grove has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Avenir at Maple Grove?

According to MO state health department records, Avenir at Maple Grove's license number is 053502.

When does Avenir at Maple Grove's license expire?

According to MO state health department records, Avenir at Maple Grove's license expires on May 31, 2026.

What is the occupancy rate at Avenir at Maple Grove?

Avenir at Maple Grove's occupancy is 64%.

Are pets allowed at Avenir at Maple Grove?

No, Avenir at Maple Grove has a no-pet policy.

Does Avenir at Maple Grove operate as a for-profit or non-profit?

Avenir at Maple Grove is registered as a for-profit in MO.

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Avenir at Maple Grove

Overview of Avenir at Maple Grove

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Avenir at Maple Grove

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

30 Certified Nursing Assistant

17 Licensed Practical Nurse

12 Physical Therapist

3 Dietitian

2 Respiratory Therapy Technician

2 Registered Nurse

1 Administrator

2 Mental Health Service Worker

3 Medication Aide/Technician

1 Nurse Practitioner

2 Qualified Social Worker

4 Nurse Aide in Training

3 Physical Therapy Assistant

2 Physical Therapy Aide

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Avenir at Maple Grove

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