Missouri average 6.6
Last Health inspection on Nov 2025

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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.
Avenir at Maple Grove is legally operated by Nbh2 Mgopco Llc, and administrated by Dakota Yowell.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Nov 2025
Missouri average 36.5
Missouri average 5.67
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).
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
No contractors work on this role.
Assists with medical care and medications.
No contractors work on this role.
Helps with daily care and mobility.
No contractors work on this role.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
| Certified Nursing Assistant | 30 | 0 | 30 | 8,855 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 17 | 0 | 17 | 4,440 | 92 | 100% | 8.8 |
| Physical Therapist | 12 | 0 | 12 | 1,428 | 91 | 99% | 8.7 |
| Dietitian | 3 | 0 | 3 | 1,211 | 92 | 100% | 7.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 892 | 67 | 73% | 7 |
| Registered Nurse | 2 | 0 | 2 | 617 | 64 | 70% | 8.3 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 445 | 56 | 61% | 7.9 |
| Medication Aide/Technician | 3 | 0 | 3 | 294 | 27 | 29% | 8.9 |
| Nurse Practitioner | 1 | 0 | 1 | 264 | 33 | 36% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 75 | 30 | 33% | 2.5 |
| Nurse Aide in Training | 4 | 0 | 4 | 66 | 4 | 4% | 8.2 |
| Physical Therapy Assistant | 3 | 0 | 3 | 64 | 31 | 34% | 2 |
| Physical Therapy Aide | 2 | 0 | 2 | 28 | 7 | 8% | 3.9 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
24% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Avenir at Maple Grove based on CMS SNF Cost Reports.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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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Avenir at Maple Grove is located in Maple Grove, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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| Avenir at Maple Grove |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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The legal owner and operator of Avenir at Maple Grove is Nbh2 Mgopco Llc.
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.
According to MO state health department records, Avenir at Maple Grove's license number is 053502.
According to MO state health department records, Avenir at Maple Grove's license expires on May 31, 2026.
Dakota Yowell is the administrator of Avenir at Maple Grove.
Avenir at Maple Grove has 90 beds.
Yes — there are 4 photos of Avenir at Maple Grove in the photo gallery on this page.
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