Avenir at Mark Twain

Inspection history (62)

Records from November 2019 to December 2025.

• December 19, 2025 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2025-12-19 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2026-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-19.GOV

• December 19, 2025 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2025-12-19 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-19.GOV

• December 19, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-12-19 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-01-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-19.GOV

• October 7, 2025 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2025-10-07 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-11-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-07.GOV

• August 20, 2025 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0550

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0620

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0620 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0700

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0865

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0865 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · D

  Citation F0561

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · D

  Citation F0808

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0808 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. The deficiency was recorded as corrected on 2025-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · D

  Citation F0868

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · D

  Citation F0687

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0687 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate foot care. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0695

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · E

  Citation F0804

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

• August 20, 2025 · D

  Citation F0770

  Federal surveyors cited this nursing home on 2025-08-20 under CMS tag F0770 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely, quality laboratory services/tests to meet the needs of residents. The deficiency was recorded as corrected on 2025-10-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-20.GOV

Penalties (10)

Total fines on file: $195,310

• January 21, 2025 · Fine

  Citation FINE-90697

  CMS recorded a civil money penalty of $134,043 against this nursing home on 2025-01-21 (Fine ID: 90697). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-21.GOV

• January 21, 2025 · Payment Denial

  Citation PAYDEN-2025-02-25

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2025-02-25, lasting 14 days (triggered by inspection on 2025-01-21). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-21.GOV

• January 19, 2024 · Payment Denial

  Citation PAYDEN-2024-02-17

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-02-17, lasting 19 days (triggered by inspection on 2024-01-19). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-19.GOV

• January 19, 2024 · Fine

  Citation FINE-90502

  CMS recorded a civil money penalty of $26,687 against this nursing home on 2024-01-19 (Fine ID: 90502). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-19.GOV

• September 25, 2023 · Fine

  Citation FINE-90018

  CMS recorded a civil money penalty of $4,587 against this nursing home on 2023-09-25 (Fine ID: 90018). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOV

• September 18, 2023 · Fine

  Citation FINE-90006

  CMS recorded a civil money penalty of $4,587 against this nursing home on 2023-09-18 (Fine ID: 90006). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV

• September 11, 2023 · Fine

  Citation FINE-89985

  CMS recorded a civil money penalty of $4,587 against this nursing home on 2023-09-11 (Fine ID: 89985). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-11.GOV

• September 5, 2023 · Fine

  Citation FINE-89960

  CMS recorded a civil money penalty of $4,587 against this nursing home on 2023-09-05 (Fine ID: 89960). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-05.GOV

• August 28, 2023 · Fine

  Citation FINE-89939

  CMS recorded a civil money penalty of $4,587 against this nursing home on 2023-08-28 (Fine ID: 89939). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-28.GOV

• August 7, 2023 · Fine

  Citation FINE-89842

  CMS recorded a civil money penalty of $11,645 against this nursing home on 2023-08-07 (Fine ID: 89842). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-07.GOV

Staffing

Latest: 3.47 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: Mark Twain Holdco LLC

   parent · PAC 6709379324

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)