Avenir at Mark Twain

Inspection history (62)

Records from November 2019 to December 2025.

• January 19, 2024 · D

  Citation F0569

  Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0569 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. The deficiency was recorded as corrected on 2024-01-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• January 19, 2024 · D

  Citation F0688

  Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2024-02-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• January 19, 2024 · E

  Citation F0804

  Federal surveyors cited this nursing home on 2024-01-19 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 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• January 19, 2024 · E

  Citation F0730

  Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0730 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2024-01-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• January 19, 2024 · K

  Citation F0689

  Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) 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 2024-01-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• January 19, 2024 · E

  Citation F0568

  Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0568 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. The deficiency was recorded as corrected on 2024-01-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• January 19, 2024 · D

  Citation F0661

  Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2024-02-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• September 7, 2023 · D

  Citation F0678

  Federal surveyors cited this nursing home on 2023-09-07 under CMS tag F0678 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2023-09-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-07.GOV

• November 8, 2019 · E

  Citation F0689

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0689 (CMS scope/severity E: pattern, 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 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · D

  Citation F0688

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0677

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2019-11-08 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 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0658

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0658 (CMS scope/severity E: pattern, 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 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0802

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0802 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · B

  Citation F0625

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0625 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0550

  Federal surveyors cited this nursing home on 2019-11-08 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 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · B

  Citation F0623

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0623 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.GOV

• November 8, 2019 · E

  Citation F0698

  Federal surveyors cited this nursing home on 2019-11-08 under CMS tag F0698 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2019-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-08.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)