Facility profile · CCN 265236
Avenir At Mark Twain
63 federal citations on record , including 2 at the Immediate Jeopardy level, and 10 federal enforcement actions totaling $195,310.
Record summary
Federal record · Q1 202663
Total citations
49
Last 3 years
2
Actual harm+
10
Federal penalties
$195,310
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
63 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 19, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 19, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Dec 19, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Oct 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 20, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint |
| Aug 20, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint |
| Aug 20, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Aug 20, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Aug 20, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Aug 20, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Aug 20, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Aug 20, 2025 | F887 | 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. | D | Standard |
| Aug 20, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 20, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 20, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Aug 20, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| Aug 20, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 20, 2025 | F808 | 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. | D | Standard |
| Aug 20, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Aug 20, 2025 | F700 | 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. | E | Standard |
| Aug 20, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Aug 20, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 20, 2025 | F687 | Provide appropriate foot care. | D | Standard |
| Aug 20, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 20, 2025 | F620 | 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. | E | Standard |
| Aug 20, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Aug 20, 2025 | F584 | 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. | E | Standard |
| Aug 20, 2025 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Aug 20, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jan 21, 2025 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Jan 21, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jan 21, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 25, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Apr 5, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 5, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 19, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Jan 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Jan 19, 2024 | F687 | Provide appropriate foot care. | D | Complaint |
| Jan 19, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 19, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Jan 19, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Jan 19, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Jan 19, 2024 | F688 | 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. | D | Standard |
| Jan 19, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Jan 19, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Jan 19, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Jan 19, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard |
| Sep 7, 2023 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint |
| Apr 27, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Nov 8, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 8, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 8, 2019 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Nov 8, 2019 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Nov 8, 2019 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Nov 8, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 8, 2019 | F688 | 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. | D | Standard |
| Nov 8, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Nov 8, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Nov 8, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Nov 8, 2019 | F625 | 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. | B | Standard |
| Nov 8, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Nov 8, 2019 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Nov 8, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 10 enforcement actions against this facility, including 8 civil money penalties totaling $195,310 and 2 payment-denial actions spanning 33 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 21, 2025 | Payment Denial | — | Feb 25, 2025 · 14 days |
| Jan 21, 2025 | Fine | $134,043 | — |
| Jan 19, 2024 | Fine | $26,687 | — |
| Jan 19, 2024 | Payment Denial | — | Feb 17, 2024 · 19 days |
| Sep 25, 2023 | Fine | $4,587 | — |
| Sep 18, 2023 | Fine | $4,587 | — |
| Sep 11, 2023 | Fine | $4,587 | — |
| Sep 5, 2023 | Fine | $4,587 | — |
| Aug 28, 2023 | Fine | $4,587 | — |
| Aug 7, 2023 | Fine | $11,645 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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