All citations for Avenir at Mark Twain
State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.
Last standard health inspection on record
August 20, 2025
Showing 51 to 63 of 63 citations
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
The home gave a date the problem would be corrected (April 26, 2024).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
The home gave a date the problem would be corrected (April 26, 2024).
No harm, with potential for more than minimal harm
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
The home gave a date the problem would be corrected (January 19, 2024).
No harm, with potential for more than minimal harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
The home gave a date the problem would be corrected (February 6, 2024).
No harm, with potential for more than minimal harm
Provide appropriate foot care.
The home gave a date the problem would be corrected (February 12, 2024).
No harm, with potential for more than minimal harm
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 home gave a date the problem would be corrected (February 9, 2024).
No harm, with potential for more than minimal harm
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
The home gave a date the problem would be corrected (February 6, 2024).
No harm, with potential for more than minimal harm
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 home gave a date the problem would be corrected (September 7, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
The home gave a date the problem would be corrected (December 20, 2019).
No harm, with potential for more than minimal harm
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 home gave a date the problem would be corrected (December 20, 2019).
No harm, with potential for minimal harm
Post nurse staffing information every day.
The home gave a date the problem would be corrected (January 19, 2024).
No harm, with potential for minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
The home gave a date the problem would be corrected (December 20, 2019).
No harm, with potential for minimal harm
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 home gave a date the problem would be corrected (December 20, 2019).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.