CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Avenir at Mark Twain
View the most recent health deficiencies and inspection results for Avenir at Mark Twain. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avenir at Mark Twain. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-19 | 2026-01-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-19 | 2026-01-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-19 | 2026-01-15 | Y |
| 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. | Health | 2025-08-20 | 2025-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-07 | 2025-11-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-20 | 2025-10-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-20 | 2025-10-03 | N |
| 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. | Health | 2025-08-20 | 2025-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-20 | 2025-10-03 | N |
| Provide appropriate foot care. | Health | 2025-08-20 | 2025-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-20 | 2025-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-20 | 2025-10-03 | N |
| 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. | Health | 2025-08-20 | 2025-10-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-08-20 | 2025-10-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-08-20 | 2025-10-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-08-20 | 2025-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-20 | 2025-10-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-20 | 2025-10-03 | N |
| 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. | Health | 2025-08-20 | 2025-10-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-20 | 2025-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-20 | 2025-10-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-20 | 2025-10-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-20 | 2025-10-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-20 | 2025-10-03 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-08-20 | 2025-10-03 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-08-20 | 2025-10-03 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-08-20 | 2025-10-03 | N |
| 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. | Health | 2025-08-20 | 2025-10-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Use approved construction type or materials. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-20 | 2025-10-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-08-20 | 2025-10-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-21 | 2025-03-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-21 | 2025-02-19 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-01-21 | 2025-01-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-25 | 2024-10-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-04-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-05 | 2024-04-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-19 | 2024-03-07 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-19 | 2024-03-01 | N |
| Provide appropriate foot care. | Health | 2024-01-19 | 2024-02-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-19 | 2024-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-02-09 | N |
| 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. | Health | 2024-01-19 | 2024-02-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-19 | 2024-02-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-01-19 | 2024-02-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-19 | 2024-02-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-19 | 2024-01-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-19 | 2024-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-19 | 2024-01-24 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-19 | 2024-01-22 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-19 | 2024-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-01-19 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-01-19 | 2024-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-19 | 2024-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-19 | 2024-01-19 | N |
| Post nurse staffing information every day. | Health | 2024-01-19 | 2024-01-19 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-09-07 | 2023-09-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-08 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-08 | 2019-12-20 | N |
| 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. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-08 | 2019-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-08 | 2019-12-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-08 | 2019-12-20 | N |
| 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. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-08 | 2019-12-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-08 | 2019-12-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-08 | 2019-12-20 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-11-08 | 2019-12-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-08 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-08 | 2019-12-20 | N |