In their own words
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The record
CMS Care Compare · Aug 2026| Overall | ★☆☆☆☆ 1 of 5 |
| Health inspection | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
Staffing · hours per resident per day
Medication & safety · share of long-stay residents
| Federal fines | $183,665 · 7 penalties |
| Abuse icon | Not flagged |
| Conflict flags in latest reconcile | 3 |
MO does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.
What the pattern says
Palmelle pattern checks · v1Mixed — a strong record with one number that needs an answer.
- $183,665 in federal fines. 7 penalties in the last 36 months — the citation detail is in the record above.
These checks are computed the same way for every facility. Good patterns and bad ones both print.
Nearby & comparable
Same records, same rulesQuestions families ask
What is the CMS rating for AVENIR AT MARK TWAIN?
AVENIR AT MARK TWAIN has an overall CMS Care Compare rating of 1 out of 5 stars.
Has AVENIR AT MARK TWAIN been cited for resident harm?
AVENIR AT MARK TWAIN has $183,665 in federal fines across 7 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.