Nursing home · Bridgeton, MO
Avenir at Mark Twain
11988 Mark Twain Lane, Bridgeton, MO 63044 · 120 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 22, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 20, 2025) it had 30 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.47 hours per resident per day here, about the same as the Missouri average (3.43) and 10% less than the U.S. average (3.86). Registered nurses account for 0.49 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 71% over the past year, 15 points higher than Missouri (56%) and 26 points higher than the U.S. (46%).
How Avenir at Mark Twain compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.47 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.49 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.08 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 71% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 75% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 30 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 63 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 22, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Dec 19, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Dec 19, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 19, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Oct 7, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Provide appropriate foot care. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | 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. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | 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. Infection control | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | D | Deficient, Provider has date of correction |
| Aug 20, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services · complaint | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | 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. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Aug 20, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jan 21, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jan 21, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 21, 2025 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Sep 25, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Apr 5, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 19, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Jan 19, 2024 | 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 19, 2024 | Observe each nurse aide's job performance and give regular training. Nursing and physician services | E | Deficient, Provider has date of correction |
| Jan 19, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | K immediate jeopardy | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jun 22, 2026 | Fine | $65,396 |
| Jun 22, 2026 | Payment Denial | 4 days |
| Jan 21, 2025 | Fine | $134,043 |
| Jan 21, 2025 | Payment Denial | 14 days |
| Jan 19, 2024 | Fine | $26,687 |
| Jan 19, 2024 | Payment Denial | 19 days |
| Sep 25, 2023 | Fine | $4,587 |
| Sep 18, 2023 | Fine | $4,587 |
Location
Map data © OpenStreetMap contributors.
We don't have licensed photos yet. See photos on Google Maps.
Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
Read Google reviews (opens Google Maps).
Questions about Avenir at Mark Twain
Answers computed from CMS data for this facility.
What is Avenir at Mark Twain's Medicare rating?
Medicare rates Avenir at Mark Twain 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Avenir at Mark Twain do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 22, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 20, 2025) it had 30 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Avenir at Mark Twain been fined?
Yes. CMS reports 5 fines totaling $235,300 in the past three years.
Does Avenir at Mark Twain accept Medicaid?
Avenir at Mark Twain is certified for both Medicare and Medicaid. Call (314) 291-8240 to ask whether a Medicaid bed is open.
Other nursing homes near Bridgeton
- 3/5Ssm Health Depaul Hospital - Anna HouseBridgeton · 105 beds
- 2/5Life Care Center of BridgetonBridgeton · 91 beds
- 5/5Aberdeen HeightsKirkwood · 38 beds
- 5/5Bethesda SouthgateSt. Louis · 130 beds
- 5/5Christian Extended Care & RehabilitationSt. Louis · 60 beds
- 5/5Delmar Gardens of Meramec ValleyFenton · 190 beds
Compare all 97 St. Louis-area nursing homes · Homes that take Medicaid · Rehab and skilled nursing · St. Louis guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.