Nursing Homes · Bridgeton, MO
Nursing Homes · Medicare certified
Avenir at Mark Twain
11988 Mark Twain Lane · Bridgeton, MO 63044 · 120 certified beds
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About Avenir at Mark Twain
Avenir at Mark Twain is a nursing home in Bridgeton, Missouri. Its capacity is 120 beds, the same as the St. Louis County median for nursing homes. It is run by a for-profit operator and is part of Mark Twain Holdco LLC. It is Medicare certified. Its public inspection record shows 62 citations, the most recent on December 19, 2025. CMS also lists 12 fines or payment denials against it. Nurse staffing averages 3.17 hours per resident per day. It is one of 3 nursing homes listed in Bridgeton. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (62)
Records from November 2019 to December 2025.
December 19, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2026.
December 19, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2026.
December 19, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2026.
October 7, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 14, 2025.
August 20, 2025
Tag F0620Not 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0700Try 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0808Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 19, 2025.
August 20, 2025
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0687Provide appropriate foot care.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
August 20, 2025
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.
Penalties (12)
Total fines: $195,310
June 22, 2026 · Fine
CMS recorded a civil money penalty of $65,396 against this nursing home on June 22, 2026.
June 22, 2026 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting July 23, 2026, lasting 4 days (triggered by inspection on June 22, 2026).
January 21, 2025 · Fine
CMS recorded a civil money penalty of $134,043 against this nursing home on January 21, 2025.
January 21, 2025 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting February 25, 2025, lasting 14 days (triggered by inspection on January 21, 2025).
January 19, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting February 17, 2024, lasting 19 days (triggered by inspection on January 19, 2024).
January 19, 2024 · Fine
CMS recorded a civil money penalty of $26,687 against this nursing home on January 19, 2024.
September 25, 2023 · Fine
CMS recorded a civil money penalty of $4,587 against this nursing home on September 25, 2023.
September 18, 2023 · Fine
CMS recorded a civil money penalty of $4,587 against this nursing home on September 18, 2023.
September 11, 2023 · Fine
CMS recorded a civil money penalty of $4,587 against this nursing home on September 11, 2023.
September 5, 2023 · Fine
CMS recorded a civil money penalty of $4,587 against this nursing home on September 5, 2023.
August 28, 2023 · Fine
CMS recorded a civil money penalty of $4,587 against this nursing home on August 28, 2023.
August 7, 2023 · Fine
CMS recorded a civil money penalty of $11,645 against this nursing home on August 7, 2023.
Staffing
3.17 nurse hours per resident per day in Q2 2026, down from 3.56 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
- Parent company: Mark Twain Holdco LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Bridgeton.
Nursing Homes · Bridgeton, MO
SSM Health Depaul Hospital - Anna House
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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