Skip to content
ElderCareCosts

Nursing Homes · Medicare certified

Avenir at Mark Twain

11988 Mark Twain Lane · Bridgeton, MO 63044 · 120 certified beds

(314) 291-8240

NPI 1366327884 (opens in a new tab)

Are you the operator? Claim this profile.

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

1.0

Staffing

1.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (62)

Records from November 2019 to December 2025.

  • August 20, 2025

    Tag F0569

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0677

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0770

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0925

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0887

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0947

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0806

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • August 20, 2025

    Tag F0584

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2025.

  • January 21, 2025

    Tag F0609

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 19, 2025.

  • January 21, 2025

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2025.

  • January 21, 2025

    Tag F0678

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Severity J: isolated, immediate jeopardy. Corrected January 17, 2025.

  • September 25, 2024

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 25, 2024.

  • April 5, 2024

    Tag F0610

    Respond appropriately to all alleged violations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.

  • April 5, 2024

    Tag F0609

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2024.

  • January 19, 2024

    Tag F0607

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 9, 2024.

  • January 19, 2024

    Tag F0661

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.

  • January 19, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 9, 2024.

  • January 19, 2024

    Tag F0688

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 9, 2024.

  • January 19, 2024

    Tag F0804

    Ensure 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 March 7, 2024.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Missouri median$6,741/mo

Nearby alternatives

Other licensed providers in Bridgeton.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Advertisement

A Place for Mom advertisement for its senior living advisor service

Check availability and pricing at Avenir at Mark Twain

We'll email you Avenir at Mark Twain and similar options nearby, with local costs. You can also ask them to contact you, or call (314) 291-8240.

Check availability and pricing
Avenir at Mark Twain in Bridgeton, MO · Inspections page 2 · ElderCareCosts