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.
August 20, 2025
Tag F0569Notify 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 F0677Provide 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 F0770Provide 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 F0925Make 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 F0887Educate 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 F0658Ensure 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 F0947Ensure 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 F0806Ensure 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 F0584Honor 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 F0609Timely 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 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 March 11, 2025.
January 21, 2025
Tag F0678Provide 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 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 October 25, 2024.
April 5, 2024
Tag F0610Respond 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 F0609Timely 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 F0607Develop 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 F0661Ensure 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 F0880Provide 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 F0688Provide 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 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 March 7, 2024.
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.
SSM Health Depaul Hospital - Anna House
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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