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.
January 19, 2024
Tag F0732Post nurse staffing information every day.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected January 19, 2024.
January 19, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected January 19, 2024.
January 19, 2024
Tag F0687Provide appropriate foot care.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 12, 2024.
January 19, 2024
Tag F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 19, 2024.
January 19, 2024
Tag F0730Observe each nurse aide's job performance and give regular training.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 30, 2024.
January 19, 2024
Tag F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 19, 2024
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 January 19, 2024.
September 7, 2023
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected September 7, 2023.
November 8, 2019
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 December 20, 2019.
November 8, 2019
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 December 20, 2019.
November 8, 2019
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected December 20, 2019.
November 8, 2019
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 December 20, 2019.
November 8, 2019
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 December 20, 2019.
November 8, 2019
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 December 20, 2019.
November 8, 2019
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 20, 2019.
November 8, 2019
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 December 20, 2019.
November 8, 2019
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 20, 2019.
November 8, 2019
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 20, 2019.
November 8, 2019
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 20, 2019.
November 8, 2019
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 20, 2019.
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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