All states › Missouri › Bridgeton › Avenir at Mark Twain
11988 Mark Twain Lane Bridgeton, MO 63044 · St. Louis County
All 3 nursing homes in Bridgeton, MO (3 take Medicaid)
CMS certification number 265236 · See this home on Medicare Care Compare
Is Avenir at Mark Twain a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avenir at Mark Twain as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.17 hours per resident per day at Avenir at Mark Twain, below the Missouri median of 3.37 (US median: 3.72). About 0.48 of those hours are from registered nurses. On weekends it falls to 2.77 hours, 13% below its all-week average. 70.1% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Avenir at Mark Twain: Medicare and Medicaid
Avenir at Mark Twain is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 20, 2025 and found 19 deficiencies, plus 11 from complaint inspections in the same period. In total, inspectors issued 62 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 62 citations at Avenir at Mark Twain across 9 inspection dates, 20 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 22, 2026 (complaint inspection). The most common areas cited were quality of life and care (16) and resident rights (12). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, January 19, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
June 22, 2026 · 1 citation · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 19, 2025 · 3 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 7, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 20, 2025 · 25 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
ENot 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.
EEnsure each resident receives an accurate assessment.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide safe and appropriate respiratory care for a resident when needed.
ETry 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a plan that describes the process for conducting QAPI and QAA activities.
EProvide and implement an infection prevention and control program.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate foot care.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DEnsure 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.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
January 21, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure services provided by the nursing facility meet professional standards of quality.
September 25, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
April 5, 2024 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
January 19, 2024 · 12 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EObserve each nurse aide's job performance and give regular training.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide appropriate foot care.
DProvide 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.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
CPost nurse staffing information every day.
November 8, 2019 · 14 citations
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProvide 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.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
BNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Questions to ask on a tour of Avenir at Mark Twain
- Inspectors cited the home at the immediate-jeopardy level on January 19, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 20, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 70.1% a year. How many of the staff come from agencies?
- Ownership changed in the last 12 months. What has changed for residents and staff since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
6 penalties in the last three years, including $226,126 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 22, 2026 | Fine | $65,396 |
| Jun 22, 2026 | Payment Denial | 4 days of payments denied |
| Jan 21, 2025 | Fine | $134,043 |
| Jan 21, 2025 | Payment Denial | 14 days of payments denied |
| Jan 19, 2024 | Fine | $26,687 |
| Jan 19, 2024 | Payment Denial | 19 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
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Location
Hospitals near Avenir at Mark Twain
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
SSM Depaul Health Center BridgetonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 33m for patients treated and sent home
- 1.7 mi
- 2.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avenir at Mark Twain › All nursing homes in Bridgeton ›
Compare Avenir at Mark Twain with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Friendship Village Chesterfield · Chesterfield · 5 stars · 8.2 mi
- Mason Pointe Care Center · Chesterfield · 5 stars · 8.6 mi
- NHC Healthcare, Maryland Heights · Maryland Heights · 4 stars · 1.6 mi
- NHC Healthcare, St Charles · Saint Charles · 4 stars · 5.0 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.