Nursing home
Avenir at Mark Twain
11988 Mark Twain Lane, Bridgeton, MO 63044 · Map
For profit - Limited Liability company · 120 certified beds
Avenir at Mark Twain is a Medicare-certified nursing home in Bridgeton, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Its most recent inspection on Aug 20, 2025 cited 29 deficiencies.
- 8 fines totaling $195,310In CMS records: 10 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avenir at Mark Twain compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 3.47 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.46 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.32 | 2.34 | — |
| Nursing staff turnover | 59.7% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 29.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 8 fines totaling $195,310, 10 total penalties, 2 Medicare payment denials.
What inspectors found at Avenir at Mark Twain
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 7, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Aug 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Aug 20, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 20, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 11988 Mark Twain Lane
Bridgeton, MO 63044 - CMS certification #
- 265236
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 69.8
- Provider type
- Medicare and Medicaid
- First certified
- 1984-04-15
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avenir at Mark Twain using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ssm Health Depaul Hospital St Louis, Bridgeton. 0.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- SSM Health Depaul Hospital - Anna House, Bridgeton. 0.4 miles away, straight line.
- Nearest home health agency office
- Yam Home Health LLC, Bridgeton. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63044 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Bridgeton, Bridgeton, 0.9 miles away, straight line (CMS rating 2 of 5 stars)
Bma St. Louis, Saint Ann, 2.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita Hazelwood Dialysis, Hazelwood, 4.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 63044.
Phoenix Home Care And Hospice, office in Saint Louis, 3.6 miles away, straight line
Caris Healthcare, office in Saint Louis, 3.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Vitas Healthcare Corporation Midwest, office in Saint Louis, 4.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Mercy Clinic East Communities, Hazelwood. 4.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Avenir at Mark Twain a good nursing home?
CMS gives Avenir at Mark Twain an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Avenir at Mark Twain had inspection problems?
Its most recent CMS inspection cited 29 deficiencies.
How many beds does Avenir at Mark Twain have?
Avenir at Mark Twain is certified for 120 beds.