🛡️ Free for Families  ·  No Spam Calls  ·  No Referral Fees  ·  Built on Official Records

FindSeniorLivingNow

🏠 Is this your community?

Families are searching for a community like yours right now. Make sure they find you.

Claim This Community
🏥
Medicare-certifiedSkilled Nursing

Avenir at Mark Twain

Bridgeton, MissouriMedicare inspection record
(314) 291-8240

About Avenir at Mark Twain

AVENIR AT MARK TWAIN provides skilled nursing and rehabilitation services to Bridgeton, Missouri residents recovering from surgery, illness, or injury. Our experienced care team focuses on helping you regain strength and independence with personalized treatment plans and compassionate support.

Community at a glance

Capacity

120 residents

Location

Bridgeton, MO

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

11988 MARK TWAIN LANE, Bridgeton, Missouri 63044

(314) 291-8240

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Avenir at Mark Twain changed ownership in the last 12 months. Ratings may reflect the previous owner.

At its most recent standard inspection, on August 20, 2025, state inspectors cited 30 health deficiencies (the Missouri average is 11.4).

Nurses and nurse aides spend 3 hours 28 minutes with each resident a day, about the same as the Missouri average.

Medicare fined Avenir at Mark Twain 3 times in the last three years, $226,126 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 28 minutes
Registered nurse time per resident, per day29 minutesAbove the Missouri average
Nursing staff who left in the past year71%Above the Missouri average

2 administrators have left the home in the past year.

Inspections

48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 22, 2026 · Complaint investigation · 1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jul 27, 2026

December 19, 2025 · Complaint investigation · 3 citations

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

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 15, 2026
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 15, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 15, 2026
October 7, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 14, 2025
August 20, 2025 · Standard inspection · 25 citations+
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Oct 3, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Oct 3, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 3, 2025
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Oct 3, 2025
  • Not 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 3, 2025
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Oct 3, 2025
  • Try 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.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Oct 3, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Oct 3, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 3, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Oct 3, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Oct 3, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Oct 3, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 3, 2025
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Oct 3, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Oct 3, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 3, 2025
  • Provide appropriate foot care.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 3, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Oct 3, 2025
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Oct 3, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 3, 2025
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 3, 2025
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Oct 3, 2025
  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 3, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Oct 3, 2025
  • Ensure 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Nov 19, 2025
January 21, 2025 · Complaint investigation · 3 citations+
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 17, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 11, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 19, 2025
September 25, 2024 · Complaint investigation · 1 citation+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 25, 2024
April 5, 2024 · Complaint investigation · 2 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 26, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 26, 2024
January 19, 2024 · Standard inspection · 12 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Jan 19, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 9, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Mar 7, 2024
  • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 19, 2024
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jan 30, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 9, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 9, 2024
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 6, 2024
  • Provide appropriate foot care.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 12, 2024
  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Feb 6, 2024
  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 19, 2024
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Jan 19, 2024

Fines and payment denials

3 fines totaling $226,126 and 3 Medicare payment denials in the last three years.

  • June 22, 2026Fine: $65,396
  • June 22, 2026Payment denial, 4 days
  • January 21, 2025Fine: $134,043
  • January 21, 2025Payment denial, 14 days
  • January 19, 2024Fine: $26,687
  • January 19, 2024Payment denial, 19 days

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Nbh1 Mtopco LLC
Medicare-certified beds
120
Average residents per day
77
Accepts
Medicare and Medicaid
First certified
April 15, 1984
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265236

Location

Loading map…

11988 MARK TWAIN LANEBridgeton, MO 63044

12 other communities within 10 miles

Senior living near Bridgeton

Questions about Avenir at Mark Twain

How did Avenir at Mark Twain do on its last inspection?+

State inspectors visited on August 20, 2025 and cited 30 health deficiencies, 11 of them from complaint investigations. The Missouri average is 11.4.

How much nursing care does each resident get at Avenir at Mark Twain?+

Nurses and aides spend 3 hours 28 minutes with each resident per day, including 29 minutes from registered nurses. 71% of nursing staff left over the past year.

Has Avenir at Mark Twain been fined by Medicare?+

Yes. Medicare fined Avenir at Mark Twain 3 times in the last three years, totaling $226,126.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Bridgeton Skilled Nursing in Missouri Skilled Nursing guide Information last updated October 2026