Missouri › St. Louis County › Bridgeton
Avenir At Mark Twain
11988 Mark Twain Lane, Bridgeton, MO 63044
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Avenir At Mark Twain serves Bridgeton in St. Louis County, Missouri and has taken Medicare and Medicaid residents since 1984.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 63 health deficiencies across the three most recent survey cycles (30, 16, 17 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 52.5 per 100 beds, more than the state median of 32.1.
CMS lists 9 penalties in the period covered: fines totalling $184K and 2 payment denials.
Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 71.4%.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 63 | 46 | 31 | 28.7 |
| Citations per 100 beds | 52.5 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 71.4% | 60.7% | 56.1% | 45.8% |
| Fines listed | $183,665 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Aug 2025, 19 Jan 2024.
Severity mix: J ×2 K ×1 D ×29 E ×28 B ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Jul 2026 |
| 19 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Jan 2026 |
| 19 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Jan 2026 |
| 19 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Jan 2026 |
| 7 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Nov 2025 |
| 20 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 3 Oct 2025 |
| 20 Aug 2025 | F0584 | 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. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0620 | 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. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 3 Oct 2025 |
| 20 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0700 | 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. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 3 Oct 2025 |
| 20 Aug 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 3 Oct 2025 |
| 20 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 3 Oct 2025 |
| 20 Aug 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Oct 2025 |
| 20 Aug 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0808 | 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. | D | Standard survey | 19 Nov 2025 |
| 20 Aug 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0887 | 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. | D | Standard survey | 3 Oct 2025 |
| 20 Aug 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 3 Oct 2025 |
| 21 Jan 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 17 Jan 2025 |
| 21 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Feb 2025 |
| 21 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Mar 2025 |
| 25 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 25 Oct 2024 |
| 5 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Apr 2024 |
| 5 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Apr 2024 |
| 19 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 19 Jan 2024 |
| 19 Jan 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 19 Jan 2024 |
| 19 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 9 Feb 2024 |
| 19 Jan 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 30 Jan 2024 |
| 19 Jan 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 7 Mar 2024 |
| 19 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Feb 2024 |
| 19 Jan 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 19 Jan 2024 |
| 19 Jan 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 6 Feb 2024 |
| 19 Jan 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 12 Feb 2024 |
| 19 Jan 2024 | F0688 | 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. | D | Standard survey | 9 Feb 2024 |
| 19 Jan 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 6 Feb 2024 |
| 19 Jan 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 19 Jan 2024 |
| 7 Sep 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 7 Sep 2023 |
| 8 Nov 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0688 | 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. | D | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 20 Dec 2019 |
| 8 Nov 2019 | F0625 | Notify 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. | B | Standard survey | 20 Dec 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Jan 2025 | Payment denial | — | 14 days |
| 21 Jan 2025 | Fine | $134,043 | |
| 19 Jan 2024 | Payment denial | — | 19 days |
| 19 Jan 2024 | Fine | $26,687 | |
| 25 Sep 2023 | Fine | $4,587 | |
| 18 Sep 2023 | Fine | $4,587 | |
| 11 Sep 2023 | Fine | $4,587 | |
| 5 Sep 2023 | Fine | $4,587 | |
| 28 Aug 2023 | Fine | $4,587 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 71.4%, RNs 75.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.8% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Nbh1 Mtopco Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mark Twain Holdco LLC | Direct ownership interest | NOT APPLICABLE | 10/01/2025 |
| Delta Edge Strategic Advisors | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Hhhh Ventures LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Krpss Partners | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Delta Edge Strategic Advisors | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Hhhh Ventures LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Krpss Partners | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Nbh1 Mtpropco LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Avenir At Mark Twain been cited for?
63 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Avenir At Mark Twain been fined?
Yes. CMS lists fines totalling $184K in the period covered, plus 2 payment denials.
How does staffing at Avenir At Mark Twain compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Avenir At Mark Twain?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Mark Twain Holdco LLC, Delta Edge Strategic Advisors and Hhhh Ventures LLC. Individual owners and managers are not listed on this site.
When was Avenir At Mark Twain last inspected?
The most recent survey or investigation in the CMS record is dated 22 Jun 2026; the most recent standard health survey was 20 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.