Avenir at Mark Twain

11988 Mark Twain Lane, Bridgeton, MO 63044 · (314) 291-8240
For profit - Limited Liability company · 120 certified beds

Avenir at Mark Twain has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 25 citations (the Missouri average is 11.4). It was fined 5 times in the last three years, $235,300 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 20, 2025 found 25 citations. What an inspection citation means

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 20, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 20, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 20, 2025 · F0620 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives an accurate assessment.August 20, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.August 20, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe and appropriate respiratory care for a resident when needed.August 20, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 20, 2025 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 20, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.August 20, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 20, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a plan that describes the process for conducting QAPI and QAA activities.August 20, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.August 20, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.August 20, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.August 20, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.August 20, 2025 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.August 20, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 20, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate foot care.August 20, 2025 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 20, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.August 20, 2025 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.August 20, 2025 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAugust 20, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.August 20, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.August 20, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.August 20, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 20 citations.

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 22, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 19, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.December 19, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 19, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 7, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 20, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.August 20, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 20, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 20, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.August 20, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.August 20, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 21, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.January 21, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.January 21, 2025 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.September 25, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 5, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.April 5, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate foot care.January 19, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 19, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.January 19, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $65,396June 22, 2026
• Fine of $134,043January 21, 2025
• Fine of $26,687January 19, 2024
• Fine of $4,587September 25, 2023
• Fine of $4,587September 18, 2023
• Medicare payment denial for 4 daysStarting July 23, 2026
• Medicare payment denial for 14 daysStarting February 25, 2025
• Medicare payment denial for 19 daysStarting February 17, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home