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Skilled NursingCMS verified

Avenir at Mark Twain

11988 Mark Twain Lane, Bridgeton, MO 63044 · St. Louis County

1.0CMS overall rating(314) 291-8240Visit website ↗
28
Use Caution
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Avenir at Mark Twain photo 1Avenir at Mark Twain photo 2

Photos via google places.

Availability outlookUsually has openings

Typically 63% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A low federal rating — review the details closely

Avenir at Mark Twain is a for-profit skilled nursing facility in Bridgeton, MO, with 120 certified beds and an average of about 76 residents per day.

Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 3/5 on staffing, 2/5 on quality measures.

Staff provide about 3.56 total nurse hours per resident each day (0.39 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 56.9%, higher than the ~52% national average. On the safety record, CMS notes 29 health deficiencies at its most recent standard survey, and 8 federal fines totaling $195,310 in the recent record.

Strengths

  • Full sprinkler system
  • Active resident & family council

Things to ask about

  • Below-average 1-star overall CMS rating
  • Below-average health-inspection rating
  • Below-average nurse staffing (3.56 hrs/resident/day)
  • 29 deficiencies at last survey
  • $195,310 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Bridgeton options — our advisors can help you compare.

At a glance

Certified beds
120
Avg. residents/day
76
Ownership
For profit - Limited Liability company
Part of a chain
Independent
Continuing care
No
CMS provider #
265236

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$6,330–$8,230/mo (median $7,070)Local market estimate

2024–2026 published survey medians, state median adjusted to local St. Louis prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Avenir at Mark Twain

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
3.56
National avg ≈ 3.9
RN hrs / resident / day
0.39
National avg ≈ 0.75
Nursing staff turnover
56.9%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey)
29
Federal fines
8 ($195,310)
Total penalties
10
Last standard survey
2025-08-20
Sprinkler system
Yes
Resident & family council
Resident

What inspectors found

The most recent findings from federal health inspections (62 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-12-19Severity D — potential for harmFrom a complaintResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-12-19Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies

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

2025-12-19Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-10-07Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-08-20Severity E — potential for harmResident Rights Deficiencies

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.

2025-08-20Severity E — potential for harmResident Rights Deficiencies

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.

2025-08-20Severity E — potential for harmResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

2025-08-20Severity E — potential for harmQuality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

DateTypeAmount
2025-01-21Fine$134,043
2025-01-21Payment denial
2024-01-19Fine$26,687
2024-01-19Payment denial
2023-09-25Fine$4,587
2023-09-18Fine$4,587
2023-09-11Fine$4,587
2023-09-05Fine$4,587

Services & amenities

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy

Location

11988 Mark Twain Lane, Bridgeton, MO

  • Monday: 10:00 AM – 9:00 PM
  • Tuesday: 10:00 AM – 9:00 PM
  • Wednesday: 10:00 AM – 9:00 PM
  • Thursday: 10:00 AM – 9:00 PM
  • Friday: 10:00 AM – 9:00 PM
  • Saturday: 10:00 AM – 9:00 PM
  • Sunday: 10:00 AM – 9:00 PM

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for Avenir at Mark Twain.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Avenir at Mark Twain

How much does Avenir at Mark Twain cost?

Avenir at Mark Twain does not publish exact rates. Comparable skilled nursing in the Bridgeton, MO area typically runs $6,330–$8,230 per month (median $7,070, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Avenir at Mark Twain's Medicare rating?

Medicare (CMS) rates Avenir at Mark Twain 1 out of 5 stars overall, including 1/5 for health inspections, 3/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.

How is the staffing at Avenir at Mark Twain?

Staff provide about 3.56 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 56.9% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Avenir at Mark Twain?

Avenir at Mark Twain has 62 health citations on its recent federal inspection record (last standard survey: 2025-08-20). The full citation-by-citation detail, with severity levels, is published on this page.

Does Avenir at Mark Twain have availability?

Typically 63% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Avenir at Mark Twain offer?

Avenir at Mark Twain in Bridgeton, MO offers skilled nursing and is licensed for 120 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in St. Louis.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for Avenir at Mark Twain — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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