Skilled Nursing

AVENIR AT MARK TWAIN

11988 MARK TWAIN LANE, BRIDGETON, MO 63044

120beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.1h

Hrs/resident · weekday

Expected: 4.4h

3.8h

Hrs/resident · weekend

vs 3.1h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
38%
LPNs
CNAs
57%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0678Severity JJan 21, 2025

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected: Jan 17, 2025

SeriousImmediate Jeopardy0689Severity KJan 19, 2024

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

Corrected: Jan 19, 2024

46 standard deficiencies in the last 3 years

View all
0684Severity DDec 19, 2025

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

0658Severity DDec 19, 2025

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

0580Severity DDec 19, 2025

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

0684Severity DOct 7, 2025

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

0947Severity EAug 20, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0925Severity DAug 20, 2025

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0887Severity DAug 20, 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.

0883Severity DAug 20, 2025

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity EAug 20, 2025

Provide and implement an infection prevention and control program.

0868Severity DAug 20, 2025

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0865Severity EAug 20, 2025

Have a plan that describes the process for conducting QAPI and QAA activities.

0812Severity EAug 20, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0808Severity DAug 20, 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.

0806Severity EAug 20, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0804Severity EAug 20, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0770Severity DAug 20, 2025

Provide timely, quality laboratory services/tests to meet the needs of residents.

0700Severity EAug 20, 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.

0695Severity EAug 20, 2025

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

0689Severity DAug 20, 2025

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

0687Severity DAug 20, 2025

Provide appropriate foot care.

0677Severity DAug 20, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity EAug 20, 2025

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

0641Severity EAug 20, 2025

Ensure each resident receives an accurate assessment.

0620Severity EAug 20, 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.

0607Severity DAug 20, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0584Severity EAug 20, 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.

0569Severity DAug 20, 2025

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0561Severity DAug 20, 2025

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0550Severity EAug 20, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Severity DJan 21, 2025

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

0609Severity DJan 21, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0658Severity DSep 25, 2024

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

0610Severity DApr 5, 2024

Respond appropriately to all alleged violations.

0609Severity DApr 5, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0880Severity EJan 19, 2024

Provide and implement an infection prevention and control program.

0804Severity EJan 19, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0732Severity CJan 19, 2024

Post nurse staffing information every day.

0730Severity EJan 19, 2024

Observe each nurse aide's job performance and give regular training.

0712Severity DJan 19, 2024

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0688Severity DJan 19, 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.

0687Severity DJan 19, 2024

Provide appropriate foot care.

0661Severity DJan 19, 2024

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0607Severity EJan 19, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0569Severity DJan 19, 2024

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0568Severity EJan 19, 2024

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0678Severity DSep 7, 2023

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

NBH1 MTOPCO LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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