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Avenir At Mark Twain

11988 Mark Twain Lane, Bridgeton, MO 630443142918240Ownership: For profit - Limited Liability companyCertified beds: 120Avg. daily residents: 77County: St. Louis
Ownership changed in the last 12 months — the current rating reflects performance partly under previous ownership.

The complete public record on Avenir At Mark Twain, a Medicare & Medicaid–certified nursing home in Bridgeton, Missouri, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Missouri average: 2.5 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Avenir At Mark Twain holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 71% is well above the Missouri average of 56%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $183,665 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.47 total nurse staff hours per resident per day
about the state average (3.43)
0.49 RN hours per resident per day
above the state average (0.46)
3.08 weekend nurse staff hours per resident per day
71.4% total nursing staff turnover
above the state average (56.0)
75.0% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

August 20, 2025 most recent standard health inspection
30 health deficiencies cited in the most recent inspection cycle
above the state average (11.5)
19 health deficiencies in the two prior cycles combined
$183,665 in federal fines across 7 penalties (last 3 years)
above the state average ($36,698)
2 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 22, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintJ · Immediate jeopardy
December 19, 20250580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintD · Potential for more than minimal harm
December 19, 20250658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintD · Potential for more than minimal harm
December 19, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintD · Potential for more than minimal harm
October 7, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintD · Potential for more than minimal harm
August 20, 20250550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. ComplaintE · Potential for more than minimal harm
August 20, 20250584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and…E · Potential for more than minimal harm
August 20, 20250620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents…E · Potential for more than minimal harm
August 20, 20250641Ensure each resident receives an accurate assessment.E · Potential for more than minimal harm
August 20, 20250658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintE · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.