AVENIR AT MARK TWAIN in Bridgeton, MO has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It also has a recent federal penalty and $134,043 in fines over the last 24 months.
Last inspection: December 19, 2025Penalties, last 24 months: $134,043recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 57%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
15.9%14.9%Improving
Residents with a fall causing major injury
3%2.9%No change
Residents with pressure ulcers (bedsores)
7.6%8.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7%5.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.1%13.6%Improving
Residents whose ability to walk got worse
39%32.1%Improving
Long-stay residents on antianxiety or sleep medication
20.7%17.7%Improving
Short-stay residents newly given an antipsychotic
—1.7%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.3%13.9%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—93.2%—
Long-stay residents given the pneumonia vaccine
67.2%42%Worsening
Short-stay residents given the seasonal flu vaccine
—56.7%—
Short-stay residents given the pneumonia vaccine
31%9.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited January 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to provide services that met professional standards of quality. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents could keep Medicare or Medicaid and failed to clearly tell them what care it does not provide. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 620 — 42 CFR §483.15(a) — S/S: E
Recent history
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 25 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $134,043 was recorded.
Penalties & enforcement
On record with Medicare: 8 fines · $195,310 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jan 21, 2025
14 days
Federal fine
Jan 21, 2025
$134,043
Medicare/Medicaid payment denial
Jan 19, 2024
19 days
Federal fine
Jan 19, 2024
$26,687
Federal fine
Sep 25, 2023
$4,587
Federal fine
Sep 18, 2023
$4,587
Federal fine
Sep 11, 2023
$4,587
Federal fine
Sep 5, 2023
$4,587
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
76 residents on an average day (63% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.