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Nursing home report

AVENIR AT MARK TWAIN

BRIDGETON, MO · Medicare-certified · 120 beds

Needs attention
For-profit
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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

  1. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 25 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. 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.