Nursing home report
Registered name: AVENIR AT MARK TWAIN
BRIDGETON, MO · Medicare-certified · 120 beds
Mark Twain Nursing in Bridgeton, MO has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, 2-star staffing, and 3-star quality measures. It has a recent federal penalty, $134,043 in fines over the last 24 months, and reported nurse staffing of 3.47 hours per resident per day versus the 4.1 federal benchmark.
Health inspections
Staffing
3.4718 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4718.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited August 2025 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — 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.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The facility reported a change in ownership in the past 12 months.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 25 health deficiencies.
A federal payment denial was recorded.
A federal fine of $134,043 was recorded.
On record with Medicare: 8 fines · $195,310 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jan 21, 2025
Federal fine
Jan 21, 2025
Medicare/Medicaid payment denial
Jan 19, 2024
Federal fine
Jan 19, 2024
Federal fine
Sep 25, 2023
Federal fine
Sep 18, 2023
Federal fine
Sep 11, 2023
Federal fine
Sep 5, 2023
Now operated by Avenir at Mark Twain, previously Mark Twain Nursing.
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.
