Avenir At Mark Twain
Bridgeton, MO · Medicare and Medicaid-certified nursing home (CCN 265236) · 120 certified beds
Health inspection: 1 · Quality measures: 3 · Staffing: 2
Federal fines: 7 totaling $183,665 · 2 payment denials
Phone: (314) 291-8240 · Verify on Medicare Care Compare ↗
Avenir At Mark Twain has a CMS overall star rating of 1 out of 5, below the Missouri state average of 2.51. Its health inspection rating is 1 star and its staffing rating is 2 stars.
Avenir At Mark Twain reports total nurse staffing of about 3.47 hours per resident per day, with just 0.49 RN hours per resident per day, and a nursing staff turnover rate of 71.4%. CMS gives the facility a staffing rating of 2 out of 5 stars.
CMS records show Avenir At Mark Twain has 7 federal fines on record totaling $183,665.00, along with 2 payment denials. The provided CMS data does not indicate an abuse icon or Special Focus Facility status for this facility, but the recent change in ownership means families should verify the current inspection record on Care Compare.
About this facility
Avenir At Mark Twain is a 120-certified-bed nursing home in Bridgeton, St. Louis County, Missouri, operating as a for-profit limited liability company and certified for both Medicare and Medicaid since April 1984. The facility currently serves an average of 77.1 residents daily.
According to CMS Care Compare data, Avenir At Mark Twain holds an overall star rating of 1 out of 5, which is below the Missouri state average of 2.51. Its component ratings are: health inspection rating of 1 star, quality measures rating of 3 stars, and staffing rating of 2 stars.
Total nurse staffing is reported at 3.47 hours per resident per day, with registered nurse (RN) time at 0.49 hours per resident per day. Nursing staff turnover is high, at 71.4%.
On penalties, CMS records show 7 federal fines totaling $183,665.00, along with 2 payment denials on file for this facility.
CMS records indicate a change of ownership within the past 12 months; consequently, some of these ratings may reflect the performance of the prior operator rather than current management. Families should review the facility's full inspection history on Medicare Care Compare for the most current picture.
No chain affiliation is indicated in the available CMS data for this facility. No abuse icon or Special Focus Facility designation appears in the provided data for Avenir At Mark Twain. This profile is based on CMS Care Compare data as provided; families are encouraged to verify current details directly with the facility and on Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avenir At Mark Twain has an overall rating of 1 out of 5 stars, below the Missouri state average of 2.51.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.47 hours per resident per day, with 0.49 RN hours per resident per day, and nursing turnover is 71.4%, earning a staffing rating of 2 out of 5 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records 7 fines totaling $183,665.00 and 2 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The provided CMS data does not list an abuse icon or Special Focus Facility status for this facility.
How large is this facility and how many residents live there?
It has 120 certified beds and an average daily population of 77.1 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company; no chain affiliation is indicated in the available data, and ownership changed within the past 12 months.
How long has this facility been Medicare/Medicaid certified?
It has been certified since April 15, 1984.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; this facility scores 1, 1, 2, and 3 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; please contact the facility at 3142918240 or check Medicare Care Compare for details.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 3142918240 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can view the latest official ratings and inspection details at https://www.medicare.gov/care-compare/details/nursing-home/265236?state=MO.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.