Nursing HomeInspections

Avenir at Mark Twain

Nursing home in Bridgeton, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (314) 291-8240Send a messageMap ↗

Public-record details

Address
11988 Mark Twain Lane, Bridgeton, MO 63044
Phone
(314) 291-8240
Listed under
For-profit
Medicare CCN
265236
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
77
Ownership
For-profit, limited Liability company
Legal business name
Nbh1 Mtopco LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 15, 1984
Changed ownership in last 12 months
Yes
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265236. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 20, 2025. CMS lists 63 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 8, 2019 to Jun 22, 2026): 21 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Dec 19, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 19, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 19, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 7, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 20, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 20, 2025Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 20, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 20, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 20, 2025Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 20, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 20, 2025Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 63. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 7 fines totalling $183,665 and 2 denials of Medicare payment for new admissions in the last three years.

Jan 21, 2025Fine: $134,043
Jan 21, 2025Payment denial for 14 days from Feb 25, 2025
Jan 19, 2024Fine: $26,687
Jan 19, 2024Payment denial for 19 days from Feb 17, 2024
Sep 25, 2023Fine: $4,587
Sep 18, 2023Fine: $4,587
Sep 11, 2023Fine: $4,587
Sep 5, 2023Fine: $4,587
Aug 28, 2023Fine: $4,587

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.47 hours
Registered nurse (RN) time per resident per day
0.49 hours
Nurse aide time per resident per day
2.51 hours
Total nurse staffing on weekends
3.08 hours
Nursing staff turnover (yearly)
71%
RN turnover (yearly)
75%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Bridgeton

Ssm Health Depaul Hospital - Anna House12284 Depaul Drive · Bridgeton, MO 63044 · (314) 209-8814 · Nonprofit29 health citations in 3 inspection cycles · last standard inspection Sep 26, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Life Care Center of Bridgeton12145 Bridgeton Square Dr · Bridgeton, MO 63044 · (314) 298-7444 · For-profit60 health citations in 3 inspection cycles · last standard inspection Feb 28, 2025 · $21,801 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

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