Overview
Avenir at Mark Twain has a Medicare overall rating of 1 out of 5, below the Missouri average of 2.6. It ranks 3rd of 3 nursing homes in Bridgeton. It scores best on quality of care (4 of 5) and lowest on health inspections (1 of 5).
Residents receive about 3.2 hours of nursing care per day, fewer than at 65% of nursing homes in Missouri (the state average is 3.4 hours). Of that, 0.5 hours come from registered nurses.
Its most recent standard inspection, on August 20, 2025, found 30 health deficiencies, more than the Missouri average of 11.4. 11 of them came from complaint investigations. Medicare records 3 fines totaling $226,126 in the past three years.
Avenir at Mark Twain is a for-profit facility with 120 certified beds, caring for about 82 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1984.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 60%
Top 73%
Family reviews
No reviews yet. If your family has experience with Avenir at Mark Twain, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- August 20, 2025
- Health deficiencies cited
- 30
- Complaint-related deficiencies
- 11
- Fines in the last 3 years
- 3 totaling $226,126
- Payment denials
- 3
- Total penalties
- 6
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.17 hrs
- Registered nurses (RN)0.48 hrs
- Licensed practical nurses (LPN)0.43 hrs
- Nurse aides2.26 hrs
- Physical therapists0.11 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Average residents per day
- 82
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- April 15, 1984
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- Yes
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes