Avenir at Mark Twain in Bridgeton, MO

Avenir at Mark Twain is a medicare and medicaid certified nursing home in Bridgeton, Missouri. It is located in St. Louis county at 11988 Mark Twain Lane, Bridgeton, Missouri 63044. You can reach out to the office of Avenir at Mark Twain via phone at (314) 291-8240. This skilled nursing facility has 120 federally certified beds with average occupancy rate of 64.25%. Its legal business name is Nbh1 Mtopco LLC and has the following ownership type - For Profit - Limited Liability Company.

Avenir at Mark Twain (Medicare CCN 265236) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 1984 (42 years certified) and the last quality survey was conducted in August, 2025.

Contact Information

Avenir at Mark Twain
11988 Mark Twain Lane, Bridgeton, Missouri 63044
(314) 291-8240

Map and Direction



Nursing Home Profile

NameAvenir at Mark Twain
Location11988 Mark Twain Lane, Bridgeton, Missouri
Certified ByMedicare and Medicaid
No. of Certified Beds120
Occupancy Rate64.25%
Medicare ID (CCN)265236
Legal Business NameNbh1 Mtopco LLC
Ownership TypeFor Profit - Limited Liability Company

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Avenir at Mark Twain in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1366327884
MatchConfirmed listed in Medicare enrollment records
Organization NameNbh1 Mtopco LLC
Doing Business AsAvenir at Mark Twain
Address11988 Mark Twain Ln, Bridgeton, MO 63044
Phone Number314-291-8240

NPI Number1790779924
MatchPossible same name, address or phone number
Organization NameCommunity Care Center of Mark Twain Inc
Doing Business AsMark Twain Manor
Address11988 Mark Twain Ln, Bridgeton, MO 63044
Phone Number314-291-8240

NPI Number1992410559
MatchPossible same name, address or phone number
Organization NameBel Oak of Mark Twain, LLC
Doing Business AsMark Twain Manor
Address11988 Mark Twain Ln, Bridgeton, MO 63044
Phone Number636-394-3000

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Avenir at Mark Twain are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Avenir at Mark Twain give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Avenir at Mark Twain, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day3.473.86
Registered nurse (RN) hours per resident per day0.490.69
Licensed practical nurse (LPN) hours per resident per day0.470.86
Nurse aide hours per resident per day2.512.32
Total nurse staff hours per resident per day on the weekend3.083.42
RN hours per resident per day on the weekend0.290.48
Physical therapist hours per resident per day0.130.07
Total nursing staff turnover71.4%45.8%
Registered nurse turnover75%42.9%
Number of administrators who have left the nursing home20.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)No
Number of Fines7
Total Amount of Fines in Dollars$183,665
Number of Payment Denials2
Total Number of Penalties9

Health Inspections:

In its most recent inspection cycle (standard health inspection in August, 2025, plus any complaint inspections), inspectors cited Avenir at Mark Twain for 30 health deficiencies (national average: 9.3). The 30 most recent of its 63 citations since 2019 are listed below.

DateDeficiencyHarm LevelStatus
Jun 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Immediate jeopardy, isolatedCorrected by Jul 27, 2026
Dec 19, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580, Resident Rights, Complaint inspection
Potential for harm, isolatedCorrected by Jan 15, 2026
Dec 19, 2025Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Complaint inspection
Potential for harm, isolatedCorrected by Jan 15, 2026
Dec 19, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Jan 15, 2026
Oct 7, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Nov 14, 2025
Aug 20, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550, Resident Rights, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
F0620, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Ensure each resident receives an accurate assessment.
F0641, Resident Assessment and Care Planning, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Provide safe and appropriate respiratory care for a resident when needed.
F0695, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804, Nutrition and Dietary, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806, Nutrition and Dietary, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
F0865, Administration, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947, Nursing and Physician Services, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Oct 3, 2025
Aug 20, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677, Quality of Life and Care, Standard inspection, Complaint inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Provide appropriate foot care.
F0687, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770, Administration, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808, Nutrition and Dietary, Standard inspection
Potential for harm, isolatedCorrected by Nov 19, 2025
Aug 20, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868, Administration, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883, Infection Control, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887, Infection Control, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025
Aug 20, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925, Environmental, Standard inspection
Potential for harm, isolatedCorrected by Oct 3, 2025

Quality of Resident Care:

These quality measures of Avenir at Mark Twain, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased22.8413.87
Percentage of long-stay residents who lose too much weight4.265.19
Percentage of long-stay residents with a catheter inserted and left in their bladder0.720.82
Percentage of long-stay residents with a urinary tract infection0.771.59
Percentage of long-stay residents who have depressive symptoms0.4112.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury2.593.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine61.1193.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.7382.04
Percentage of short-stay residents who newly received an antipsychotic medication3.641.56
Percentage of long-stay residents whose ability to walk independently worsened23.8614.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication17.4119.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine93.2495.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine56.6779.75
Percentage of long-stay residents with pressure ulcers10.764.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence20.5119.01
Percentage of long-stay residents who received an antipsychotic medication13.2715.38

Reviews and Comments


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A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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