NURSING HOME PUBLIC RECORD
CMS lists this provider in Bridgeton, MO, with 120 certified beds, an overall rating of 1/5, and 84 citation rows in the current August 2026 release.
11988 Mark Twain Lane · Bridgeton, MO 63044 · St. Louis County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Avenir At Mark Twain in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-20 | 30 | 2025-08-20 | 11 |
| Cycle 2 | 2024-01-19 | 16 | 2024-01-19 | 7 |
| Cycle 3 | 2019-11-08 | 17 | 2019-11-08 | 3 |
CMS reports 84 citation rows, including 3 with G–L codes and 3 with J–L codes.
3 rows carry G–L scope/severity codes; 3 carry J–L. 20 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-27 · complaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaintEnsure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaintProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaintProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-11-14 · complaintDevelop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-10-03Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-10-03Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-10-03Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaintHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-10-03Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2025-10-03Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-10-03Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-10-03Not 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.
Correction field: Deficient, Provider has date of correction · 2025-10-03Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-10-03Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaintProvide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaintProvide appropriate foot care.
Correction field: Deficient, Provider has date of correction · 2025-10-03Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-03Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-10-03Try 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.
Correction field: Deficient, Provider has date of correction · 2025-10-03Provide timely, quality laboratory services/tests to meet the needs of residents.
Correction field: Deficient, Provider has date of correction · 2025-10-03Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaintEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaintThe August 2026 file contains 9 penalty rows and $183,665 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-21 | Fine | $134,043 | 0 |
| 2025-01-21 | Payment Denial | $0 | 14 |
| 2024-01-19 | Fine | $26,687 | 0 |
| 2024-01-19 | Payment Denial | $0 | 19 |
| 2023-09-25 | Fine | $4,587 | 0 |
| 2023-09-18 | Fine | $4,587 | 0 |
| 2023-09-11 | Fine | $4,587 | 0 |
| 2023-09-05 | Fine | $4,587 | 0 |
| 2023-08-28 | Fine | $4,587 | 0 |
CMS matched 21 ownership disclosure rows to Avenir At Mark Twain; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.47 total nurse hours and 0.49 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 2 other published facility records near Bridgeton, MO, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
