Avenir at Mark Twain
Nursing home in Bridgeton, Missouri, CMS certification number 265236
11988 Mark Twain Lane, Bridgeton, MO 63044 · St. Louis County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 20, 2025
- Deficiencies at that inspection
- 30
- Fines in 3 years
- $226,126 (3)
Does Avenir at Mark Twain take Medicare and Medicaid?
Yes to both. Avenir at Mark Twain is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Avenir at Mark Twain reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.17
- Registered nurse hours
- 0.48
- Licensed practical nurse hours
- 0.43
- Nurse aide hours
- 2.26
- Weekend total hours
- 2.77
- Nursing staff turnover
- 70.1%
- Registered nurse turnover
- 66.7%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on August 20, 2025 and cited 30 deficiencies, plus 11 from complaint visits.
The visit before, on January 19, 2024, found 12.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avenir at Mark Twain 3 times in the past 3 years, for $226,126 in total.
It also had 3 payment denials, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 81.6 residents live here, about 68% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 81.6
- Certified since
- April 15, 1984
- Resident or family council
- Resident
Who owns Avenir at Mark Twain
- Legal business name
- NBH1 Mtopco LLC
- Ownership type
- For profit - Limited Liability company
- Ownership changed in the past year
- Yes
Other nursing homes near Avenir at Mark Twain
- SSM Health Depaul Hospital - Anna House12284 Depaul Drive, Bridgeton 63044
- Parkwood Skilled Nursing and Rehabilitation Center3201 Parkwood Lane, Maryland Heights 63043
- Stonebridge Maryland Heights2963 Doddridge Avenue, Maryland Heights 63043
- Life Care Center of Bridgeton12145 Bridgeton Square Dr, Bridgeton 63044
- NHC Healthcare, Maryland Heights2920 Fee Fee Road, Maryland Heights 63043
Who inspects nursing homes in Missouri
Missouri's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Missouri, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avenir at Mark Twain, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avenir at Mark Twain
What is the CMS star rating of Avenir at Mark Twain?
1 out of 5 stars overall.
Does Avenir at Mark Twain accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avenir at Mark Twain?
30 cited at the last standard visit.
Who owns Avenir at Mark Twain?
NBH1 Mtopco LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.