Nursing Home in Bridgeton, MO · CMS Data August 2026

Avenir at Mark Twain

How Does Avenir at Mark Twain Rate?

Avenir at Mark Twain is a 120-bed for-profit nursing home in Bridgeton, MO. CMS rates it 1 out of 5 stars overall (August 2026), with 1 for health inspections, 2 for staffing and 3 for quality measures. Residents got an average of 3.5 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on August 20, 2025, cited 30 health deficiencies.

CMS overall rating: 1 of 5
Nursing per resident per day: 3.5 hours
Deficiencies at last inspection: 30
Certified beds: 120

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

11988 Mark Twain Lane
Bridgeton, MO 63044

1 of 5 CMS overall · Much below average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Avenir at Mark Twain
Rating	Stars	CMS label
Overall rating	1 of 5	Much below average
Health inspections	1 of 5	Much below average
Staffing	2 of 5	Below average
Quality measures	3 of 5	Average
Quality for long-stay residents	3 of 5	Average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Avenir at Mark Twain and the national median
Measure	This home	National median
Total nursing hours per resident per day	3.5 hours	3.7 hours
Registered nurse hours per resident per day	0.5 hours	0.6 hours
Nurse aide hours per resident per day	2.5 hours	2.2 hours
Total nursing hours per resident on weekends	3.1 hours	3.3 hours
Nursing staff turnover (past year)	71%	45%
Registered nurse turnover (past year)	75%	42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Avenir at Mark Twain
Last standard health inspection	August 20, 2025
Health deficiencies cited at that inspection	30
Deficiencies from complaint inspections (same rating cycle)	11
Fines in the past 3 years	7 totaling $183,665
Payment denials in the past 3 years	2

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Avenir at Mark Twain who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Avenir at Mark Twain
Residents who	This home	National median	Compared
Received an antipsychotic medication	13%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	17%	18%	Lower than the national median
Had a fall with major injury	2.6%	2.8%	Lower than the national median
Have pressure ulcers	11%	4.2%	Higher than the national median
Lost too much weight	4.3%	4.7%	Lower than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	0.4%	3.6%	Lower than the national median
Needed more help with daily activities over time	23%	13%	Higher than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Avenir at Mark Twain
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 certified	April 1984
Councils	Resident council
Ownership change	Changed owners in the past 12 months

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Missouri's Missouri Long-Term Care Ombudsman Program (800-309-3282) can answer questions about residents' rights. See all nursing homes and senior care in Missouri.