Avenir At Mark Twain is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1984-04-15. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (314) 291-8240 or your local Medicaid office to verify current eligibility.

Avenir At Mark Twain holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 54.3/100, placing it #13404 of 14703 facilities nationally and #348 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Avenir At Mark Twain receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 59.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 8 fine(s) totaling $195,310. 80 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 2 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 8 fine(s) totaling $195,310, and 2 Medicare payment denial(s). Total penalties: 10. The Total Weighted Health Survey Score is 198.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Avenir At Mark Twain ranks 13404th out of 14,703 facilities (composite score: 54.3/100), placing it in the bottom 25% nationwide. Within MO, it ranks 348th out of 487 nursing homes. In Bridgeton, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2025 staffing: total nurse hours rank #13,301 nationally and RN hours rank #10,587 nationally (#202 in MO). Our composite quality score of 54.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Bridgeton, visit: https://nursinghomesnearme.org/missouri/bridgeton/