Avenir at Mark Twain: Staffing, Turnover, and Inspection Record
Avenir at Mark Twain is a 120-bed for-profit nursing home in Bridgeton, Missouri. In the CMS August 2026 release it reported 2.51 nurse aide hours per resident per day, 10% above the Missouri average of 2.29, and 71.4% nursing staff turnover (Missouri average 56.0%).
Avenir at Mark Twain
11988 Mark Twain LaneBridgeton, MO 63044
St. Louis County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avenir at Mark Twain, nurse aides logged 2.51 hours per resident per day, 10% above the Missouri average. With about 77 residents a day, that works out to roughly 194 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.51 | 2.29 | 2.32 |
| Licensed practical nurses | 0.47 | 0.68 | 0.86 |
| Registered nurses | 0.49 | 0.46 | 0.69 |
| All nursing staff | 3.47 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.08 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
71.4% of nursing staff at Avenir at Mark Twain left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 75.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 30 health deficiencies (Missouri average 11.5). CMS lists 7 fines totaling $183,665 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 21, 2025 | Payment Denial | 14 days from Feb 25, 2025 |
| Jan 21, 2025 | Fine | $134,043 |
| Jan 19, 2024 | Fine | $26,687 |
| Jan 19, 2024 | Payment Denial | 19 days from Feb 17, 2024 |
| Sep 25, 2023 | Fine | $4,587 |
| Sep 18, 2023 | Fine | $4,587 |
| Sep 11, 2023 | Fine | $4,587 |
| Sep 5, 2023 | Fine | $4,587 |
| Aug 28, 2023 | Fine | $4,587 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avenir at Mark Twain holds 1 of 5 overall; the Missouri average is 2.5.
About Avenir at Mark Twain
- Ownership: For profit - Limited Liability company
- Legal name: Nbh1 Mtopco LLC
- Medicare and Medicaid certified since: Apr 15, 1984
- Changed ownership in the last 12 months
- Councils: resident council
- Area: urban
Nursing homes near Avenir at Mark Twain
The closest homes by distance, with the same CMS figures. Select a column to sort.
| SSM Health Depaul Hospital - Anna House Bridgeton | 0.4 | 105 | 3.03 | 4.62 | — | 3 | None |
| Parkwood Skilled Nursing and Rehabilitation Center Maryland Heights · many days without an RN | 0.6 | 130 | 2.33 | 3.18 | 51.6% | 1 | None |
| Stonebridge Maryland Heights Maryland Heights | 1.1 | 223 | 2.39 | 3.50 | 66.1% | 2 | None |
| Life Care Center of Bridgeton Bridgeton | 1.5 | 91 | 2.08 | 3.32 | 68.2% | 2 | $21,801 |
| NHC Healthcare, Maryland Heights Maryland Heights | 1.6 | 220 | 2.25 | 3.45 | 28.6% | 4 | None |
| River Crossing Rehab and Healthcare Center Saint Louis | 2.1 | 120 | 2.36 | 3.52 | 65.6% | 2 | None |
| Bentleys Extended Care Overland · abuse citation · no staffing data submitted | 3.3 | 72 | — | — | — | 1 | $28,969 |
| Laurel Meadows Wellness & Rehabilitation Saint Charles | 4.1 | 103 | 2.85 | 4.31 | — | 2 | $11,536 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.