1 / 2CMS Care Compare
Families describe Avenir at Mark Twain as a skilled nursing and rehabilitation community that has improved noticeably under new management, with several reviewers praising attentive nursing staff, a clean environment, and engaging activities. Reviews consistently highlight strong rehab outcomes and compassionate care, though the reviews available are uniformly positive with little critical feedback to weigh against.
AI-generated from reviews and community data.
Avenir at Mark Twain is a senior living community in Bridgeton, Missouri offering Skilled Nursing / Long Term Care. Amenities include Outdoor Patio, Gathering / Activity Spaces and Social Activities. Families rate it 3.8 out of 5 across 52 reviews.
Avenir at Mark Twain is a skilled nursing and long-term care community in Bridgeton, Missouri, with a licensed capacity of 120 residents. The facility provides post-hospital rehabilitation and ongoing nursing care.
Families consistently describe a warm, welcoming atmosphere with staff who are attentive and genuinely respectful. Reviews highlight professional nursing care, including successful short-term recoveries from complex medical needs, and note that recent management changes have strengthened operations. The activities program receives specific praise for engaging events, and residents have access to outdoor patio space. One family noted the facility is "back to the good old days" under new leadership.
Avenir at Mark Twain holds a 3.8 out of 5 Google rating based on 52 reviews, with the sampled feedback predominantly positive.
Tell us what you're looking for and we'll match you with communities that fit. Free, and you choose who contacts you.
Help Me Choose3.8overall · 52 ratings combined
3.8★ on Google (52)
Linda Whittinghill
May 2026
During my mom’s stay here I have had some really great interactions with staff. I or another sibling, or relative do visit daily. The staff are kind and responsive to requests. It is nice my mom is able to get outside on their patio whenever we would like.
Priya Cumberbatch
Apr 2026
I want to share a positive experience about a nursing and rehabilitation facility that truly stands out. The staff has been consistently caring and attentive, and the overall environment feels supportive and well-run. In particular, the Seless Waithe, the activities director is doing a fantastic job. They recently organized an amazing fashion show that brought so much joy, energy, and engagement to the residents. It was thoughtfully planned and really highlighted how much effort goes into creating meaningful experiences for everyone there. The facility itself is clean, welcoming, and focused on both care and rehabilitation. It’s clear that the staff takes pride in what they do and treats residents with respect and compassion.
naomi s
Apr 2026
My mom has a very pleasant experience here. She had a complex wound and other issues coming out of the hospital and the nursing team was very professional and supportive. My mom was able to get out within 2 weeks fully recovered. Thank you all! Also, nice work with the new renovations so far! The new people in charge on the right track
Levine
Mar 2026
Mark Twain looks like it’s finally gotten back to the good old days. New management has turned things around pretty quickly. My mom had her rehab done here and is now there for long term care. Her nursing care is great as well. Very nice staff!
rockem rodriguez
Mar 2026
From the moment you walk through the doors, you can feel that this nursing home is something truly special. The atmosphere is warm, welcoming, and filled with genuine compassion. Every member of the staff goes above and beyond to ensure that residents are not only cared for, but truly valued and respected as individuals. The level of attention to detail is remarkable—whether it’s the cleanliness of the facility, the thoughtfully prepared meals, or the engaging daily activities that bring joy and purpose to each resident’s day. There is a real sense of community here, where residents form meaningful connections and families feel confident knowing their loved ones are in excellent hands. What stands out most is the kindness and dedication of the caregivers. Their patience, professionalism, and heartfelt commitment create an environment where dignity and comfort come first. It’s clear that this is more than just a workplace for them—it’s a place where they genuinely care. Choosing a nursing home is never easy, but this facility provides peace of mind in every possible way. It is a place where residents can truly feel at home, surrounded by support, compassion, and respect.
9 inspection visits in the last three years, 83 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 15, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 15, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 15, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 14, 2025
Develop and maintain an Emergency Preparedness Program (EP).
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2025
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2025
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2025
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2025
Conduct risk assessment and an All-Hazards approach.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2025
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 3, 2025
Honor 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Not 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Ensure each resident receives an accurate assessment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 3, 2025
Try 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 3, 2025
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Have approved installation, maintenance and testing program for fire alarm systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Use approved construction type or materials.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2025
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2025
Provide appropriate foot care.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 19, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 17, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 19, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 11, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 25, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 26, 2024
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Jan 19, 2024
Install emergency lighting that can last at least 1 1/2 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2024
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 1, 2024
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 19, 2024
Provide properly protected cooking facilities.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 24, 2024
Use approved construction type or materials.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2024
Observe each nurse aide's job performance and give regular training.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 30, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 7, 2024
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 2, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 9, 2024
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 9, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 6, 2024
Provide appropriate foot care.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 12, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 9, 2024
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 6, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2024
Post nurse staffing information every day.
Severity C of L: potential for minimal harm, widespreadCorrected Jan 19, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 7, 2023
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2019
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2019
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2019
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity B of L: potential for minimal harm, patternCorrected Dec 20, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity B of L: potential for minimal harm, patternCorrected Dec 20, 2019
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Avenir at Mark Twain offers Skilled Nursing / Long Term Care.
Avenir at Mark Twain is located at 11988 Mark Twain Lane in Bridgeton, Missouri.
Families describe Avenir at Mark Twain as a skilled nursing and rehabilitation community that has improved noticeably under new management, with several reviewers praising attentive nursing staff, a clean environment, and engaging activities. Reviews consistently highlight strong rehab outcomes and compassionate care, though the reviews available are uniformly positive with little critical feedback to weigh against.
Avenir at Mark Twain had 9 government inspection visits in the last three years, with 83 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
Submit the Request Information form on this page to connect with Avenir at Mark Twain and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Avenir at Mark Twain? Claim this listing to update photos, pricing, and details. It's free.
Other senior living options within 25 miles of Bridgeton.
Bridgeton, Missouri0 mi
4.1(264)
Skilled Nursing / Long Term Care
Bridgeton, Missouri0.7 mi
5(3)
Home health
Bridgeton, Missouri0.8 mi
5(32)
Skilled Nursing / Long Term Care
Bridgeton, Missouri0.9 mi
3.9(27)
Independent LivingSkilled Nursing / Long Term Care
Bridgeton, Missouri1 mi
4.1(16)
Assisted LivingIndependent Living
Bridgeton, Missouri1 mi
3.3(4)
Independent Living
Home care agencies serving Bridgeton bring help to the house: daily living, companionship, and respite for family caregivers.
