Home›Missouri›St. Louis County›AVENIR AT MARK TWAIN
B
Good

AVENIR AT MARK TWAIN

11988 MARK TWAIN LANE · BRIDGETON, MO 63044

3142918240 · For profit - Corporation

120 beds69.8 residents221 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVENIR AT MARK TWAIN receives an overall staffing grade of B (Good). With 3.8495 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6428 HPRD, below the recommended 0.75. It is 0.05 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.33% compared to weekdays. The facility uses a moderate level of agency staff (14.65% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6428 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.8495hrs/resident/day▼ 0.05
CMS benchmark: 3.48
RN HPRD
0.6428hrs/resident/day▼ 0.04
Recommended: 0.75
Weekend Drop-off
21.33%
4.0965 weekday → 3.2227 weekend
⚠ Significant weekend reduction
Agency Staff
14.65%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1341hrs/resident/day
Direct care aides
LPN HPRD
0.451hrs/resident/day
Licensed practical nurses
Consistency
0.4452std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. St. Louis County Average+0.03 HPRD
3.82
03.85 HPRD
vs. Missouri State Average+0.37 HPRD
3.48
03.85 HPRD
vs. National Average-0.05 HPRD
3.90
03.85 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVENIR AT MARK TWAIN ★
BRIDGETON · This facility
—
B
3.84950.6428★☆☆☆☆
STONEBRIDGE MARYLAND HEIGHTS
MARYLAND HEIGHTS
1.1 mi
F
3.17360.2379★☆☆☆☆
LIFE CARE CENTER OF BRIDGETON
BRIDGETON
1.5 mi
D
3.98840.3461★★★☆☆
NHC HEALTHCARE, MARYLAND HEIGHTS
MARYLAND HEIGHTS
1.6 mi
C
3.2510.502★★★★☆
RIVER CROSSING REHAB AND HEALTHCARE CENTER
SAINT LOUIS
2.1 mi
C
3.58860.4666★★★☆☆
LEWIS & CLARK GARDENS
SAINT CHARLES
4.2 mi
D
3.54640.2783★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
46
Total Deficiencies
$195,310
Fines Assessed
Dec 19, 2025Health
3 deficiencies cited
▼
Oct 7, 2025Health
1 deficiency cited
▼
Aug 20, 2025Health
6 deficiencies cited
▼
Jan 21, 2025Health
3 deficiencies cited· Includes actual harm
▼
Sep 25, 2024Health
1 deficiency cited
▼
Apr 5, 2024Health
2 deficiencies cited
▼
Jan 19, 2024Health
12 deficiencies cited· Includes actual harm
▼
Sep 7, 2023Health
1 deficiency cited
▼
Apr 27, 2023Health
1 deficiency cited
▼
Feb 15, 2023Health
1 deficiency cited
▼
Nov 8, 2019Health
14 deficiencies cited
▼
Oct 18, 2018Health
1 deficiency cited
▼

Penalty History

Jan 21, 2025Payment Denial
Jan 21, 2025Fine
$134,043
Jan 19, 2024Fine
$26,687
Jan 19, 2024Payment Denial
Sep 25, 2023Fine
$4,587
Sep 18, 2023Fine
$4,587
Sep 11, 2023Fine
$4,587
Sep 5, 2023Fine
$4,587
Aug 28, 2023Fine
$4,587
Aug 7, 2023Fine
$11,645
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.