Avenir At Mark Twain has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Bridgeton facility should carefully review its inspection history and quality metrics.
Recent CMS inspections identified 63 deficiencies at Avenir At Mark Twain, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Dec 18, 2025 · Resident Rights Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Dec 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Oct 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dAug 19, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.2% | 4.5% | Worse |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 14.8% | 14.5% | Average |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 19.6% | 14.0% | Worse |
| Excessive weight loss | 6.8% | 7.5% | Average |
| New/worsened incontinence | 17.2% | 45.0% | Better |
⚠️ Penalties & Fines
8 penalties recorded by CMS
Total fines: $195,310
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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