Starfile / Missouri

AVENIR AT MARK TWAIN

11988 MARK TWAIN LANE, BRIDGETON, MO 63044 · CCN 265236

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$195,310

Number of fines

8

Number of penalties

10

Payment denials

2

Inspection citations (63)2 immediate jeopardy

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-19 · Health · corrected 2026-01-15

   Potential for more than minimal harm

2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-19 · Health · corrected 2026-01-15

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-19 · Health · corrected 2026-01-15

   Potential for more than minimal harm

4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-07 · Health · corrected 2025-11-14

   Potential for more than minimal harm

5. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-20 · Health · corrected 2025-10-03

   Potential for more than minimal harm

6. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-08-20 · Health · corrected 2025-10-03

   Potential for more than minimal harm

7. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2025-08-20 · Health · corrected 2025-10-03

   Potential for more than minimal harm

8. EF0584Honor 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.2025-08-20 · Health · corrected 2025-10-03

   Potential for more than minimal harm

9. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-20 · Health · corrected 2025-10-03

   Potential for more than minimal harm

10. EF0620Not 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.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

11. EF0641Ensure each resident receives an accurate assessment.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

12. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

14. DF0687Provide appropriate foot care.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

16. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

17. EF0700Try 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.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

18. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

19. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

20. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

21. DF0808Ensure 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.2025-08-20 · Health · corrected 2025-11-19

    Potential for more than minimal harm

22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

23. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

24. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

25. EF0880Provide and implement an infection prevention and control program.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

26. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

27. DF0887Educate 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.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

28. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

29. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-08-20 · Health · corrected 2025-10-03

    Potential for more than minimal harm

30. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-21 · Health · corrected 2025-02-19

    Potential for more than minimal harm

31. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-21 · Health · corrected 2025-03-11

    Potential for more than minimal harm

32. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-01-21 · Health · corrected 2025-01-17

    Immediate jeopardy

33. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-25 · Health · corrected 2024-10-25

    Potential for more than minimal harm

34. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-05 · Health · corrected 2024-04-26

    Potential for more than minimal harm

35. DF0610Respond appropriately to all alleged violations.2024-04-05 · Health · corrected 2024-04-26

    Potential for more than minimal harm

36. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-01-19 · Health · corrected 2024-01-19

    Potential for more than minimal harm

37. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-01-19 · Health · corrected 2024-01-19

    Potential for more than minimal harm

38. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-01-19 · Health · corrected 2024-02-09

    Potential for more than minimal harm

39. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-01-19 · Health · corrected 2024-02-06

    Potential for more than minimal harm

40. DF0687Provide appropriate foot care.2024-01-19 · Health · corrected 2024-02-12

    Potential for more than minimal harm

41. DF0688Provide 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.2024-01-19 · Health · corrected 2024-02-09

    Potential for more than minimal harm

42. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-19 · Health · corrected 2024-01-19

    Immediate jeopardy

43. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-01-19 · Health · corrected 2024-02-06

    Potential for more than minimal harm

44. EF0730Observe each nurse aide's job performance and give regular training.2024-01-19 · Health · corrected 2024-01-30

    Potential for more than minimal harm

45. CF0732Post nurse staffing information every day.2024-01-19 · Health · corrected 2024-01-19

    Potential for minimal harm

46. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-19 · Health · corrected 2024-03-07

    Potential for more than minimal harm

47. EF0880Provide and implement an infection prevention and control program.2024-01-19 · Health · corrected 2024-02-09

    Potential for more than minimal harm

48. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-09-07 · Health · corrected 2023-09-07

    Potential for more than minimal harm

49. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-27 · Health · corrected 2023-05-19

    Potential for more than minimal harm

50. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

51. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

52. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-11-08 · Health · corrected 2019-12-20

    Potential for minimal harm

53. BF0625Notify 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.2019-11-08 · Health · corrected 2019-12-20

    Potential for minimal harm

54. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

55. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

56. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

57. DF0688Provide 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.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

58. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

59. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

60. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

61. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

62. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

63. EF0880Provide and implement an infection prevention and control program.2019-11-08 · Health · corrected 2019-12-20

    Potential for more than minimal harm

Ownership

Other facilities in BRIDGETON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.