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Skilled nursing facility · CMS certified · CCN 265236

Avenir at Mark Twain

11988 Mark Twain Lane, Bridgeton, MO 63044 · St. Louis County · one of 486 skilled nursing facilities in Missouri
120
certified beds
1 / 5
overall CMS rating
For-profit
ownership type
64.2%
occupancy, Oct 2026: 77 residents a day · Missouri 72.3%
1.30
case mix, 0.92x the national average
3.47
nurse hours per resident day · Missouri 3.43
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Avenir at Mark Twain compares

Better than most of St. Louis County on 2 of 8 lines.

Occupancy, Oct 202664.2%Behind mostHigher than 23 of the 68 other buildings in St. Louis County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 73.2%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.47Behind mostHigher than 31 of the 66 other buildings in St. Louis County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.51. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 29 of the 68 other buildings in St. Louis County; the other 39 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 21 of the 68 other buildings in St. Louis County; the other 47 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 32 of the 68 other buildings in St. Louis County; the other 36 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than 48 of the 68 other buildings in St. Louis County, level with 15

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.48Better than mostHigher than 46 of the 67 other buildings in St. Louis County, level with 1

Registered nurse hours for each resident, each day. The middle of the set: 0.35. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited25Behind mostFewer than 11 of the 68 other buildings in St. Louis County, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 14. Source: CMS Provider Information, Oct 2026 file.

Better than most of Missouri on 3 of 8 lines.

Occupancy, Oct 202664.2%Behind mostHigher than 154 of the 483 other buildings in Missouri

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 74.4%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.47Better than mostHigher than 264 of the 470 other buildings in Missouri, level with 4

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.36. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 145 of the 478 other buildings in Missouri; the other 333 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 89 of the 478 other buildings in Missouri; the other 389 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 192 of the 478 other buildings in Missouri; the other 286 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than 316 of the 476 other buildings in Missouri, level with 94

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.48Better than mostHigher than 308 of the 475 other buildings in Missouri, level with 12

Registered nurse hours for each resident, each day. The middle of the set: 0.39. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited25Behind mostFewer than 41 of the 485 other buildings in Missouri, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 11. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Missouri
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Avenir at Mark Twain
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Street View
11988 Mark Twain Lane, Bridgeton, MO
Map around Avenir at Mark Twain
Map · St. Louis County
St. Louis County, Missouri
8 skilled nursing facilities; average overall rating 4.9, Missouri 2.6.
See how St. Louis County compares ›
Cost report, against Missouri
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Missouri. The rank counts from the top: 1st is the highest figure among Missouri's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Missouri that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
72.6%
459
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.1%
462
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
69.6%
461
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$273
458
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$272
464
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$9
464
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
3.4%
458
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 2.6
Health inspection1 / 5 · state 2.8
Staffing1 / 5 · state 2.2
RN hours per resident per day0.48 · state 0.46
Overall rating, last 8 quarters
051Q3’241Q4’241Q1’252Q2’251Q3’251Q4’251Q1’261Q2’26latest
back to 1 / 5 over the 8 quarters shown, having been as high as 2 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingMissourinationrecent quarters
Needed more help with daily activities21.2%worse than state17.4%13.5%2025Q2: 20.0%2025Q3: 26.9%2025Q4: 13.6%2026Q1: 30.3%2026Q2: 14.3%
20.0% → 14.3%
Q2’25 to Q2’26
Catheter inserted and left in0.2%better than state0.9%0.7%2025Q2: 1.9%2025Q3: 1.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
1.9% → 0.0%
Q2’25 to Q2’26
Urinary tract infection0.4%better than state2.2%1.5%2025Q2: 1.5%2025Q3: 1.7%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
1.5% → 0.0%
Q2’25 to Q2’26
Fall with major injury2.2%better than state4.0%3.2%2025Q2: 3.0%2025Q3: 1.6%2025Q4: 2.9%2026Q1: 2.8%2026Q2: 1.4%
3.0% → 1.4%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)3.5%worse than state2.1%1.5%too few quarters to chart
Ability to walk independently worsened23.9%worse than state15.8%12.7%2025Q2: 23.6%2025Q3: 22.3%2025Q4: 32.1%2026Q1: 18.7%2026Q2: 23.8%
23.6% → 23.8%
Q2’25 to Q2’26
Pressure ulcers8.5%worse than state4.4%4.5%2025Q2: 14.9%2025Q3: 14.3%2025Q4: 8.7%2026Q1: 5.6%2026Q2: 6.4%
14.9% → 6.4%
Q2’25 to Q2’26
Given an antipsychotic11.9%better than state23.5%15.4%2025Q2: 14.3%2025Q3: 14.0%2025Q4: 14.9%2026Q1: 10.7%2026Q2: 8.9%
14.3% → 8.9%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Aug 2025
last standard survey
25
deficiencies cited · Missouri avg 13.1
$226,126
fines, last 3 years
2025
last change of ownership on the federal file
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Missouri
state rate files
$246
median daily rate across the Missouri buildings in our rate book, Jan 2026 file
Missouri rates and what changed ›
St. Louis County
buildingbedsoverallAberdeen Heights385 / 5Bethesda Southgate1305 / 5Christian Extended Care & Rehabilitation605 / 5Delmar Gardens of Meramec Valley1905 / 5Friendship Village Chesterfield985 / 5Lutheran Senior Services at Meramec Bluffs325 / 5Mason Pointe Care Center635 / 5Delmar Gardens South1844 / 5
All Missouri buildings in St. Louis County ›
Also in Bridgeton, MO
2 other certified skilled nursing facilities in Bridgeton
buildingbedsoverallLife Care Center of Bridgeton913 / 5Ssm Health Depaul Hospital - Anna House1053 / 5
Missouri at a glance
486
buildings
49,938
licensed beds
71%
occupancy
80%
for-profit
Missouri market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancySsm Health Depaul Hospital - Anna HouseBridgeton · 0.4 mi1053 / 570-85%Parkwood Skilled Nursing and Rehabilitation CenterMaryland Heights · 0.6 mi1301 / 5under 70%Stonebridge Maryland HeightsMaryland Heights · 1.1 mi2232 / 5under 70%Life Care Center of BridgetonBridgeton · 1.5 mi913 / 570-85%Nhc Healthcare, Maryland HeightsMaryland Heights · 1.6 mi2204 / 5over 85%River Crossing Rehab and Healthcare CenterSaint Louis · 2.1 mi1203 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Avenir at Mark Twain?
Avenir at Mark Twain in Bridgeton, MO carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Avenir at Mark Twain have?
Avenir at Mark Twain is certified for 120 beds in the Oct 2026 CMS file.
How full is Avenir at Mark Twain?
CMS's reported average residents put Avenir at Mark Twain's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.