CareSentinel

Federal Nursing-Home Survey Record

AVENIR AT MARK TWAIN

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

Does AVENIR AT MARK TWAIN have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), AVENIR AT MARK TWAIN (CCN 265236), in BRIDGETON, MO, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 29 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $195,310 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $195,310 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$195,310

CMS has $195,310 in civil money penalties on file against this facility. CMS also records 33 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 2.5

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-19
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-12-19
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-12-19
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-10-07
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-08-20
CURRENT CYCLE
F947S/S E

Ensure 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
CURRENT CYCLE
F641S/S E

Ensure each resident receives an accurate assessment.

2025-08-20
CURRENT CYCLE
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-08-20
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-08-20
CURRENT CYCLE
F806S/S E

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2025-08-20
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2025-08-20
CURRENT CYCLE
F700S/S E

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.

2025-08-20
CURRENT CYCLE
F620S/S E

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.

2025-08-20
CURRENT CYCLE
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2025-08-20
CURRENT CYCLE
F584S/S E

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.

2025-08-20
CURRENT CYCLE
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2025-08-20
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-08-20
CURRENT CYCLE
F865S/S E

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-08-20
CURRENT CYCLE
F868S/S D

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2025-08-20
CURRENT CYCLE
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2025-08-20
CURRENT CYCLE
F569S/S D

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

2025-08-20
CURRENT CYCLE
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2025-08-20
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-08-20
CURRENT CYCLE
F687S/S D

Provide appropriate foot care.

2025-08-20
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-08-20
CURRENT CYCLE
F770S/S D

Provide timely, quality laboratory services/tests to meet the needs of residents.

2025-08-20
CURRENT CYCLE
F808S/S D

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.

2025-08-20
CURRENT CYCLE
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2025-08-20
CURRENT CYCLE
F887S/S D

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.

2025-08-20
CURRENT CYCLE
F925S/S D

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2025-01-21
HISTORICAL
F678S/S J

Provide 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
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-01-21
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-09-25
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-04-05
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-04-05
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-01-19
HISTORICAL
F689S/S K

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-01-19
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-01-19
HISTORICAL
F568S/S E

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

2024-01-19
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-01-19
HISTORICAL
F730S/S E

Observe each nurse aide's job performance and give regular training.

2024-01-19
HISTORICAL
F607S/S E

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2024-01-19
HISTORICAL
F661S/S D

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

2024-01-19
HISTORICAL
F569S/S D

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

2024-01-19
HISTORICAL
F687S/S D

Provide appropriate foot care.

2024-01-19
HISTORICAL
F712S/S D

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

2024-01-19
HISTORICAL
F688S/S D

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.

2024-01-19
HISTORICAL
F732S/S C

Post nurse staffing information every day.

2023-09-07
HISTORICAL
F678S/S D

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2019-11-08
HISTORICAL
F802S/S E

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2019-11-08
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2019-11-08
HISTORICAL
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2019-11-08
HISTORICAL
F698S/S E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2019-11-08
HISTORICAL
F657S/S E

Develop 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
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2019-11-08
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2019-11-08
HISTORICAL
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2019-11-08
HISTORICAL
F677S/S E

Provide care and assistance to perform activities of daily living for any resident who is unable.

2019-11-08
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2019-11-08
HISTORICAL
F688S/S D

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.

2019-11-08
HISTORICAL
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at AVENIR AT MARK TWAIN?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…