Deficiency timeline
AVENIR AT MARK TWAIN
Dated inspection findings, penalties, and correction notes for this nursing home in Bridgeton, MO. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jan 15, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 15, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jan 15, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 14, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0700: Quality of Life and Care
Quality of life & care
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.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0806: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0865: Administration
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0569: Resident Rights
Resident rights
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0687: Quality of Life and Care
Quality of life & care
Provide appropriate foot care.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0770: Administration
Administration
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0808: Nutrition and Dietary
Nutrition & dietary
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.
Corrected Nov 19, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0868: Administration
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0887: Infection Control
Infection control
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.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0925: Environmental
Environment
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0561: Resident Rights
Resident rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0584: Resident Rights
Resident rights
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.
Corrected Oct 3, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0620: Resident Rights
Resident rights
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.
Corrected Oct 3, 2025
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0678: Quality of Life and Care
Quality of life & care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Jan 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 19, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Mar 11, 2025
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Fine $134,043cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Oct 25, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 26, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 26, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Mar 7, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Feb 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0569: Resident Rights
Resident rights
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected Jan 19, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0661: Resident Assessment and Care Planning
Assessment & care planning
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected Feb 6, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0687: Quality of Life and Care
Quality of life & care
Provide appropriate foot care.
Corrected Feb 12, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0688: Quality of Life and Care
Quality of life & care
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.
Corrected Feb 9, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0712: Nursing and Physician Services
Nursing & physician services
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected Feb 6, 2024
- Class IVMinimal harm / potential for minimal harm (C)cms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
Corrected Jan 19, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Feb 9, 2024
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Fine $26,687cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (E)cms
F0568: Resident Rights
Resident rights
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected Jan 19, 2024
- Class IImmediate jeopardy (K)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 19, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected Jan 30, 2024
- Fine $4,587cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $4,587cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $4,587cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0678: Quality of Life and Care
Quality of life & care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Sep 7, 2023
- Fine $4,587cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $4,587cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $11,645cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)cms
F0561: Resident Rights
Resident rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0688: Quality of Life and Care
Quality of life & care
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.
Corrected Dec 20, 2019
- Class IVMinimal harm / potential for minimal harm (B)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Dec 20, 2019
- Class IVMinimal harm / potential for minimal harm (B)cms
F0625: Resident Rights
Resident rights
Notify 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.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0698: Quality of Life and Care
Quality of life & care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0802: Nutrition and Dietary
Nutrition & dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Dec 20, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Dec 20, 2019
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile