Mark Twain Manor
Nursing Home Facility
11988 Mark Twain Lane, Bridgeton, MO 63044
Mark Twain Manor is a senior care community located in Bridgeton, MO. It provides nursing home care and senior living for older adults in the Bridgeton area. To learn more or schedule a tour, call (314) 291-8240.
With 120 beds, Mark Twain Manor is one of the larger communities in the area, senior care communities in Bridgeton average about 88 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 64% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Bridgeton average of roughly 75%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in August 2025 and recorded 30 deficiencies.
Residents receive about 3.5 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 71%, which is high and can affect continuity of care.
The community is located in Saint Louis County, MO.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 63 problems at Mark Twain Manor. 3 findings involved harm to a resident, including 3 that put residents in immediate danger. 21 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $160,730. Medicare also stopped paying for new admissions twice in that period.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, a pattern
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.
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Could cause more than minimal harm, a pattern
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.
Show 22 more
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, a pattern
Quality of Life and 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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Nursing and 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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate foot care.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Administration
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Could cause more than minimal harm, one or a few residents
Nutrition and 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.
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Could cause more than minimal harm, one or a few residents
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Could cause more than minimal harm, one or a few residents
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Could cause more than minimal harm, one or a few residents
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.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Mark Twain Manor offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 120
- Occupancy 64%
- Nursing hours per resident/day 3.5
- Annual staff turnover 71%
- Last health inspection August 2025
Resident & family reviews
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