Mark Twain Nursing
Mark Twain Nursing
Mark Twain Nursing is a Medicare and Medicaid certified skilled nursing facility located in Bridgeton, Missouri. This facility has been serving the community for 42 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 120 certified beds with a current occupancy rate of 65% (averaging 78 residents per day), which is below average. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.29 hours of total nursing care per resident per day (2.37 hours from CNAs, 0.72 hours from LPNs, 0.2 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day.
Medicare Quality Ratings: According to CMS, Mark Twain Nursing has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 1 stars, quality measures: 3 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Mark Twain Nursing compares to 176 facilities in St. Louis, MO-IL
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 176 facilities in St. Louis, MO-IL.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of September 2024
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 176 other nursing homes in St. Louis, MO-IL
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of September 2024
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of September 2024
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in BRIDGETON
Join Our Caring Team
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Current Job Openings
Reviews
Me and my family just had a wonderful experience at Mark Twain. My Auntie needed rehab services and they treated her like a queen. I’m so grateful to the therapy and nursing team for taking such good care of her.
If you do bring your love ones here please do not buy new clothes for them. The clothes will come up missing or stolen from laundry. My father is missing a t-shirt and 3 sweat pants and that just what I bought recently. My family and I have bought other clothing in the past and they came up missing as well. They have no problem putting other people clothes, whether female or male on them. Not to mention they might have holes in them. Please don't lie and say my father has a closet with new clothes when he DON'T!!!! Kim. My father is missing his dinosaur blanket as well. I'm still waiting for my father's adapter to be replaced since one of the staff STOLE that too.😡 Some of the staff are lazy and don't want to do their job!!!! 😡 There is a lack of communication. On August 3, 2025 the aid came in the room and brought my father his food tray and noticed he was unresponsive. She did nothing. When my brother got there she made a smart comment to him about my father being unresponsive and see if he could get my father to eat. My father was still unresponsive when my brother went back to nurses desk for assistance. It was too late!! My father was already in cardiac arrest. He couldn't be revived. I wish I could have been there to ask for an autopsy to be done to find out when exactly my father heart stopped!! I hate Mark Twain Manor!!!!IF YOU LOVE AND CARE FOR YOUR LOVE ONE AND YOU WANT THEM TO BE TREATED WITH RESPECT AND DIGNITY, DO NOT SEND THEM TO MARK TWAIN MANOR!!!!
When I came to Mark Twain from hospital I was use to the hospital checking on me. I talked with therapist and a meeting was set up to take care of issues. It got better but could've been more. Therapy was great. I immediately started getting better. The staff was great and very encouraging.
My Mom was here for 30 days and they took really good care of her. The staff was was very kind and attentive, but it also takes assertive efforts from the family to be involved with the care as well. We were there everyday to make sure my Mom was taken care and that duties were done. I would use this facility again
My Mother was Recently in this Facility.. Would NOT Recommend You Send Your Love One Here...Went to Visit My Mother, she was Soaked in Urine and Feces... Her Call Light was never Answered - When She Called for Assistance, Nursing Staff Always Sitting at the Nursing Station, Hanging Out.. The DON was Clueless and so was the Director... My Mother always in the Bed When I visited and She never Received the PT/OT..... Which was the Reason She was there FOR!!!!!!!! MARK TWAIN MANOR IS TRASH!!!!!!!!!
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