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HomeMissouriAvenir at Mark Twain

Avenir at Mark Twain

11988 Mark Twain Lane, Bridgeton, MO 630443142918240WebsiteGoogle Maps
3.1on Google(28 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
3/5
Beds
120
certified
Ownership changed in the last 12 months.
8 fine(s) totaling $195,310

How Avenir at Mark Twain Compares in Missouri

Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
MO average
2.5/5
Below state average
Health inspection rating
1/5
MO average
2.8/5
Below state average
Staffing rating
2/5
MO average
2.2/5
Close to state average
Nursing hours per resident
3.47 hrs/day
MO average
3.43 hrs/day
Close to state average
RN hours per resident
0.49 hrs/day
MO average
0.46 hrs/day
Close to state average
Staff turnover
71.4%
MO average
56.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Missouri average of 2.5/5.
Its 1/5 health inspection rating is below the Missouri average of 2.8/5.
Staff turnover is 71.4%, higher than the Missouri average of 56.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
19
deficiency citations
Inspected Jan 19, 2024
Most recent cycle
29
deficiency citations
Inspected Aug 20, 2025
The most recent cycle recorded 10 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,540/mo
Missouri median
Private Room
$6,236/mo
Missouri median
St. Louis County 65+
184,287
18.4% of county
County Population
999,703
St. Louis County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Avenir at Mark Twain is a 1-star Medicare and Medicaid certified nursing home in Bridgeton, Missouri with 120 certified beds. It has been operating since 1984. Its overall CMS rating is 1 out of 5.

Beds
120
Avg Residents/Day
77.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 15, 1984
Sprinklers
Yes
Council
Resident
County
St. Louis
Last Inspection
Aug 20, 2025
Deficiencies (Cycle 1)
29
Weighted Score
197.0
Infection Citations
0

Deficiency Citations (62)

F0580Potential for Harm

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

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Oct 7, 2025Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0620Potential for Harm

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.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0806Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0865Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0561Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0569Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0607Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0687Potential for Harm

Provide appropriate foot care.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0770Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0808Potential for Harm

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.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0868Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0883Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0887Potential for Harm

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.

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0925Potential for Harm

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

Survey: Aug 20, 2025Corrected: NoCycle: 1
F0678Immediate Jeopardy

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

Survey: Jan 21, 2025Corrected: NoCycle: 2

+ 32 more deficiencies

Total Fines
$195,310
Number of Fines
8
Payment Denials
2
Total Penalties
10

Penalty History

FineSep 25, 2023
$4,587
FineSep 18, 2023
$4,587
FineSep 11, 2023
$4,587
FineSep 5, 2023
$4,587
FineAug 28, 2023
$4,587
FineAug 7, 2023
$11,645
FineJan 19, 2024
$26,687
FineJan 21, 2025
$134,043
Payment DenialJan 21, 2025
14 days denied
Payment DenialJan 19, 2024
19 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.51 hrs
National avg: 2.32 hrs
LPN0.47 hrs
National avg: 0.86 hrs
RN0.49 hrs
National avg: 0.69 hrs
Total Nursing3.47 hrs
National avg: 3.86 hrs
Weekend Total3.08 hrs
National avg: 0.00 hrs
Physical Therapist0.13 hrs
National avg: 0.07 hrs
Total Turnover
71.4%
RN Turnover
75.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
Yes (within 12 months)

Owners & Managers (21)

NameRoleTypeOwnership %Since
MARK TWAIN HOLDCO LLCDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2025
DELTA EDGE STRATEGIC ADVISORSINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2025
HHHH VENTURES LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2025
KRPSS PARTNERSINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2025
FELHEIM, YITCHOKINDIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2025
JACOBOVITCH, YOSSIINDIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2025
LAPCIUC, AVRAHAMINDIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2025
JACOBOVITCH, YOSSIMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 1, 2025
LAPCIUC, AVRAHAMMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 1, 2025
BICKNELL, JACQUELINEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 6, 2025
JACOBOVITCH, YOSSIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
LAPCIUC, AVRAHAMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
SAN, MANUELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
STERLING, CORYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 6, 2025
DELTA EDGE STRATEGIC ADVISORSADP OF THE SNFOrganizationN/AOct 1, 2025
HHHH VENTURES LLCADP OF THE SNFOrganizationN/AOct 1, 2025
KRPSS PARTNERSADP OF THE SNFOrganizationN/AOct 1, 2025
NBH1 MTPROPCO LLCADP OF THE SNFOrganizationN/AOct 1, 2025
BICKNELL, JACQUELINEADP OF THE SNFIndividualN/AOct 6, 2025
SAN, MANUELADP OF THE SNFIndividualN/AOct 1, 2025
STERLING, CORYADP OF THE SNFIndividualN/AOct 6, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avenir at Mark Twain and nearby alternatives.

All Missouri facilities
Avenir at Mark Twain
Bridgeton, MOCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $195,310
Ssm Health Depaul Hospital - Anna House
Bridgeton, MO2,112 ft
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
Parkwood Skilled Nursing and Rehabilitation Center
Maryland Heights, MO3,168 ft
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: None
Stonebridge Maryland Heights
Maryland Heights, MO1.1 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Life Care Center of Bridgeton
Bridgeton, MO1.5 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $21,801
Nhc Healthcare, Maryland Heights
Maryland Heights, MO1.6 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
River Crossing Rehab and Healthcare Center
Saint Louis, MO2.1 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Avenir at Mark Twain
Bridgeton, MO · Current facility
—1/51/52/5$195,310
Ssm Health Depaul Hospital - Anna House
Bridgeton, MO
2,112 ft3/53/53/5None recorded
Parkwood Skilled Nursing and Rehabilitation Center
Maryland Heights, MO
3,168 ft1/52/51/5None recorded
Stonebridge Maryland Heights
Maryland Heights, MO
1.1 mi2/52/52/5None recorded
Life Care Center of Bridgeton
Bridgeton, MO
1.5 mi2/53/51/5$21,801
Nhc Healthcare, Maryland Heights
Maryland Heights, MO
1.6 mi4/54/54/5None recorded
River Crossing Rehab and Healthcare Center
Saint Louis, MO
2.1 mi2/53/51/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Avenir at Mark Twain?▾
Avenir at Mark Twain has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Avenir at Mark Twain cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Missouri is $5,540/month for a semi-private room and $6,236/month for a private room (Genworth/CareScout 2024). Avenir at Mark Twain participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avenir at Mark Twain had any health inspection violations?▾
Avenir at Mark Twain had 29 deficiency citations in its most recent health inspection (Aug 20, 2025). The current CMS dataset records 8 fine(s) totaling $195,310.
What are the staffing levels at Avenir at Mark Twain?▾
Avenir at Mark Twain provides 3.47 total nursing staff hours per resident per day, including 0.49 RN hours, 0.47 LPN hours, and 2.51 nurse aide hours. The total staff turnover rate is 71.4%.
How many beds does Avenir at Mark Twain have?▾
Avenir at Mark Twain has 120 certified beds with an average of 77.1 residents per day, resulting in approximately 64% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Avenir at Mark Twain?▾
Yes. This page lists 6 nearby nursing homes in Missouri, including 2 in Bridgeton. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avenir at Mark Twain?▾
On Google Maps, Avenir at Mark Twain has a rating of 3.1 out of 5 based on 28 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.