CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her 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.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a plan that describes the process for conducting QAPI and QAA activities.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide timely, quality laboratory services/tests to meet the needs of residents.
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.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
+ 32 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MARK TWAIN HOLDCO LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| DELTA EDGE STRATEGIC ADVISORS | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| HHHH VENTURES LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| KRPSS PARTNERS | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| FELHEIM, YITCHOK | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Oct 1, 2025 |
| JACOBOVITCH, YOSSI | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Oct 1, 2025 |
| LAPCIUC, AVRAHAM | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Oct 1, 2025 |
| JACOBOVITCH, YOSSI | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 1, 2025 |
| LAPCIUC, AVRAHAM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 1, 2025 |
| BICKNELL, JACQUELINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 6, 2025 |
| JACOBOVITCH, YOSSI | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2025 |
| LAPCIUC, AVRAHAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2025 |
| SAN, MANUEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2025 |
| STERLING, CORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 6, 2025 |
| DELTA EDGE STRATEGIC ADVISORS | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| HHHH VENTURES LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| KRPSS PARTNERS | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| NBH1 MTPROPCO LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| BICKNELL, JACQUELINE | ADP OF THE SNF | Individual | N/A | Oct 6, 2025 |
| SAN, MANUEL | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| STERLING, CORY | ADP OF THE SNF | Individual | N/A | Oct 6, 2025 |
Compare CMS ratings and recorded fines for Avenir at Mark Twain and nearby alternatives.
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.