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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriAvenir at Mark Twain

Avenir at Mark Twain

11988 Mark Twain Lane, Bridgeton, MO 630443142918240
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
2/5
Beds
120
certified
Last health inspection was more than 2 years ago.
8 fine(s) totaling $195,310

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 69.8 residents per day (58% occupancy)

• Last health inspection found 22 deficiencies (inspected Jan 19, 2024)

• Has been fined a total of $195,310 across 8 fine(s)

• Total nursing staff: 3.85 hours per resident per day

• Staff turnover rate: 59.7% (high)

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. The facility scored below average compared to Missouri facilities.

Beds
120
Avg Residents/Day
69.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 15, 1984
Sprinklers
Yes
Council
Resident
County
St. Louis
Last Inspection
Jan 19, 2024
Deficiencies (Cycle 1)
22
Weighted Score
232.5
Infection Citations
0

Deficiency Citations (46)

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
F0658Potential for Harm

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

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
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
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
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0569Potential for Harm

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

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0607Potential for Harm

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

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0712Potential for Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0687Potential for Harm

Provide appropriate foot care.

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Jan 19, 2024Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 21, 2025Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Jan 21, 2025Corrected: NoCycle: 2
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
F0658Potential for Harm

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

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Nov 8, 2019Corrected: NoCycle: 2
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: Nov 8, 2019Corrected: NoCycle: 2

+ 16 more deficiencies

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

Penalty History

FineSep 11, 2023
$4,587
FineSep 5, 2023
$4,587
FineAug 28, 2023
$4,587
FineSep 18, 2023
$4,587
FineSep 25, 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 Aide2.76 hrs
National avg: 2.35 hrs
LPN0.45 hrs
National avg: 0.86 hrs
RN0.64 hrs
National avg: 0.68 hrs
Total Nursing3.85 hrs
National avg: 3.89 hrs
Weekend Total3.22 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
59.7%
RN Turnover
42.9%
Administrators Left
2

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
JACKSON, EMMANUELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
JACOBOVITCH, YOSSIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
LAPCIUC, AVRAHAMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
LEESON, CARLAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
SAN, MANUELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025

Nearby Nursing Homes

All Missouri facilities

Ssm Health Depaul Hospital - Anna House

Bridgeton, MO · 105 beds

Non profit
Health
Staffing
Quality
1882 ft

Life Care Center of Bridgeton

Bridgeton, MO · 91 beds

For profit$21,801 in fines
Health
Staffing
Quality
1.5 mi

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 3/5, and quality measures rating of 2/5. This facility is rated below average.
Has Avenir at Mark Twain had any health inspection violations?▾
Avenir at Mark Twain had 22 deficiency citations in its most recent health inspection (Jan 19, 2024). The facility has been fined a total of $195,310 across 8 fine(s).
What are the staffing levels at Avenir at Mark Twain?▾
Avenir at Mark Twain provides 3.85 total nursing staff hours per resident per day, including 0.64 RN hours, 0.45 LPN hours, and 2.76 nurse aide hours. The total staff turnover rate is 59.7%.
How many beds does Avenir at Mark Twain have?▾
Avenir at Mark Twain has 120 certified beds with an average of 69.8 residents per day, resulting in approximately 58% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Avenir at Mark Twain?▾
Yes, there are 2 other nursing homes in Bridgeton, Missouri with an average rating of 2.3/5. You can compare all facilities on the Bridgeton nursing homes page.