Avenir at Mark Twain
Nursing Home · Bridgeton, MO
CMS certification number265236
Contact & location
11988 Mark Twain LaneBridgeton, MO 63044
St. Louis County
- Phone
- (314) 291-8240
- ZIP code
- 63044 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 77.1 (64% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Nbh1 Mtopco LLC
- Medicare certified since
- April 15, 1984
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.47 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.49 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.47 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.51 (state 2.29 · U.S. 2.32)
- Weekend total
- 3.08 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 71.4 (state 56.0 · U.S. 45.8)%
- RN turnover
- 75.0 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- August 20, 2025
- Health deficiencies (last cycle)
- 30.0 (state 11.5 · U.S. 9.3)
- From complaints
- 11
- Citations on record (3 years)
- 62 health · 18 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-07-27 |
| 2025-12-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2025-12-19 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2025-12-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2025-10-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-14 |
| 2025-08-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | 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. F0620 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | 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. F0808 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-19 |
| 2025-08-20 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-20 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-01-21 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-01-17 |
| 2025-01-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-19 |
| 2025-01-21 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-11 |
| 2024-09-25 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-25 |
| 2024-04-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-04-05 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-01-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-01-19 |
| 2024-01-19 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2024-01-19 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-19 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-30 |
| 2024-01-19 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-07 |
| 2024-01-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-19 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2024-01-19 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-19 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-12 |
| 2024-01-19 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-19 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-19 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-01-19 |
| 2023-09-07 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-07 |
| 2019-11-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2019-12-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
9 penalties in the last three years, including $183,665 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-21 | Payment Denial | 14 days payment denial |
| 2025-01-21 | Fine | $134,043 |
| 2024-01-19 | Payment Denial | 19 days payment denial |
| 2024-01-19 | Fine | $26,687 |
| 2023-09-25 | Fine | $4,587 |
| 2023-09-18 | Fine | $4,587 |
| 2023-09-11 | Fine | $4,587 |
| 2023-09-05 | Fine | $4,587 |
| 2023-08-28 | Fine | $4,587 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bicknell, Jacqueline (individual) | Administrator · NOT APPLICABLE | |
| Delta Edge Strategic Advisors (organization) | Administrator · NOT APPLICABLE | |
| Hhhh Ventures LLC (organization) | Administrator · NOT APPLICABLE | |
| Krpss Partners (organization) | Administrator · NOT APPLICABLE | |
| Nbh1 Mtpropco LLC (organization) | Administrator · NOT APPLICABLE | |
| San, Manuel (individual) | Administrator · NOT APPLICABLE | |
| Sterling, Cory (individual) | Administrator · NOT APPLICABLE | |
| Mark Twain Holdco LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Delta Edge Strategic Advisors (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Felheim, Yitchok (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Hhhh Ventures LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Jacobovitch, Yossi (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Krpss Partners (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Lapciuc, Avraham (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Jacobovitch, Yossi (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Lapciuc, Avraham (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Bicknell, Jacqueline (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jacobovitch, Yossi (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lapciuc, Avraham (individual) | Operational/managerial Control · NOT APPLICABLE | |
| San, Manuel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sterling, Cory (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avenir at Mark Twain?
Avenir at Mark Twain has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Avenir at Mark Twain have?
It has 120 certified beds and cares for about 77 residents per day.
Has Avenir at Mark Twain been fined?
Yes. CMS lists 9 penalties totaling $183,665 in the last three years.
What is the phone number of Avenir at Mark Twain?
(314) 291-8240. The facility is located at 11988 Mark Twain Lane, Bridgeton, MO 63044.
Other nursing homes in Bridgeton
-
SSM Health Depaul Hospital - Anna House
Nursing Home · Bridgeton, MO · 105 beds
★★★ -
Life Care Center of Bridgeton
Nursing Home · Bridgeton, MO · 91 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.