Avenir At Mark Twain
11988 Mark Twain Lane, Bridgeton, MO, 63044
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120 · avg 76 residents/day
- Total nursing staff turnover
- 56.9% — near the Missouri averageMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 8 fines · $195,310 total
- Payment denials
- 2 denials
Medicare certification
- CMS Certification Number
- 265236
- Certified beds
- 120 beds · avg 76 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Nbh1 Mtopco Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (17 on record)
- Cory Sterling
Operational/managerial Control · since 2025
- Jacqueline Bicknell
Operational/managerial Control · since 2025
- Avraham Lapciuc
Operational/managerial Control · since 2025
- Delta Edge Strategic Advisors
Adp of The Snf · since 2025
- Hhhh Ventures Llc
Adp of The Snf · since 2025
- Krpss Partners
Adp of The Snf · since 2025
+ 11 additional owners on the federal record.
Recent change of ownership
October 2025 (9 months ago) · acquired from Mark Twain Nursing
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 62)
- D0684·Dec 19, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0658·Dec 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0580·Dec 19, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0684·Oct 7, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0947·Aug 20, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E0806·Aug 20, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E0804·Aug 20, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0677·Aug 20, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal penalties
By year
- 20251 fine · $134K · 1 payment denial
- 20241 fine · $27K · 1 payment denial
- 20236 fines · $35K
Most recent events
- Jan 21, 2025Payment denial · 14 days · starting Feb 25, 2025
- Jan 21, 2025Fine · $134K
- Jan 19, 2024Payment denial · 19 days · starting Feb 17, 2024
- Jan 19, 2024Fine · $27K
- Sep 25, 2023Fine · $4,587
- Sep 18, 2023Fine · $4,587
Largest single fine on record: $134K.
Fire-safety citations
21 Life-Safety-Code citations on file. Most recent: Aug 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avenir At Mark Twaininto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.