AVENIR AT MARK TWAIN

St. Louis · MO · For profit - Limited Liability company · 120 certified beds · CCN 265236 · NBH1 MTOPCO LLC


AVENIR AT MARK TWAIN operates 120 certified beds in BRIDGETON, Missouri. Its Medicare and Medicaid certification dates to 1984-04-15. It averages 77.1 residents a day.

What harm was found in the violations cited at AVENIR AT MARK TWAIN?

CMS lists 63 health-inspection deficiencies for AVENIR AT MARK TWAIN since 2019-11-08, 49 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-22.

Survey dateTagDeficiencySeverity
2026-06-22F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-12-19F0580, F0658, F0684Immediately 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.D
2025-10-07F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-08-20F0550, F0584, F0620, F0641, F0658, F0695, F0700, F0804, F0806, F0812, F0865, F0880, F0947Honor 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 each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2025-08-20F0561, F0569, F0607, F0677, F0687, F0689, F0770, F0808, F0868, F0883, F0887, F0925Honor 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. / Provide appropriate foot care. / 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.D
2025-01-21F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2025-01-21F0609, F0658Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure services provided by the nursing facility meet professional standards of quality.D
2024-09-25F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-04-05F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2024-01-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2024-01-19F0568, F0607, F0730, F0804, F0880Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Observe each nurse aide's job performance and give regular training. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2024-01-19F0569, F0661, F0687, F0688, F0712Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate foot care. / 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. / Ensure that the resident and his/her doctor meet face-to-face at all required visits.D
2024-01-19F0732Post nurse staffing information every day.C
2023-09-07F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D
2019-11-08F0550, F0657, F0658, F0677, F0689, F0698, F0802, F0804, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / 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 safe, appropriate dialysis care/services for a resident who requires such services. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2019-11-08F0561, F0688Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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.D
2019-11-08F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.B

Why was AVENIR AT MARK TWAIN fined 7 times?

DateTypeAmount
2025-01-21Fine$134,043
2024-01-19Fine$26,687
2023-09-25Fine$4,587
2023-09-18Fine$4,587
2023-09-11Fine$4,587
2023-09-05Fine$4,587
2023-08-28Fine$4,587

Has AVENIR AT MARK TWAIN had payment denied by Medicare more than once?

Payment denial startLength in days
2025-02-2514
2024-02-1719

How is AVENIR AT MARK TWAIN staffed?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.471783.43324
Total nursing staff turnover (%)71.456.0
Average number of residents per day77.173.0

Who owns AVENIR AT MARK TWAIN?

AVENIR AT MARK TWAIN is registered with CMS as For profit - Limited Liability company, operates under the legal business name NBH1 MTOPCO LLC.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTMARK TWAIN HOLDCO LLCsince 10/01/2025
INDIRECT OWNERSHIP INTERESTDELTA EDGE STRATEGIC ADVISORS, HHHH VENTURES LLC, KRPSS PARTNERS, FELHEIM, YITCHOK, JACOBOVITCH, YOSSI, LAPCIUC, AVRAHAMsince 10/01/2025
MANAGING CONTROL - GOVERNING BODYJACOBOVITCH, YOSSI, LAPCIUC, AVRAHAMsince 10/01/2025
OPERATIONAL/MANAGERIAL CONTROLBICKNELL, JACQUELINE, JACOBOVITCH, YOSSI, LAPCIUC, AVRAHAM, SAN, MANUEL, STERLING, CORYsince 10/01/2025
ADP OF THE SNFDELTA EDGE STRATEGIC ADVISORS, HHHH VENTURES LLC, KRPSS PARTNERS, NBH1 MTPROPCO LLC, BICKNELL, JACQUELINE, SAN, MANUEL, STERLING, CORYsince 10/01/2025

Were you or a family member harmed at AVENIR AT MARK TWAIN?