Nursing homes › Missouri › Avenir at Mark Twain
11988 Mark Twain Lane, Bridgeton, MO 63044 · (314) 291-8240 · 120 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 479 providers with a published value in the same state and provider category: 2/5.
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CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 3.47 (Missouri median: 3.36). RN hours: 0.49. Weekend total: 3.08. Nursing staff turnover: 71%.
In the downloaded CMS dataset: 63 deficiency citations, including 3 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | 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. | D | complaint | corrected 2026-01-15 |
| 2025-12-19 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-01-15 |
| 2025-12-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-01-15 |
| 2025-10-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | E | complaint | 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. | E | Health | 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. | E | Health | corrected 2025-10-03 |
| 2025-08-20 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-10-03 |
| 2025-08-20 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2025-10-03 |
| 2025-08-20 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | 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. | E | Health | corrected 2025-10-03 |
| 2025-08-20 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | 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. | E | complaint | 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. | E | Health | corrected 2025-10-03 |
| 2025-08-20 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Health | corrected 2025-10-03 |
| 2025-08-20 | Provide and implement an infection prevention and control program. | E | Health | 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. | E | complaint | 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. | D | Health | corrected 2025-10-03 |
| 2025-08-20 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Health | corrected 2025-10-03 |
| 2025-08-20 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-10-03 |
| 2025-08-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-10-03 |
| 2025-08-20 | Provide appropriate foot care. | D | Health | 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. | D | Health | corrected 2025-10-03 |
| 2025-08-20 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | 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. | D | Health | corrected 2025-11-19 |
| 2025-08-20 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Health | corrected 2025-10-03 |
| 2025-08-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | 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. | D | Health | corrected 2025-10-03 |
| 2025-08-20 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | 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. | J | complaint | corrected 2025-01-17 |
| 2025-01-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-02-19 |
| 2025-01-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-03-11 |
| 2024-09-25 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-10-25 |
| 2024-04-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-04-26 |
| 2024-04-05 | Respond appropriately to all alleged violations. | D | complaint | 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. | K | complaint | corrected 2024-01-19 |
| 2024-01-19 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Health | corrected 2024-01-19 |
| 2024-01-19 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2024-02-09 |
| 2024-01-19 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2024-01-30 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-21 | Fine | $134,043 |
| 2025-01-21 | Payment Denial | 14 days payment denial |
| 2024-01-19 | Fine | $26,687 |
| 2024-01-19 | Payment Denial | 19 days payment denial |
| 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 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MARK TWAIN HOLDCO LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2025 |
| DELTA EDGE STRATEGIC ADVISORS | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2025 |
| HHHH VENTURES LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2025 |
| KRPSS PARTNERS | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2025 |
| FELHEIM, YITCHOK | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 10/01/2025 |
| JACOBOVITCH, YOSSI | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 10/01/2025 |
| LAPCIUC, AVRAHAM | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 10/01/2025 |
| JACOBOVITCH, YOSSI | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2025 |
| LAPCIUC, AVRAHAM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2025 |
| BICKNELL, JACQUELINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/06/2025 |
| JACOBOVITCH, YOSSI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| LAPCIUC, AVRAHAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| SAN, MANUEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| STERLING, CORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/06/2025 |
How to cite this page: CareRecords, “Avenir at Mark Twain — compliance, penalty and ownership record” (CCN 265236), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/avenir-at-mark-twain-bridgeton-mo/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265236. Corrections: data@carerecords.org.