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Data / Nursing homes / Missouri / Avenir at Mark Twain

Avenir at Mark Twain, Bridgeton, MO: 1 star rating, fined $226,126 across 3 fines and had 3 payment denials

Avenir at Mark Twain in Bridgeton, MO is owned by Mark Twain HOLDCO LLC, is rated 1 of 5 stars by Medicare, and was fined $226,126 across 3 fines and had 3 payment denials in the three years to October 1, 2026. CMS lists 48 health citations from inspections in that time, the latest survey on June 22, 2026, and 3 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Missouri
Address
11988 Mark Twain Lane, Bridgeton, MO 63044
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
120
Residents per day
82 on average
Ownership type
For profit, limited liability company
Legal business name
Nbh1 Mtopco LLC
Fines
$226,126 across 3 fines, three years to October 1, 2026
Payment denials
3
Health citations
48, of which 3 with actual harm or immediate jeopardy
Latest survey
June 22, 2026
CMS Certification Number
265236
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
June 22, 2026Fine$65,396Not listeddata.cms.gov
June 22, 2026Payment denialNot listedJuly 23, 20264data.cms.gov
January 21, 2025Fine$134,043Not listeddata.cms.gov
January 21, 2025Payment denialNot listedFebruary 25, 202514data.cms.gov
January 19, 2024Fine$26,687Not listeddata.cms.gov
January 19, 2024Payment denialNot listedFebruary 17, 202419data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 22, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJuly 27, 2026data.cms.gov
December 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2026data.cms.gov
December 19, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2026data.cms.gov
December 19, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2026data.cms.gov
October 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 14, 2025data.cms.gov
August 20, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F887Educate 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: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F808Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2025data.cms.gov
August 20, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F700Try 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: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F620Not 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: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
August 20, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
January 21, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J: isolated, immediate jeopardyCorrectedJanuary 17, 2025data.cms.gov
January 21, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2025data.cms.gov
January 21, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 19, 2025data.cms.gov
September 25, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 25, 2024data.cms.gov
April 5, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
April 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
January 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedJanuary 19, 2024data.cms.gov
January 19, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 19, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 7, 2024data.cms.gov
January 19, 2024F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJanuary 19, 2024data.cms.gov
January 19, 2024F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 30, 2024data.cms.gov
January 19, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 19, 2024F688Provide 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: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 19, 2024F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2024data.cms.gov
January 19, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 19, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 19, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
January 19, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 13 individual or personal trusts (3 owners, 7 managers, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Mark Twain HOLDCO LLCDirect ownerNot listedOctober 1, 2025data.cms.gov
Delta Edge Strategic AdvisorsIndirect ownerNot listedOctober 1, 2025data.cms.gov
HHHH Ventures LLCIndirect ownerNot listedOctober 1, 2025data.cms.gov
Krpss PartnersIndirect ownerNot listedOctober 1, 2025data.cms.gov
Delta Edge Strategic AdvisorsAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
HHHH Ventures LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
Krpss PartnersAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
Nbh1 Mtpropco LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.