Total Health inspections
11
67% above Missouri average
Missouri average:
6.6
Last Health inspection on Oct 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Avenir at Mark Twain
Avenir at Mark Twain is a Nursing Home in Missouri
Avenir at Mark Twain is a Nursing Home in Missouri
Avenir at Mark Twain
Avenir at Mark Twain is a Nursing Home in Missouri
Avenir at Mark Twain is a Nursing Home in Missouri
Avenir at Mark Twain is a skilled nursing and rehabilitation facility located in Bridgeton, Missouri. It offers a range of services including long-term care, respite care, and specialized wound care. The community focuses on providing a warm, homelike environment with personalized support and a variety of daily activities.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
55.5%
Residents per day (avg)
67
Occupancy rate
55.5%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
15% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
38% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
48% of new residents, often for long-term daily care.
Typical stay
6 - 7 months
Finances and operations
Proprietary home
Corporation
Home revenue
$7.6M
Profit
$1.3M
Proprietary home
Corporation
Home revenue
$7,592,234.00
Profit
$1,253,634.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.3M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265236
Certification type:
Medicare/Medicaid
County:
SAINT LOUIS COUNTY
Ownership & operating entity
Avenir at Mark Twain is administrated by EMMANUEL JACKSON.
Owner name:
NBH1 MTOPCOLLC
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Activities
Daily activities range from exercise groups and creative arts to music and seasonal celebrations.
Specific Programs
Subacute Rehab, Long-Term Care, Respite Care, Amenities
Pricing & Financial Information
Dining & Nutrition
Food Description
Residents enjoy home-style meals made for their dietary needs.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Bertrand Nursing And Rehab Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
-
Advanced Care of St Joseph
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
Amberwood Estates Nursing and Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
Avenir at Mark Twain
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63044-2825
120
No
-
-
55.5%
$7,583,767.00
$3,512,416.00
46.3%
67.20
1/5
4.1782
1/5
3/5
1/5
8
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near Avenir at Mark Twain
0.0 miles from city center
BRIDGETON, MO 63044-2825
Calculate Travel Distance to Avenir at Mark Twain
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
248
Total Staff
106
Employees
142
Contractors
30,057
Total Hours (Quarter)
43
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 9.8 | No |
| Licensed Practical Nurse | 51 | 8.3 | Yes |
| Certified Nursing Assistant | 136 | 7.7 | Yes |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
208 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
2 staff
11.3hs shift avg
Therapy Services ⓘ
32 staff
6.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
3.3hs shift avg
Dietary Services ⓘ
2 staff
6.1hs shift avg
Other Services ⓘ
1 staff
7.8hs shift avg
Contractor Analysis
14.1%
of total hours from contractors
4,228 contractor hours this quarter
Certified Nursing Assistant: 100
Licensed Practical Nurse: 39
Occupational Therapy Aide: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 36 | 100 | 136 | 12,137 | 91 | 100% | 7.7 |
| Physical Therapist | 17 | 0 | 17 | 4,799 | 91 | 100% | 6.6 |
| Licensed Practical Nurse | 12 | 39 | 51 | 3,896 | 91 | 100% | 8.3 |
| Medication Aide/Technician | 15 | 0 | 15 | 3,561 | 91 | 100% | 9.1 |
| Registered Nurse | 6 | 0 | 6 | 1,910 | 86 | 95% | 9.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 543 | 45 | 49% | 12.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 538 | 65 | 71% | 7.6 |
| Physical Therapy Aide | 3 | 0 | 3 | 529 | 67 | 74% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 521 | 67 | 74% | 7.8 |
| Dietitian | 2 | 0 | 2 | 494 | 73 | 80% | 6.1 |
| Occupational Therapy Aide | 1 | 3 | 4 | 376 | 57 | 63% | 5.8 |
| Administrator | 2 | 0 | 2 | 320 | 40 | 44% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 127 | 39 | 43% | 3.3 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 111 | 36 | 40% | 2.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 106 | 40 | 44% | 2.5 |
| Nurse Practitioner | 1 | 0 | 1 | 88 | 11 | 12% | 8 |
Health Inspection History
Total Health citations
43
18% above Missouri average
Missouri average:
36.5
3.91 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
27 citations
Complaint investigations
19 citations
Breakdown of citations
Critical Health citations
2
186% above Missouri average
Missouri average:
0.7
Serious Health citations
0
100% below Missouri average
Missouri average:
1.0
Moderate Health citations
38
Minor Health citations
3
Citations history (last 3 years)
Quality of Care moderate citation
Oct 07, 2025
Corrected
Nursing Services moderate citation
Aug 20, 2025
Corrected
Nutrition moderate citation
Aug 20, 2025
Corrected
Nutrition moderate citation
Aug 20, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
69
Total Residents
Medicare
6
(8.7%)
ⓘ
Medicaid
57
(82.6%)
ⓘ
Private Pay/Other
6
(8.7%)
ⓘ
Specialized Care Beds
52
Total Specialty Beds
43.3%
of Bed Capacity
19
Alzheimer's / Dementia Beds ⓘ
15.8%
4
Dialysis Beds ⓘ
3.3%
7
Hospice Beds ⓘ
5.8%
22
Other Specialized Rehab Beds ⓘ
18.3%
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
14.4
32% worse than Missouri average
Missouri average:
10.9
Functional decline score
22.3
15% worse than Missouri average
Missouri average:
19.5
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
19.9%
1% above Missouri average.
Walking Ability Worsened
30.5%
48% above Missouri average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
16.6%
8% below Missouri average.
Safety & clinical stability
Falls with Major Injury
3.9%
4% below Missouri average.
High Risk Residents with Pressure Ulcers
10.0%
100% above Missouri average.
Urinary Tract Infection
0.7%
74% below Missouri average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.0%
100% below Missouri average.
Antipsychotic Use
15.3%
30% below Missouri average.
Preventive care
Pneumococcal Vaccine
59.9%
30% below Missouri average.
Influenza Vaccine
93.2%
3% above Missouri average.
Nutrition & physical health
Lost Too Much Weight
7.9%
41% above Missouri average.Short-stay resident measures
Pneumococcal Vaccine
23.4%
65% worse than Missouri average
Antipsychotic medication increase
2.1%
6% better than Missouri average
Influenza Vaccine
56.7%
11% worse than Missouri average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$195K
This home paid 167% more in fines than the state average.
Missouri average:
$73K
Number of Fines
8
This home received 228% more fines than the state average.
Missouri average:
2.4
Payment Denials
2
This home had 191% more payment denials than the state average.
Missouri average:
0.7
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Jan 21, 2025
$134K
Payment Denial
Jan 21, 2025
14 days
Civil Money Penalty
Jan 19, 2024
$27K
Payment Denial
Jan 19, 2024
19 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avenir at Mark Twain based on CMS SNF Cost Reports.
Occupancy Rate
55.5%
↑ 2.6pp vs 2022
Net Income
$1,253,634
↑ ~$1.7M vs 2022
Total Payroll
$4,392,524
↑ ~$363K vs 2022
Profit Margin
16.5%
↑ 22.6pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Missouri Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Avenir at Mark Twain
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
