Facility type
Snf
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Avenir at Mark Twain
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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$7.6M
Profit
$1.3M
Privately-owned community
Operated by a business 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
License details
County:
SAINT LOUIS COUNTY
Additional licensing details
CMS Certification Number:
265236
Certification type:
Medicare/Medicaid
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.
Health Inspection History
Inspections
Total health inspections
11
Missouri average 6.6
Last Health inspection on Oct 2025
Total health citations
43
Citations per inspection
3.91
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 43 citations resulted from standard inspections; 16 of 43 resulted from complaint investigations; and 3 of 43 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
2 critical citations
0 serious citations
38 moderate citations
3 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
-
10
-
+42%-2%+18%
Avenir at Mark Twain
-69%
+12%
-17%
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
-
-
55.5%
$7,583,767.00
$3,512,416.00
46.3%
67.20
4.1782
8
43
2
-69%+12%-17%
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
-
38
-
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Avenir at Mark Twain
Type of care:
SNF
AL
Community:
MO 63044-2825
Bed Count:
120
CCN:
265236
Occupancy:
55.5%
Home Revenue:
$7,583,767.00
Payroll Costs:
$3,512,416.00
Payroll %:
46.3%
Avg Residents/Day:
67.20
Overall Rating:
Adj Nurse Hours:
4.1782
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
8
Citations:
43
Severe Citations:
2
RN share vs State Avg:
-69%
-69%
Staffing vs State Avg:
+12%
+12%
Occupancy vs State Avg:
-17%
-17%
Places of interest near Avenir at Mark Twain
0.0 miles from city center
BRIDGETON, MO 63044-2825
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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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
69 residents
Residents by payment source
Medicare
6 residents (8.7%)
Medicaid
57 residents (82.6%)
Private pay or other
6 residents (8.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.4
32% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.3
15% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.9%
Percent of long-stay residents whose need for help with daily activities has increased
19.9%
In line with Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.5%
Percent of long-stay residents whose ability to move independently worsened
30.5%
48% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.6%
8% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
In line with Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.0%
Percent of long-stay high risk residents with pressure ulcers
10.0%
100% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
74% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.9%
Percent of long-stay residents who lose too much weight
7.9%
41% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.3%
Percent of long-stay residents who received an antipsychotic medication
15.3%
30% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
59.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
59.9%
30% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.4%
65% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
6% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.7%
11% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
167% higher than Missouri averageMissouri average: $73K
Number of fines
8
228% more fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
191% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$195K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 21, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 21, 2025
$134K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 21, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 21, 2025
14 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 19, 2024
$27K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 19, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
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