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Avenir at Mark Twain
Nursing Home, Respite Care & Skilled Nursing · Bridgeton, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avenir at Mark Twain

Avenir at Mark Twain

Nursing Home, Respite Care & Skilled Nursing · Bridgeton, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
11988 Mark Twain Ln, Bridgeton, MO 63044-2825 View map Calculator: See prices in your area
Avenir at Mark Twain accepts Medicaid, Medicare, and private pay.
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Avenir at Mark Twain accepts Medicaid, Medicare, and private pay.

Overview of Avenir at Mark Twain

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The 120-bed skilled nursing facility at Avenir at Mark Twain is located on Mark Twain Lane in Bridgeton, Missouri, under administrator Cory Sterling and operator Nbh1 Mtopcollc. Financial billing processes accommodate multiple coverage plans, accepting Medicare, Medicaid, and private pay options. If you are planning a visit, the local surroundings carry a walkability score of 4 out of 100, which indicates a heavily car-dependent setup where family members will require a personal vehicle for all errands and trips to the campus.

Operational logs show that the property maintains a 63 percent occupancy rate, with an average length of stay around 104 days. This operational timeline confirms a focus on temporary post-hospital therapy and subacute recovery tracks rather than multi-year residential placements. To oversee routine medical schedules and daily personal care tasks, the 24-hour staffing framework provides an average of 4 hours and 11 minutes of total nursing care per resident each day, with nurse aides supplying 3 hours and 4 minutes of direct, hands-on assistance.

State databases from public health departments maintain documented logs of the facility’s compliance history. Recent standard health and safety reviews indicate that inspectors identified specific compliance deficiencies concerning standard infection control protocols, staff training routines for nurse aides, and meal service temperatures, which means the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing regional tracking.

Older adults have access to an on-site therapy gym, indoor lounges, and designated outdoor relaxation areas. The everyday calendar coordinates physical recovery tracks and structured activities, such as exercise loops, musical sessions, and crafts, with restaurant-style dining options adapted to standard therapeutic parameters. Daily operations combine these services with full room cleaning, laundry assistance, and flexible family visiting windows.

Facility Direct Line (314) 291-8240
Facility Direct Line (314) 291-8240 admissions@aveniratmarktwain.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 59.7% Below MO avg. ▼ 59.7% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 64.0% Below MO avg. ▼ 64.0% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 8.6% Below MO avg. ▼ 8.6% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 12.9% Above MO avg. ▲ 12.9% Above MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Missouri averages

Rank #77 / 268Nurse hours — State benchmarkedThis home is ranked 77th out of 268 homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 268 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 77th out of 268 homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 7m

10% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
35m
+25% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
33m
−19% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 59m
+29% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 39m
+20% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
8m
+290% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
18m
−12% State avg: 20m per day · National avg: 28m per day

2 of 6 metrics below state avg

Standout metric: Physical Therapist is +290% above Missouri average

Capacity and availability

Residents per day
75
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
104 days
Bed community size
120-bed community Rank #87 / 450Bed count — State benchmarkedThis home is ranked 87th out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 4 / 100 Rank #527 / 545Walk Score — State benchmarkedThis home is ranked 527th out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
63%
Rank #243 / 407Occupancy rate — State benchmarkedThis home is ranked 243rd out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Missouri average: 66.6%
Occupied beds
75 / 120
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceOctober 1, 2025
ExpirationFebruary 24, 2027
CountySaint Louis County
License Number053265
CMS Certification Number265236
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Avenir at Mark Twain is legally operated by Nbh1 Mtopcollc, and administered by Cory Sterling.

Corporate EntityNBH1 MTOPCOLLC
Owner NameNbh1 Mtopcollc

Type Of Units

Skilled Nursing Facility
120 units
Total beds
120 units

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Subacute Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Arts & Crafts
Game Room
Dining
Activities
Wellness Center
Comfortable Indoor Gathering Spaces
Activitiesexercise groups, creative arts, music, seasonal celebrations
Specific ProgramsSubacute Rehab

Contact Avenir at Mark Twain

CMS Health Inspection History

Inspections Since 2018 · 8 years of data
Total health inspections 11

State average 6.6

Last Health inspection on Oct 2025

Total health citations
43 Rank #192 / 274Health citations — State benchmarkedThis home is ranked 192nd out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
3.91 Rank #67 / 274Citations per inspection — State benchmarkedThis home is ranked 67th out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.67

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 8 years)
Critical health citations
2
186% worse than State average

State average: 0.7

Serious health citations
0
100% better than State average

State average: 1

2 critical citations State average: 0.7
0 serious citations State average: 1
38 moderate citations State average: 33.6
3 minor citations State average: 1.2
Citations history (last 8 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
Show Inspection Reports

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 277
Employees 123
Contractors 154
Staff to resident ratio 4.01 : 1
137% more staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 41
Average shift 7.8 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 29,265

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 9 total: 7 full-time employees and 2 contractors. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 50 total: 11 full-time employees and 39 contractors. 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 152 total: 53 full-time employees and 99 contractors. 152
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

18%

5,259 contractor hours this quarter

Certified Nursing Assistant: 99 Licensed Practical Nurse: 39 Medication Aide/Technician: 14 Registered Nurse: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant539915214,21792100%7.7
Medication Aide/Technician1714314,16292100%8
Licensed Practical Nurse1139503,31992100%8.8
Registered Nurse7291,9628491%9.5
Physical Therapist110111,3453336%6.8
Respiratory Therapy Technician3038686571%6.6
Dietitian2026977278%8.2
Physical Therapy Aide4046296672%6.6
RN Director of Nursing1015125459%9.5
Clinical Nurse Specialist2024495762%7.6
Nurse Practitioner2022973841%7.8
Administrator2022643336%8
Mental Health Service Worker2021782224%8.1
Qualified Social Worker2021774145%4.3
Physical Therapy Assistant2021494549%3.2
Speech Language Pathologist202411011%4.1
152 Certified Nursing Assistant
% of Days 100%
31 Medication Aide/Technician
% of Days 100%
50 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 91%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023-2025

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 Rank #266 / 276Federal fines — State benchmarkedThis home is ranked 266th out of 276 homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
167% higher than Missouri average

Missouri average: $73K

Number of fines 8
228% more fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
191% more payment denials than Missouri average

Missouri 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.

9 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 21, 2025
$134K
Payment Denial Info 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 19, 2024
$27K
Payment Denial Info 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

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 Info 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 average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.3
15% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.9%
In line with Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.5%
48% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.6%
8% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
In line with Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.0%
100% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
74% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.9%
41% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.3%
30% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 59.9%
30% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.2%
In line with Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.82
13% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.79
24% better than Missouri average

Missouri average: 2.35

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 23.4%
65% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.1%
6% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 56.7%
11% worse than Missouri average

Missouri average: 63.5%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 69
Medicare
6
8.7% of residents
Medicaid
57
82.6% of residents
Private pay or other
6
8.7% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.2M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M Rank #78 / 251Net patient revenue — State benchmarkedThis home is ranked 78th out of 251 homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.2M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$8.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #92 / 251Payroll costs — State benchmarkedThis home is ranked 92nd out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.8M 50.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #164 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 164th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.4M
How we calculate these figures

This home is administered by Cory Sterling.

This home is owned by Nbh1 Mtopcollc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265236

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (48% of admissions), and a typical Medicaid stay runs around 6 - 7 months.

Admissions
206 total

Coverage residents most often arrive under.

Medicare 15%
Private pay 38%
Medicaid 48%
Discharges
233 total

Coverage residents most often leave under.

Medicare 13%
Private pay 34%
Medicaid 53%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Avenir at Mark Twain

Address 0.0 miles from city center Info Estimated distance in miles from Bridgeton's city center to Avenir at Mark Twain's address, calculated via Google Maps.

Calculate Travel Distance to Avenir at Mark Twain

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Laclede Groves ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
St. Louis
251
Facility 251
MO AVG 96
Rank #3 / 450
40.9%
Facility 40.9%
MO AVG 66.5%
Rank #365 / 407
-39%
5.27
Facility 5.27
MO AVG 3.74
Rank #20 / 268
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +48%+41%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
9
Facility 9
MO AVG 36.5
Rank #10 / 274
4.5
Facility 4.5
MO AVG 5.7
Rank #99 / 274
-103-
35
Facility 35
MO AVG 46
Rank #353 / 545
John Komlos
$24.9MFiscal year ending 12/2023
Facility $24.9MFiscal year ending 12/2023
MO AVG $7.4M
Rank #3 / 251
$27.4MFiscal year ending 12/2023
Facility $27.4MFiscal year ending 12/2023
MO AVG $3.9M
Rank #2 / 251
109.9%Fiscal year ending 12/2023
Facility 109.9%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #1 / 251
265600
Linden Woods Village ★ ★ ★ ★ ★
NH
AL
IL
SNF
Gladstone
40
Facility 40
MO AVG 96
Rank #415 / 450
85.0%
Facility 85.0%
MO AVG 66.5%
Rank #73 / 407
+28%
4.20
Facility 4.20
MO AVG 3.74
Rank #65 / 268
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +31%+12%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
12
Facility 12
MO AVG 36.5
Rank #27 / 274
4.0
Facility 4.0
MO AVG 5.7
Rank #71 / 274
-34-
53
Facility 53
MO AVG 46
Rank #216 / 545
Amanda Fizer
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #67 / 251
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #93 / 251
44.8%Fiscal year ending 12/2023
Facility 44.8%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #207 / 251
265855
St. Clair Nursing Center ★ ★ ★ ★ ★
NH
HOS
MC
SNF
St Clair
79
Facility 79
MO AVG 96
Rank #273 / 450
73.4%
Facility 73.4%
MO AVG 66.5%
Rank #159 / 407
+10%
3.81
Facility 3.81
MO AVG 3.74
Rank #116 / 268
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -19%+2%
$12.7k
Facility $12.7k
MO AVG $76.9k
Rank #170 / 276
7
Facility 7
MO AVG 36.5
Rank #6 / 274
2.3
Facility 2.3
MO AVG 5.7
Rank #10 / 274
-58A+
48
Facility 48
MO AVG 46
Rank #261 / 545
St. Clair Nursing LLC
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #125 / 251
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
MO AVG $3.9M
Rank #131 / 251
55.5%Fiscal year ending 12/2023
Facility 55.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #105 / 251
265495
Farmington Presbyterian Manor ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Farmington
90
Facility 90
MO AVG 96
Rank #225 / 450
74.4%
Facility 74.4%
MO AVG 66.5%
Rank #147 / 407
+12%
4.33
Facility 4.33
MO AVG 3.74
Rank #59 / 268
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ +49%+16%
$12.6k
Facility $12.6k
MO AVG $76.9k
Rank #169 / 276
9
Facility 9
MO AVG 36.5
Rank #10 / 274
2.3
Facility 2.3
MO AVG 5.7
Rank #10 / 274
167A+
66
Facility 66
MO AVG 46
Rank #113 / 545
Jane Hull
$8.7MFiscal year ending 06/2024
Facility $8.7MFiscal year ending 06/2024
MO AVG $7.4M
Rank #65 / 251
$4.7MFiscal year ending 06/2024
Facility $4.7MFiscal year ending 06/2024
MO AVG $3.9M
Rank #61 / 251
53.6%Fiscal year ending 06/2024
Facility 53.6%Fiscal year ending 06/2024
MO AVG 54.9%
Rank #128 / 251
265583
Avenir at Mark Twain ★ ☆ ☆ ☆ ☆
NH
RC
SNF
Bridgeton
120
Facility 120
MO AVG 96
Rank #87 / 450
62.5%
Facility 62.5%
MO AVG 66.5%
Rank #243 / 407
-6%
4.11
Facility 4.11
MO AVG 3.74
Rank #77 / 268
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -58%+10%
$195.3k
Facility $195.3k
MO AVG $76.9k
Rank #266 / 276
43
Facility 43
MO AVG 36.5
Rank #192 / 274
3.9
Facility 3.9
MO AVG 5.7
Rank #67 / 274
275-
4
Facility 4
MO AVG 46
Rank #527 / 545
-
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #78 / 251
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #92 / 251
50.1%Fiscal year ending 12/2023
Facility 50.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #164 / 251
265236
Nursing Home Explorer

Frequently Asked Questions about Avenir at Mark Twain

Who is the owner of Avenir at Mark Twain?

Avenir at Mark Twain is legally operated by Nbh1 Mtopcollc, and administered by Cory Sterling.

Is Avenir at Mark Twain in a walkable area?

Avenir at Mark Twain has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Avenir at Mark Twain?

According to MO state health department records, Avenir at Mark Twain's license number is 053265.

When does Avenir at Mark Twain's license expire?

According to MO state health department records, Avenir at Mark Twain's license expires on February 24, 2027.

What is the occupancy rate at Avenir at Mark Twain?

Avenir at Mark Twain's occupancy is 63%.

Are pets allowed at Avenir at Mark Twain?

No, Avenir at Mark Twain has a no-pet policy.

Does Avenir at Mark Twain operate as a for-profit or non-profit?

Avenir at Mark Twain is registered as a for-profit in MO.

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