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.
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.
Avenir at Mark Twain is legally operated by Nbh1 Mtopcollc, and administered by Cory Sterling.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 72 | 35 | This facility has 106% more total deficiencies than a typical Missouri assisted living residence (72 vs. MO avg 35).↑ 106% worse |
|
Deficiencies per year
| 10.3 | 5 | This facility has 106% more deficiencies per year than a typical Missouri assisted living residence (10.3 vs. MO avg 5).↑ 106% worse |
State average N/A
Last Health inspection on Oct 2025
State average N/A
State average N/A
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).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
5,259 contractor hours this quarter
| Certified Nursing Assistant | 53 | 99 | 152 | 14,217 | 92 | 100% | 7.7 |
| Medication Aide/Technician | 17 | 14 | 31 | 4,162 | 92 | 100% | 8 |
| Licensed Practical Nurse | 11 | 39 | 50 | 3,319 | 92 | 100% | 8.8 |
| Registered Nurse | 7 | 2 | 9 | 1,962 | 84 | 91% | 9.5 |
| Physical Therapist | 11 | 0 | 11 | 1,345 | 33 | 36% | 6.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 868 | 65 | 71% | 6.6 |
| Dietitian | 2 | 0 | 2 | 697 | 72 | 78% | 8.2 |
| Physical Therapy Aide | 4 | 0 | 4 | 629 | 66 | 72% | 6.6 |
| RN Director of Nursing | 1 | 0 | 1 | 512 | 54 | 59% | 9.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 449 | 57 | 62% | 7.6 |
| Nurse Practitioner | 2 | 0 | 2 | 297 | 38 | 41% | 7.8 |
| Administrator | 2 | 0 | 2 | 264 | 33 | 36% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 178 | 22 | 24% | 8.1 |
| Qualified Social Worker | 2 | 0 | 2 | 177 | 41 | 45% | 4.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 149 | 45 | 49% | 3.2 |
| Speech Language Pathologist | 2 | 0 | 2 | 41 | 10 | 11% | 4.1 |
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
10 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
15% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
48% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Avenir at Mark Twain from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Bridgeton's city center to Avenir at Mark Twain's address, calculated via Google Maps.
Add your location
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Laclede Groves | NH AL IL MC | St. Louis | - | 251 | - | 35 | - |
| Republic Nursing and Rehab | NH SNF | Republic | - | 127 | - | 48 | Private / Semi-Private Rooms |
| Chaffee Nursing Center | NH HOS SNF | Chaffee | - | 71 | - | 25 | Studio |
| Heisinger Bluffs | NH AL IL MC RC SNF | Jefferson City | - | 111 | - | 32 | 1 Bed / 2 Bed / 3 Bed |
| Avenir at Mark Twain | NH RC SNF | Bridgeton | - | 120 | - | 4 | - |
Avenir at Mark Twain is legally operated by Nbh1 Mtopcollc, and administered by Cory Sterling.
Avenir at Mark Twain has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to MO state health department records, Avenir at Mark Twain's license number is 053265.
According to MO state health department records, Avenir at Mark Twain's license expires on February 24, 2027.
Avenir at Mark Twain's occupancy is 63%.
No, Avenir at Mark Twain has a no-pet policy.
Avenir at Mark Twain is registered as a for-profit in MO.
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