01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-20 | 30 | 2025-08-20 | 11 |
| Cycle 2 | 2024-01-19 | 16 | 2024-01-19 | 7 |
| Cycle 3 | 2019-11-08 | 17 | 2019-11-08 | 3 |
CMS CCN 2652362026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avenir At Mark Twain
11988 Mark Twain Lane · Bridgeton, MO 63044 · St. Louis County
Certified beds120CMS provider file
Recent citation rows84current CMS citation release
Penalty rows9current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
84 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 20 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-22 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-27 · complaint2025-12-19 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaint2025-12-19 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaint2025-12-19 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaint2025-10-07 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-11-14 · complaint2025-08-20 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaint2025-08-20 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0569Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0620Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Not 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.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaint2025-08-20 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaint2025-08-20 · HEALTHF0687Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0700Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try 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.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0770Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-20 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaint2025-08-20 · HEALTHF0806Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-21 | Fine | $134,043 | 0 |
| 2025-01-21 | Payment Denial | $0 | 14 |
| 2024-01-19 | Fine | $26,687 | 0 |
| 2024-01-19 | Payment Denial | $0 | 19 |
| 2023-09-25 | Fine | $4,587 | 0 |
| 2023-09-18 | Fine | $4,587 | 0 |
| 2023-09-11 | Fine | $4,587 | 0 |
| 2023-09-05 | Fine | $4,587 | 0 |
| 2023-08-28 | Fine | $4,587 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MARK TWAIN HOLDCO LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- DELTA EDGE STRATEGIC ADVISORSOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- HHHH VENTURES LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- KRPSS PARTNERSOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- FELHEIM, YITCHOKIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- JACOBOVITCH, YOSSIIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- LAPCIUC, AVRAHAMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- JACOBOVITCH, YOSSIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2025
- LAPCIUC, AVRAHAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2025
- BICKNELL, JACQUELINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/06/2025
- JACOBOVITCH, YOSSIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2025
- LAPCIUC, AVRAHAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2025
- SAN, MANUELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2025
- STERLING, CORYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/06/2025
- DELTA EDGE STRATEGIC ADVISORSOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- HHHH VENTURES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- KRPSS PARTNERSOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- NBH1 MTPROPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.47per resident day
RN hours0.49per resident day
Weekend nurse hours3.08per resident day
Staff turnover71.4%CMS reported field
06 / LOCAL RECORDS
Open the Bridgeton ledger →