Missouri › St. Louis County › Saint Louis
Estates of St Louis, LLC, The
2115 Kappel Drive, Saint Louis, MO 63136
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 94 beds, Estates of St Louis, LLC, The serves Saint Louis in St. Louis County, Missouri and has taken Medicare and Medicaid residents since 2001.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (22, 24, 14 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 63.8 per 100 beds, more than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $67K.
Reported nurse staffing is 2.5 hours per resident per day (0.1 RN), below the Missouri median of 3.4; nursing staff turnover is 65.6%.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 60 | 46 | 31 | 28.7 |
| Citations per 100 beds | 63.8 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.5 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.1 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 65.6% | 60.7% | 56.1% | 45.8% |
| Fines listed | $66,640 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Dec 2024, 24 Aug 2023.
Severity mix: G ×2 D ×29 E ×18 F ×5 B ×1 C ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Apr 2026 |
| 19 Dec 2025 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint investigation | 27 Jan 2026 |
| 3 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 29 Sep 2025 |
| 17 Apr 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 7 May 2025 |
| 7 Feb 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 26 Feb 2025 |
| 7 Feb 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 26 Feb 2025 |
| 23 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 3 Feb 2025 |
| 23 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 3 Feb 2025 |
| 23 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 26 Feb 2025 |
| 23 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 26 Feb 2025 |
| 23 Dec 2024 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 3 Feb 2025 |
| 12 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 22 Jul 2024 |
| 12 Jul 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 22 Jul 2024 |
| 31 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Jun 2024 |
| 3 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Apr 2024 |
| 26 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Feb 2024 |
| 24 Aug 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0584 | 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. | E | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | C | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 6 Oct 2023 |
| 24 Aug 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | B | Standard survey | 6 Oct 2023 |
| 11 Feb 2020 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 25 Mar 2020 |
| 11 Feb 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Mar 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Jul 2024 | Fine | $66,640 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 65.6%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: The Estates Of St Louis Llc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Estates of St Louis, LLC, The been cited for?
60 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Estates of St Louis, LLC, The been fined?
Yes. CMS lists fines totalling $67K in the period covered.
How does staffing at Estates of St Louis, LLC, The compare?
Reported total nurse staffing is 2.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Estates of St Louis, LLC, The?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Estates of St Louis, LLC, The last inspected?
The most recent survey or investigation in the CMS record is dated 4 Mar 2026; the most recent standard health survey was 23 Dec 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.