Nursing home · St. Louis, MO
The Estates of St Louis, Llc
2115 Kappel Drive, St. Louis, MO 63136 · 94 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Mar 4, 2026, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Dec 23, 2024) it had 22 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.49 hours per resident per day here, 27% less than the Missouri average (3.43) and 35% less than the U.S. average (3.86). Registered nurses account for 0.15 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 66% over the past year, 10 points higher than Missouri (56%) and 20 points higher than the U.S. (46%).
How The Estates of St Louis, Llc compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.49 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.15 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 1.98 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 66% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | — | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 22 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 60 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Mar 4, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Dec 19, 2025 | Honor the resident's right to manage his or her financial affairs. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Sep 3, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 17, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Feb 7, 2025 | Provide routine and 24-hour emergency dental care for each resident. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 7, 2025 | Assist a resident in gaining access to vision and hearing services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | C | Deficient, Provider has date of correction |
| Dec 23, 2024 | 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. Resident rights | C | Deficient, Provider has date of correction |
| Dec 23, 2024 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Assist a resident in gaining access to vision and hearing services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Provide routine and 24-hour emergency dental care for each resident. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | 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. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Dec 23, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Dec 23, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Dec 23, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| Dec 23, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| Dec 23, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Dec 23, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint | F | Deficient, Provider has date of correction |
| Dec 23, 2024 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Dec 23, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Jul 12, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jul 12, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Deficient, Provider has date of correction |
| May 31, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 3, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Feb 26, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Past Non-Compliance |
| Aug 24, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 24, 2023 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights | B | Deficient, Provider has date of correction |
| Aug 24, 2023 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | C | Deficient, Provider has date of correction |
| Aug 24, 2023 | 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. Resident rights | C | Deficient, Provider has date of correction |
| Aug 24, 2023 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | C | Deficient, Provider has date of correction |
| Aug 24, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 24, 2023 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Aug 24, 2023 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 24, 2023 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Aug 24, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jul 12, 2024 | Fine | $66,640 |
Location
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Reviews
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Questions about The Estates of St Louis, Llc
Answers computed from CMS data for this facility.
What is The Estates of St Louis, Llc's Medicare rating?
Medicare rates The Estates of St Louis, Llc 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did The Estates of St Louis, Llc do on its last inspection?
Inspectors' most recent visit in the CMS data was on Mar 4, 2026, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Dec 23, 2024) it had 22 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has The Estates of St Louis, Llc been fined?
Yes. CMS reports 1 fine totaling $66,640 in the past three years.
Does The Estates of St Louis, Llc accept Medicaid?
The Estates of St Louis, Llc is certified for both Medicare and Medicaid. Call (314) 867-7474 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.