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The Estates of St. Louis, LLC

Nursing Home Facility

2115 Kappel Drive, Saint Louis, MO 63136

Nursing Home Care Senior Living
The Estates of St. Louis, LLC

The Estates of St. Louis, LLC is a senior care community located in Saint Louis, MO. It provides nursing home care and senior living for older adults in the Saint Louis area. To learn more or schedule a tour, call (314) 867-7474.

The Estates of St. Louis, LLC is licensed for 94 beds, about typical for the area, where senior care communities in Saint Louis average about 102 beds.

Federal reporting puts occupancy at about 81% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Saint Louis average about 1.8 stars. Its most recent standard health inspection was in December 2024 and recorded 22 deficiencies.

Residents receive about 2.5 hours of nursing care per day on average, including 0.1 hours from a registered nurse. Communities in Saint Louis average about 3.2 hours. Nursing staff turnover over the past year was about 66%, which is high and can affect continuity of care.

The community is located in Saint Louis County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 60 problems at The Estates of St. Louis, LLC. 2 findings involved harm to a resident. 15 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $66,640.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected March 2026, after a complaint. Corrected by April 1, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to manage his or her financial affairs.

    Inspected December 2025, after a complaint. Corrected by January 27, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected September 2025, after a complaint. Corrected by September 29, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, widespread Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected December 2024, after a complaint. Corrected by February 3, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Inspected December 2024. Corrected by February 3, 2025.

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  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected December 2024, after a complaint. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Assist a resident in gaining access to vision and hearing services.

    Inspected December 2024, after a complaint. Corrected by February 26, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected December 2024. Corrected by February 3, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide routine and 24-hour emergency dental care for each resident.

    Inspected December 2024, after a complaint. Corrected by February 26, 2025.

  • Minimal harm or the potential for it, widespread Resident Rights

    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.

    Inspected December 2024. Corrected by February 3, 2025.

  • Minimal harm or the potential for it, widespread Resident Rights

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Inspected December 2024. Corrected by February 3, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Estates of St. Louis, LLC offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 94
  • Occupancy 81%
  • Nursing hours per resident/day 2.5
  • Annual staff turnover 66%
  • Last health inspection December 2024

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