Estates of St Louis, LLC, the
2115 Kappel Drive · Saint Louis, MO · 63136 · 3148677474
94 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$66,640 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.44 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 2.06 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $66,640 |
Inspection citations (60 in the current record)
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Potential for harm · D March 4, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E December 19, 2025 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected January 27, 2026 · Resident Rights
-
Potential for harm · D September 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 29, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 17, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 7, 2025 · Resident Rights
-
Potential for harm · D February 7, 2025 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected February 26, 2025 · Quality of Life and Care
-
Potential for harm · D February 7, 2025 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected February 26, 2025 · Quality of Life and Care
-
Potential for harm · D December 23, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 3, 2025 · Resident Rights
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Potential for harm · E December 23, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 23, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 23, 2024
Respond appropriately to all alleged violations.
Corrected February 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E December 23, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 3, 2025 · Resident Rights
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Potential for harm · E December 23, 2024
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.
Corrected February 3, 2025 · Resident Rights
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Potential for harm · D December 23, 2024
Ensure each resident receives an accurate assessment.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 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.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D December 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D December 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.
Corrected February 3, 2025 · Pharmacy Service
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Potential for harm · F December 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 3, 2025 · Nutrition and Dietary
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Potential for harm · F December 23, 2024
Provide and implement an infection prevention and control program.
Corrected February 3, 2025 · Infection Control
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Potential for harm · D December 23, 2024 · found via complaint
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.
Corrected February 3, 2025 · Resident Rights
-
Potential for harm · D December 23, 2024 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected February 26, 2025 · Quality of Life and Care
-
Potential for harm · D December 23, 2024 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected February 26, 2025 · Quality of Life and Care
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Potential for harm · F December 23, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 3, 2025 · Environmental
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No harm found · C December 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.
Corrected February 3, 2025 · Resident Rights
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No harm found · C December 23, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected February 3, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 12, 2024 | Fine | $66,640 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265712 · certified since January 12, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.