Estates of St Louis, LLC, the
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 16 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (22 vs median 10)
- High staff turnover (61%)
Bottom 25% in MO · Critically understaffed (RN) · $66,640 in fines
What this means for your family
Given the consistent and severe reports of unsanitary conditions, pest infestations, and neglect, this facility currently presents significant risks to resident well-being. We strongly advise families to look elsewhere and, if considering any facility, to conduct an unannounced visit to inspect the cleanliness of the living areas and observe staff-resident interactions firsthand.
Google Reviews
Google Reviews
16 reviews on Google“The Estates of St. Louis faces severe criticism regarding facility cleanliness, pest infestations, and the quality of resident care. Multiple reviewers report unsanitary conditions, including reports of mice and rats, as well as concerns regarding staff professionalism, laundry management, and the adequacy of basic supplies for residents.”
Quality Themes
Tap a score for detailsStrengths
- Occasional positive staff interactions
- Professionalism noted by some visitors
Concerns
- Facility cleanliness and pest infestation (mice/rats) (mentioned by 3 reviewers)
- Unprofessional staff and abusive behavior (mentioned by 3 reviewers)
- Lack of basic supplies and poor laundry management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 32 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent feedback regarding facility maintenance, what specific protocols are currently in place to ensure a clean, pest-free environment for residents?
- 2With the current staffing levels, how does your team ensure that residents receive consistent, personalized attention and timely assistance with daily needs?
- 3What steps is the leadership team taking to improve communication with families and ensure that concerns are addressed promptly and professionally?
- 4Can you walk me through the current activity schedule and how you tailor these programs to keep residents engaged and socially active?
- 5How does your facility manage laundry services and the availability of basic personal supplies to ensure residents always have what they need?
- 6What is your protocol for handling medical emergencies, and how do you ensure that families are kept informed during urgent health situations?
Personalized based on this facility's data
Key Review Excerpts
“This place is filthy ! Literally I can name plenty of reasons why toilets full of doodoo the residents beds have bleach stains covering them ! Place infested with rats !”
“The residents dont have the supplies they need to do hygiene and personal care . Activities hardley do activities with the residents. Each resident comes in with clothes , and end up somebody else clothes on or with none at all.”
“The staff are abusive and care nothing for the patients. They are highly unsanitary and unprofessional. Mice also reside there as well.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
11
measures
3
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning deficiency patterns including recent resident protection violations that triggered family complaints, with issues in resident financial management, care planning, and safety persisting across multiple years. Families filed reports leading to 14 complaint-triggered deficiencies, including serious concerns about protection from abuse and neglect appearing twice in 2024. While the facility corrects most violations, recurring problems with handling resident finances, care planning standards, and fire safety systems suggest ongoing operational challenges that families should carefully evaluate.
Mar 4, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 19, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Sep 3, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Apr 17, 2025Complaint1
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Feb 7, 2025Complaint2
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Dec 23, 2024Routine22
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Resident Rights Deficiencies
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 Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Federal Penalties
Fine
Jul 12, 2024
$66,640
Ownership & Operations
Who Operates This Facility
Estates of St Louis, LLC, the
for profit
Ownership & Management
Owners
Rosenberg, Zev
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
16 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Arbor Hills Care & Rehab Center
2.0 miNursing Home · Ferguson, MO
Christian Extended Care & Rehabilitation
2.1 miNursing Home · Saint Louis, MO
Atrium Place Health and Rehabilitation
2.3 miNursing Home · Saint Louis, MO
Oak Knoll Skilled Nursing & Rehabilitation Center
2.8 miNursing Home · Ferguson, MO
Pillars of North County Health & Rehab Center, the
4.4 miNursing Home · Florissant, MO
Estates of Spanish Lake, the
4.5 miNursing Home · Saint Louis, MO