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Nursing HomeMedicaid Investigative

Estates of St Louis, LLC, the

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2115 Kappel Drive, Saint Louis, MO 6313694 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.5/5

based on 16 Google reviews

5
4
3
2
1
Estates of St Louis, LLC, the Nursing Home in Saint Louis, MO — Street View
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5/ 10
high Risk

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

Source: Medicare data

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 details
Food1.0Staff1.0Clean0.0Activities1.0MedsN/AMemory1.0Comms1.0ValueN/A

Strengths

  • 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

2341.02014(2)5.02018(2)5.02020(2)5.02021(2)5.02023(2)1.62024(14)2.02025(8)

Distribution · 32 analyzed

5
12
4
0
3
0
2
0
1
20

How They Respond to Reviews

0%response rate

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 !

Concerned observer · 2025☆☆☆☆

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.

Concerned observer · 2025☆☆☆☆

The staff are abusive and care nothing for the patients. They are highly unsanitary and unprofessional. Mice also reside there as well.

Concerned observer · 2024☆☆☆☆
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.14hrs
18%
Registered nurses for medical care
Total Nursing
2.44hrs
59%
All nurses + aides combined
Staff Turnover
62%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility46.2%
Worse than Avg
Here
46.2%
US
12.1%
MO
16.7%
St. louis
18.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
St. louis
83.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
14.4%
MO
19.1%
St. louis
15.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility30.5%
Worse than Avg
Here
30.5%
US
15.4%
MO
23.6%
St. louis
18.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.3%
MO
18.9%
St. louis
16.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
19.4%
MO
17.9%
St. louis
18.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
MO
65.9%
St. louis
62.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
1penalties
Well above state avg (12.0)
15 complaint-triggered
$66,640 in fines

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, 2026Complaint
1
0609Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

Sep 3, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Apr 17, 2025Complaint
1
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Feb 7, 2025Complaint
2
0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 23, 2024Routine
22
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0623Potential for harm · PatternCorrected

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.

0625Potential for harm · PatternCorrected

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.

0657Potential for harm · PatternCorrected

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.

0222Potential for harm · PatternCorrected

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.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

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.

0575Minimal · WidespreadCorrected

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.

0577Minimal · WidespreadCorrected

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

Owner / Operator

Estates of St Louis, LLC, the

Organization Type

for profit

Ownership & Management

Owners

Rosenberg, Zev

Owner

60%

Key personnel

Fleetwood, ElaineManagerGao, ShawnManagerFleetwood, ElaineAdp of the SnfGao, ShawnAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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.

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