All states › Missouri › Saint Louis › The Estates of St Louis
2115 Kappel Drive Saint Louis, MO 63136 · St. Louis County
All 36 nursing homes in Saint Louis, MO (35 take Medicaid)
CMS certification number 265712 · See this home on Medicare Care Compare
Is The Estates of St Louis a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Estates of St Louis as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.18 hours per resident per day at The Estates of St Louis, below the Missouri median of 3.37 (US median: 3.72). About 0.15 of those hours are from registered nurses. On weekends it falls to 1.73 hours, 21% below its all-week average. Ask how weekends are staffed. 64.3% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at The Estates of St Louis: Medicare and Medicaid
The Estates of St Louis is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 23, 2024 and found 15 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 60 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 60 citations at The Estates of St Louis across 12 inspection dates, 15 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 12, 2024. The most common areas cited were resident rights (20) and resident assessment and care planning (12). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, July 12, 2024). 8 citations were under CMS's abuse, neglect and exploitation rules.
March 4, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
December 19, 2025 · 1 citation · includes complaint inspection
EHonor the resident's right to manage his or her financial affairs.
September 3, 2025 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
April 17, 2025 · 1 citation · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
February 7, 2025 · 2 citations · includes complaint inspection
DAssist a resident in gaining access to vision and hearing services.
DProvide routine and 24-hour emergency dental care for each resident.
December 23, 2024 · 19 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ENotify 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.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DAssist a resident in gaining access to vision and hearing services.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DProvide routine and 24-hour emergency dental care for each resident.
CPost 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.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
July 12, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
May 31, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
April 3, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 26, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
August 24, 2023 · 21 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EHonor 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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EProvide and implement an infection prevention and control program.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DKeep residents' personal and medical records private and confidential.
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure medication error rates are not 5 percent or greater.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CAssure the security of all personal funds of residents deposited with the facility.
CPost 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.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
BEnsure residents have reasonable access to and privacy in their use of communication methods.
February 11, 2020 · 9 citations
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EAssure that each resident’s assessment is updated at least once every 3 months.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure medication error rates are not 5 percent or greater.
DAssess the resident when there is a significant change in condition
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
Questions to ask on a tour of The Estates of St Louis
- Inspectors cited the home at the actual-harm level on July 12, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 4, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $66,640 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 12, 2024 | Fine | $66,640 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near The Estates of St Louis
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.3 mi
Christian Hospital Northeast St LouisEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 37m for patients treated and sent home
-
6.8 mi
Gateway Regional Medical Center Granite CityEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 20m for patients treated and sent home
- 7.1 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Estates of St Louis › All nursing homes in Saint Louis ›
Compare The Estates of St Louis with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Christian Extended Care & Rehabilitation · Saint Louis · 5 stars · 2.2 mi
- Life Care Center of St Louis · Saint Louis · 4 stars · 8.4 mi
- NHC Healthcare, Maryland Heights · Maryland Heights · 4 stars · 8.9 mi
- McKnight Place Extended Care · Saint Louis · 4 stars · 9.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.