The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
ESTATES OF ST LOUIS, LLC, THE
SAINT LOUIS, MO · Medicare-certified · 94 beds
Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall
Estates of St Louis, LLC in Saint Louis, MO has a 1-star overall rating, with 1-star health inspection and staffing scores, though quality measures are 4 stars. It reports nurse staffing below the federal benchmark (2.49 vs 4.1 hours per resident per day), $66,640 in fines in the last 24 months, a recent federal penalty, and recent citations involving abuse prevention, food safety, and infection control.
Facility ratings
Health inspections
Staffing
2.4929 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $66,640recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4929.
Staffing detail
- Registered nurses
- 0.15
- Licensed practical nurses
- 0.43
- Nurse aides
- 1.91
- Weekend nursing
- 1.98
Hours per resident per day.
Total staff turnover: 66%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—30%—
Residents with a fall causing major injury
1.4%1.3%No change
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
5.5%1.3%Improving
Residents who lost too much weight
3.2%5.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%4.1%Worsening
Residents whose ability to walk got worse
2.1%3.9%Worsening
Long-stay residents on antianxiety or sleep medication
17.2%23.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.2%10%Worsening
Residents with depressive symptoms
49.3%36.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $66,640 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $66,640 in total fines.
- $66,640
Federal fine
Jul 12, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 76.3 residents on an average day (81% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.