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
1 of 5 overall
ESTATES OF ST LOUIS, LLC, THE (Saint Louis, MO) has a 1-star overall rating, with 1-star health inspection and staffing ratings, despite a 4-star quality measures rating. It reports 2.44 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $66,640 in fines over the last 24 months, and a recent federal penalty; recent citations included abuse/neglect protection, food safety, and infection control.
Facility ratings
Health inspections
Staffing
2.4386 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 2.4386.
Staffing detail
- Registered nurses
- 0.14
- Licensed practical nurses
- 0.39
- Nurse aides
- 1.91
- Weekend nursing
- 2.06
Hours per resident per day.
Total staff turnover: 62%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30.5%Steady
Residents with a fall causing major injury
1.3%Worsening
Residents with pressure ulcers (bedsores)
4.6%Improving
Residents with a urinary tract infection
2.6%Worsening
Residents who lost too much weight
2.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3%Worsening
Residents whose ability to walk got worse
5.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
18%Worsening
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
10.4%Worsening
Residents with depressive symptoms
46.2%Improving
Long-stay residents given the seasonal flu vaccine
97.5%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
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.
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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
- 79.8 residents on an average day (85% 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.