Nursing homeFAID #7304
The Estates of St Louis
2115 KAPPEL DRIVE, SAINT LOUIS, MO, 63136
(314) 867-7474
94 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
94
State license
053780
CMS facility ID
265712
Care type
Nursing home
Facility name
The Estates of St Louis
Street address
2115 KAPPEL DRIVE
City / state / ZIP
Saint Louis, MO 63136
Phone
(314) 867-7474
State license #
053780
About this facility — The Estates of St Louis
The Estates of St Louis is a Medicare/Medicaid-certified skilled nursing facility in Saint Louis, Missouri. It is licensed for 94 beds — close to the median for skilled nursing facilities in Missouri (97 beds).
It is one of 156 senior care facilities in Saint Louis and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited The Estates of St Louis 82 times across 16 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $66,640 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
The Estates of St Louis, Llc
Ownership type
For profit - Limited Liability company
Administrator
Amber Drake
Registered owners & officers
Rosenberg, Zev
Direct owner — 60% stake — since 2014
Fleetwood, Elaine
Operational control · Additional disclosable party — since 2025
Gao, Shawn
Operational control · Additional disclosable party — since 2019
Regulatory standing
Licensed / certified since
2001-01-12
License expires
2028-06-30
CMS overall rating
1 of 5 stars
Health deficiencies
22 at the last standard inspection
Federal fines
$66,640 total
Last standard inspection
2024-12-23
Nurse staffing
2.5 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$211 per day (≈ $6,410/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
92% Medicaid · 2% Medicare · 6% private/other
Occupancy
86% (fiscal year 2023)
Vs. state median
18% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
94
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-04Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-01
2025-12-19Health inspectionComplaint-triggered1 citation
F-0567
E · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2026-01-27
13 earlier / fire-safety inspections (80 citations)
2025-09-03Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-29
2025-04-17Health inspectionComplaint-triggered1 citation
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-07
2025-02-07Health inspectionComplaint-triggered2 citations
F-0685
D · No harm foundFrom a complaint
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-02-26
F-0790
D · No harm foundFrom a complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-02-26
2024-12-23Health inspectionComplaint-triggered19 citations
F-0575
C · No harm found
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.
Corrected 2025-02-03
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-02-03
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-02-03
F-0585
D · No harm foundFrom a complaint
Honor 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.
Corrected 2025-02-03
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-03
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-03
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-02-03
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-02-03
F-0625
E · No harm found
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.
Corrected 2025-02-03
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-02-03
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-03
F-0685
D · No harm foundFrom a complaint
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-02-26
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-03
F-0761
D · No harm found
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.
Corrected 2025-02-03
F-0790
D · No harm foundFrom a complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-02-26
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-03
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-03
F-0925
F · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-02-03
2024-07-12Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-22
F-0744
D · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-07-22
2024-05-31Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-03
2024-04-03Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-08
2024-02-26Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-10
2023-08-24Health inspection21 citations
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-10-06
F-0568
E · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-10-06
F-0569
D · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-10-06
F-0570
C · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-10-06
F-0575
C · No harm found
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.
Corrected 2023-10-06
F-0576
B · No harm found
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-10-06
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-10-06
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2023-10-06
F-0584
E · No harm found
Honor 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.
Corrected 2023-10-06
F-0585
E · No harm found
Honor 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.
Corrected 2023-10-06
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-10-06
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-06
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-06
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-06
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-06
F-0727
E · No harm found
Have 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.
Corrected 2023-10-06
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-06
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-10-06
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-06
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-10-06
F-0925
F · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-10-06
2020-02-11Health inspection9 citations
F-0568
E · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2020-03-25
F-0569
E · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2020-03-25
F-0636
E · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2020-03-25
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2020-03-25
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2020-03-25
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2020-03-25
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-25
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-03-25
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-03-25
2024-12-23Fire-safety inspection7 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-02-03
E-0025
F · No harm found
Create arrangements with other facilities to receive patients.
Corrected 2025-02-03
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-02-03
K-0222
E · No harm found
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.
Corrected 2025-02-03
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-02-03
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-03
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-03
2023-08-24Fire-safety inspection11 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-06
K-0222
E · No harm found
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.
Corrected 2023-10-06
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-10-06
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2023-10-06
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-06
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-10-06
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-06
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-10-06
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-06
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-06
2020-02-11Fire-safety inspection4 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-03-25
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-25
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2020-03-25
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-03-25
Federal penalties
2024-07-12Fine$66,640
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265712.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 82 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered