Complaint Investigation

Estates Of St Louis, Llc, The

September 3, 2025 · Saint Louis, MO · 2115 Kappel Drive

Citations 1

CMS Rating 1/5

Beds 94

Provider ID 265712

Healthcare Facility

Estates Of St Louis, Llc, The

Saint Louis, MO · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

ESTATES OF ST LOUIS, LLC, THE in SAINT LOUIS, MO — inspection on September 3, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0658

Resident Assessment and Care Planning Deficiencies

drawn per ARNP and physician orders or that the referral notes for the resident, showed the facility

to check blood levels for hepatitis C. He/She said after an ARNP or Physician completed their visit

Physicians might enter the orders themselves.

The facility did not have a standard procedure for this because every ARNP and physician was different.

The DON said she was not sure how the previous DON and ADON reviewed ARNP and Physician notes.

However, she ran a 24 hour report every morning and it listed all orders and notes that were entered into the electronic medical records.

She reviewed this report to follow up and confirm orders were completed.

The DON said it was the responsibility of the nursing staff to review ARNP and Physician notes in the system.

She was unaware a nurse staff member did not review progress notes, care plans, and was never responsible for ordering labs after an ARNP or Physician rounded.

The DON said all nursing staff should review progress notes, care plans and orders daily for the residents they were responsible for and was not sure how the previous administration ordered labs.

The DON was also not aware of the new guidance from CDC in July 2023 recommending complete, automatic HCV RNA testing on all HCV antibody reactive samples to minimize patient visits and increase the number of patients diagnosed and treated. 2571771

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAINT LOUIS, MO, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ESTATES OF ST LOUIS, LLC, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.