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Complaint Investigation

Estates Of St Louis, Llc, The

Inspection Date: December 19, 2025
Total Violations 1
Facility ID 265712
Location SAINT LOUIS, MO
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Inspection Findings

F-Tag F0567

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0567

Honor the resident's right to manage his or her financial affairs.

Level of Harm - Minimal harm or potential for actual harm

Based on record review and interview, the facility failed to ensure resident funds were placed in an account separate from the facility operating account. The facility did not provide residents with refunds of their personal funds from the operating account in a timely manner for nine residents (Resident #7, #8, #9, #12, #13, #14, #15, #16 and #17). Facility staff failed to provide the Social Security and/or Medicaid monthly allowance in a timely manner, which did not allow the resident/financial guardian the right to manage his/her financial affairs for three residents (Resident #3, #7 and #8) out of a sample of seven. The facility census was 79.1. Record review of the facility-maintained Accounts Receivable Aging Report, dated 12/16/25, showed the following residents with personal funds held in the facility operating account. Resident - Amount Held in Operating Account#7 - $724.75#8 - $1,533.00#9 - $2,096.00#12 - $636.00#13 $1,327.00#14 - $4,241.67#15 - $1,325.85#16 - $3,310.00#17 - $3,871.10Total - $19,065.37 Record review of the facility-maintained paperwork showed the facility did not credit the resident funds held in the operating account until 12/18/25, two days after the department entered the facility for a complaint investigation. During email correspondence dated 12/18/25 at 2:52 P.M., the Accounts Receivable Manager said the credit balances were created due to:- Resident #9 received a backpay in 08/2024;- Resident #7, #8, #12 and #17 received a backpay in 05/2025;- Resident #13 received a backpay in 08/2025;- Resident #16 received a backpay in 07/2025;-Resident #14's guardian paid his/her bill monthly even though there was a credit on the account;- Resident #15 had a surplus adjustment in 05/2025. During email correspondence dated 12/18/25 at 4:29 P.M., the Accounts Receivable Manager said the credits were not done timely. 2. Record review of the facility-maintained Resident Trust Transaction History for the period 01/01/25 through 12/16/25, showed the following residents did not receive the $50 Social Security/Medicaid monthly allowance timely for the following months: Resident - Amount - Month#3 - $0 - 03/2025 $0 04/2025 #7 - $0 - 03/2025 $0 - 04/2025 #8 - $0 - 03/2025 $0 - 04/2025 Record review of the updated facility-maintained Resident Trust Transaction History for the period 01/01/25 through 12/18/25, showed Residents #3, #7 and #8 were not refunded the $50 monthly allowance for 03/2025 and 04/2025 until 12/17/25 and 12/18/25. During email correspondence dated 12/18/25 at 8:38 A.M., the Accounts Receivable Manager said he/she was not sure why there were no deposits and/or Social Security for 03/2025 and 04/2025 for Residents #3, #7 and #8. Complaint MO2689890 *The higher classification merited due to the impact when combined with other deficiencies

Residents Affected - Some

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

ESTATES OF ST LOUIS, LLC, THE in SAINT LOUIS, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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.
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