Estates Of St Louis, Llc, The
ESTATES OF ST LOUIS, LLC, THE in SAINT LOUIS, MO — inspection on December 19, 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
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
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.
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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.