CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2657122026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Estates Of St Louis, Llc, The

2115 Kappel Drive · Saint Louis, MO 63136 · St. Louis County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds94CMS provider file
Recent citation rows82current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-12-23222024-12-237
Cycle 22023-08-24242023-08-2411
Cycle 32020-02-11142020-02-114
02 / CITATION DETAIL

82 rows in the current release

2 rows carry G–L scope/severity codes; 0 carry J–L. 20 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-04 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2026-04-01 · complaint
2025-12-19 · HEALTHF0567Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-27 · complaint
2025-09-03 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2025-09-29 · complaint
2025-04-17 · HEALTHF0552Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction field: Deficient, Provider has date of correction · 2025-05-07 · complaint
2025-02-07 · HEALTHF0685Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Correction field: Deficient, Provider has date of correction · 2025-02-26 · complaint
2025-02-07 · HEALTHF0790Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

Correction field: Deficient, Provider has date of correction · 2025-02-26 · complaint
2024-12-23 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · FIREE0025Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0575Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0577Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0582Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0585Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-02-03 · complaint
2024-12-23 · HEALTHF0607Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0623Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0625Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0657Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0685Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Correction field: Deficient, Provider has date of correction · 2025-02-26 · complaint
2024-12-23 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-02-03
2024-12-23 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-02-03
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-07-12Fine$66,6400
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ROSENBERG, ZEVIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    60% · since 11/01/2014
  • FLEETWOOD, ELAINEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/03/2025
  • GAO, SHAWNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2019
  • FLEETWOOD, ELAINEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 03/03/2025
  • GAO, SHAWNIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2019

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.49per resident day
RN hours0.15per resident day
Weekend nurse hours1.98per resident day
Staff turnover65.6%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.