CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Estates of St Louis, Llc, the is a 1-star Medicare and Medicaid certified nursing home in Saint Louis, Missouri with 94 certified beds. It has been operating since 2001. Its overall CMS rating is 1 out of 5.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure services provided by the nursing facility meet professional standards of quality.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Ensure that residents are fully informed and understand their health status, care and treatments.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
+ 30 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ROSENBERG, ZEV | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 60% | Nov 1, 2014 |
| FLEETWOOD, ELAINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 3, 2025 |
| GAO, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2019 |
| FLEETWOOD, ELAINE | ADP OF THE SNF | Individual | N/A | Mar 3, 2025 |
| GAO, SHAWN | ADP OF THE SNF | Individual | N/A | May 1, 2019 |
Compare CMS ratings and recorded fines for Estates of St Louis, Llc, the and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.