Vanessa Tolbert
May 2026
This place is horrible Smells bad Look bad Needs to be shut Down God please in the name of Jesus help this place cover and heal everyone in the building Amen!
The Estates of St. Louis Nursing and Rehabilitation Facility
2115 Kappel Drive2.3(18 ratings)· Saint Louis average: 3.8
1 / 2Quick Facts
- Total units
- 94
- Medicare rating
- 1 of 5
- Ownership
- For profit, Limited Liability company
- Certified beds
- 94
- Inspections
- View history (82 citations)
- Facility layout
- Includes a locked unit for certain residents
CMS Care Compare
What Families Think
Reviewers describe The Estates of St. Louis as struggling badly with cleanliness, staffing, and basic care quality, giving it a 2.3 out of 5 rating from 18 Google reviews. Multiple reports cite rodent infestations, unsanitary conditions, and instances of apparent neglect, though a few reviewers noted that some individual staff members were caring despite the environment.
The Good
- A few individual staff members described as caring and dedicated
- Cleaning staff made efforts to mop despite ongoing infestation issues
The Bad
- Multiple reports of rodent/mouse infestations throughout the facility
- Reviewers describe neglect, unsanitary rooms, and unclean linens
- Reports of high staff turnover and unresponsive phone lines at night
- Concerns raised about management practices and lack of accountability
AI-generated from reviews and community data.
The Estates of St. Louis Nursing and Rehabilitation Facility is a senior living community in Saint Louis, Missouri offering Skilled Nursing / Long Term Care. Amenities include Emergency Call System, Wheelchair Accessible and 24-Hour Staff. Families rate it 2.3 out of 5 across 18 reviews.
About The Estates of St. Louis Nursing and Rehabilitation Facility
The Estates of St. Louis Nursing and Rehabilitation Facility is a skilled nursing / long term care community in Saint Louis, Missouri. The community is licensed for up to 94 residents.
Families rate The Estates of St. Louis Nursing and Rehabilitation Facility 2.3 out of 5 based on 18 Google reviews.
Contact the community directly to ask about availability, pricing, and tours, or browse the photos and reviews here to see if it could be the right fit for your family.
Types of Care at The Estates of St. Louis Nursing and Rehabilitation Facility
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Wheelchair Accessible
Community Amenities
- 24-Hour Staff
- Medication Management
- On-Site Nurse (RN)
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Help Me ChooseReviews of The Estates of St. Louis Nursing and Rehabilitation Facility
2.3overall · 18 ratings combined
2.3★ on Google (18)
Danielle Wilkinson-Hawkins
May 2026
RUN FAR FROM HERE! I feel terrible for the residents placed in this facility, and I also feel for many of the employees who have to work under these conditions because some of them truly cared and did their best. My mother stayed here for five months because other facilities in our area would not or could not accept her unless we could pay a significant amount privately or wait 8months plus to get her in. She walked into this place able to function physically and eventually became bedridden, seemingly neglected, and passed away two weeks after being hospitalized with rhinovirus. The facility constantly had issues with mice. We regularly found droppings in drawers, and the mice would chew through snacks we brought her, even when they were sealed in bags. Many of her sodas and snacks would end up gone within just a couple days too even though only the staff had access to them. While the cleaning staff often mopped and tried to maintain the building, it did not solve the infestation problem. Her mattress was also extremely unsanitary and her wheel chair pad would be soaked in urine and never cleaned. So we signed her up for Hospice for their benefits of a new bed mattress, a new wheel chair, and a bath aid / visiting nurse to help while I tried tirelessly to get her transferred but the paperwork NEVER updated to help get her moved and we were denied consistently. There were a few wonderful staff members that I truly loved, but the turnover rate was unbelievably high. It takes truly compassionate people to continue working there under those conditions with these type of people housed. One of the most traumatic experiences was finding my mother choking in her bed, vomit down her face, sweating, and struggling to breathe or speak. A new nurse on staff that evening assumed her hospice status meant comfort care only (THIS WAS FAR FROM COMFORT) and left her in this condition from around 3:00 p.m. until I arrived at 5:30 p.m. When I questioned it, I was argued with despite the fact that her hospice care was strictly for benefits and did not mean she should be denied treatment. The EMT later told me situations like this happen there frequently and that social services is often involved. I was even told that once facilities receive too many complaints or reports, they sometimes change names to avoid scrutiny. Beyond that, the toilet in her room barely functioned, constantly filling up and not flushing anything down and the bathroom floors were unsafe when she first arrived as pictured. She also developed a skin rash during her stay that required treatment and would get urinary infections often. Don’t even let me tell you how long she, and other residents, drank out of the same water cup without it ever being cleaned! Residents are supposedly entitled to monthly funds and transportation for outings or store trips, yet I never once saw residents taken anywhere besides outside for smoke breaks. The building itself was slowly being renovated, and they did decorate nicely for holidays, but minor cosmetic improvements cannot make up for the serious issues happening inside. Security also felt lacking, as it seemed almost anyone could enter the facility despite locked entrances. Calling at night was nearly impossible because no one would answer the phone and if I did get an answer I’d be placed on hold and forgotten. The day time was the best time to get an answer/transfer. If you have any possible way to place your loved one somewhere else, I strongly encourage you to do so. No one deserves to live or work in conditions like these. And the nagging hurt that I’m left with that this was our only option at the end of my mother’s life was here, is utterly difficult to carry.
Glittergalore
Jul 2025
This place needs new management. The residents dont have the supplies they need to do hygiene and personal care . Activities hardley do activities with the residents. Each resident comes in with clothes , and end up somebody else clothes on or with none at all. Laundry don't have a clue how to do their jobs. The food is horrible, the hospitality is horrible. Residents can't watch tv in their rooms because they have no outlets. The lock down unit is full of scabies, because the workers dont wash their hands or use gloves between helping each resident . There is no place for visitors to go to visit with family. Floors are dirty, mice run around all night throughout the facility.
Alyssa Ciaccio
Jan 2025
This place is filthy ! Literally I can name plenty of reasons why toilets full of doodoo the residents beds have bleach stains covering them ! Place infested with rats ! Stinks all through out the facility they don’t fix anything unless state is in the building I’m finna expose this place those residents get abused & neglected every day !
Shannon Gerlemann
Aug 2024
Do not recommend! If you only knew how upper management handles their business matters, you would be appalled. Stay far away from this nursing home with your loved ones; find another place you can trust!
Government Inspection History
12 inspection visits in the last three years, 82 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Mar 4, 2026Health Complaint1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 1, 2026
Dec 19, 2025Health Complaint1 citation
Honor the resident's right to manage his or her financial affairs.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 27, 2026
Sep 3, 2025Health Complaint1 citation
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 29, 2025
Apr 17, 2025Health Complaint1 citation
Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 7, 2025
Feb 7, 2025Health Complaint2 citations
Assist a resident in gaining access to vision and hearing services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2025
Provide routine and 24-hour emergency dental care for each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2025
Dec 23, 2024Fire Safety StandardHealth ComplaintHealth Standard26 citations
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 3, 2025
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 3, 2025
Develop and maintain an Emergency Preparedness Program (EP).
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 3, 2025
Create arrangements with other facilities to receive patients.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 3, 2025
Provide and implement an infection prevention and control program.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 3, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Feb 3, 2025
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 3, 2025
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2025
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 3, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2025
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2025
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2025
Assist a resident in gaining access to vision and hearing services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2025
Provide routine and 24-hour emergency dental care for each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2025
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.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 3, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 3, 2025
Jul 12, 2024Health Complaint2 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jul 22, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 22, 2024
May 31, 2024Health Complaint1 citation
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 3, 2024
Apr 3, 2024Health Complaint1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 8, 2024
Feb 26, 2024Health Complaint1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Feb 10, 2024
Aug 24, 2023Fire Safety StandardHealth Standard32 citations
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023
Install emergency lighting that can last at least 1 1/2 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Have exits that are accessible at all times.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Honor the resident's right to manage his or her financial affairs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023
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.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 6, 2023
Assure the security of all personal funds of residents deposited with the facility.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 6, 2023
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 6, 2023
Ensure residents have reasonable access to and privacy in their use of communication methods.
Severity B of L: potential for minimal harm, patternCorrected Oct 6, 2023
Feb 11, 2020Fire Safety StandardHealth Standard13 citations
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 25, 2020
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 25, 2020
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 25, 2020
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 25, 2020
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2020
Assure that each resident’s assessment is updated at least once every 3 months.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2020
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2020
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2020
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2020
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2020
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2020
Assess the resident when there is a significant change in condition
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2020
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does The Estates of St. Louis Nursing and Rehabilitation Facility offer?
The Estates of St. Louis Nursing and Rehabilitation Facility offers Skilled Nursing / Long Term Care.
Where is The Estates of St. Louis Nursing and Rehabilitation Facility located?
The Estates of St. Louis Nursing and Rehabilitation Facility is located at 2115 Kappel Drive in Saint Louis, Missouri.
What do families say about The Estates of St. Louis Nursing and Rehabilitation Facility?
Reviewers describe The Estates of St. Louis as struggling badly with cleanliness, staffing, and basic care quality, giving it a 2.3 out of 5 rating from 18 Google reviews. Multiple reports cite rodent infestations, unsanitary conditions, and instances of apparent neglect, though a few reviewers noted that some individual staff members were caring despite the environment.
How did The Estates of St. Louis Nursing and Rehabilitation Facility do on recent health and safety inspections?
The Estates of St. Louis Nursing and Rehabilitation Facility had 12 government inspection visits in the last three years, with 82 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit The Estates of St. Louis Nursing and Rehabilitation Facility?
Submit the Request Information form on this page to connect with The Estates of St. Louis Nursing and Rehabilitation Facility and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at The Estates of St. Louis Nursing and Rehabilitation Facility? Claim this listing to update photos, pricing, and details. It's free.
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