The Estates of St Louis
2115 Kappel Drive, Saint Louis MO 63136 · (314) 867-7474 · 78.72% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
The Estates of St Louis is in Saint Louis, Missouri. This city is one of the most densely populated metropolitan areas in the nation with has a total of 927,396 people. We gave this nursing home an overall grade of B-. A score in this range requires some decent marks. Even in a city of 50 other nursing homes, this facility turns out to be a perfectly acceptable choice. More information on this facility's category grades may be found below. Its best category was long-term care, which is discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 94 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
We gave this nursing home an A+ for our long-term care score. Nursing homes that do well in this category typically provide residents with better supervision and stay on top of routine medical care. On top of considering the amount of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility administered the vaccine to 98.81423 percent of its patients, which is an impressive figure. Pneumonia sadly can be a life or death health condition for nursing home residents so we strongly prefer when a nursing home doesn't roll the dice on this issue. Lastly, we looked at its number of hospitalizations. Here we found that this nursing home had 4.95 hospitalizations per one thousand long-term resident days. Although this admittedly wasn't as favorable as some of its other scores in this area, this figure can be skewed for some nursing homes based on some of the medical complexity of residents.
Facility Inspections
Inspections is another area where this nursing home excelled. We awarded this facility an A- for our inspections rating. This grade is far more impressive than the facility's overall score. Our inspection ratings are tied to many datapoints located in the a nursing home's inspection reports. Places that receive favorable grades in this area typically have few deficiencies on their reports. Most importantly, these places generally do not have any severe deficiencies which are associated with risks to patient safety. While this nursing home had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This tells you that CMS did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Nurse Quality
One of this facility's better category grades was in the area of nursing care. In that area, we gave this facility a grade of C. When determining a nursing home's nursing score, we look at the amount of time nurses spend with patients and the skill levels of the nurses. This facility provided just 2.3 hours of nursing care per resident per day. This is a relatively low total compared to most other facilities. Despite having low quantities of nursing care, this facility actually fared better in some of the quality-based metrics we assessed. It scored well when it comes to avoiding pressure ulcers and major falls. Many consider these areas to be good measures of the quality of nursing care. In some cases, the quality of nursing care is as important as the number of hours of care offered.
Short-term Care Quality
The next area we analyzed is short-term care. Sadly, it received a lowly F in this category, which is a rock bottom grade. This is obviously a major disappointment. In forming our short-term care grades, we look at the facility's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of therapists. Our objective is to create a barometer for sizing up the rehabilitation services of nursing homes. It looks like this place was below average in two of the key staffing areas we assessed. It provided fewer registered nurse and physical therapist hours per patient than most other facilities. The last statistic we looked at in this category is the number of residents who ultimately returned home from the nursing home. This facility struggled quite a bit in this metric as well, with just 24.7 percent of its residents returning home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Estates of St Louis Quality Metrics
Minimizes Pressure Ulcers
This statistic gauges the percentage of long-term stay residents which suffered from new or worsened pressure ulcers. We find that pressure ulcers are a reliable barometer of the quality of nursing care a facility provides.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percent of residents who have had a fall which caused serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percentage of long-term care residents that suffered from urinary tract infections. Although a higher rate infections could reflect poorly on a facility's cleanliness, it can be problematic to compare between facilities due to reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients given antipsychotic medications. While antipsychotic medications may be vital to many residents, it is important to ensure these medications are being used appropriately. In limited situations, high levels of antipsychotic drug use may indicate a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric is an indication of the percent of long-term residents who were given antianxiety medication. These medications are typically given to patients experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term care residents exhibiting symptoms of depression. Some argue that this is a reliable measure of quality of life.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of residents who were given the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of residents that required more assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may indicate erosion of a patient's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of residents who were able to retain mobility over time. Preserving mobility can be a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint is a measure of the number of times residents are hospitalized per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of times residents are rehospitalized per thousand days of short-term care. Keeping residents out of the hospital during rehabilitation is important to restoring the physical well-being of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This tells you the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better