Nursing Home Penalty Ledger › Homes › MO

Estates of St Louis, Llc, the

Saint Louis, MO · CMS certification number 265712

CMS's current file shows 1 penalty for this home. Its archive of past editions holds 20, back to 2020, including 19 fines totalling $71,007 that the current file no longer shows.

16 fines changed amount while CMS listed them. Each row shows the amount as first and as last published; sources quoting only one of them will disagree with each other.

Every penalty in CMS's archive

Star ratings over time

Overall rating in CMS's files: 4 in 2019-01, 1 now. Lowest 1, highest 4, across 14 changes.

Care Compare shows only today's rating. These are the ratings every monthly edition since January 2019 carried, one row per stretch of the same overall rating; a component that moved within a stretch is shown as a range. A rating moves when the home changes and also when CMS recalculates, and nothing here says why a rating changed. In most editions about 5% of rated homes change overall rating; in CMS's quarterly refreshes 24–28% do, so a change landing in one of those is common.

What this is, and what it is not

CMS publishes nursing-home penalties as a rolling three-year window. When a penalty turns three it leaves the current file, and Care Compare and the tools built on it stop showing it. CMS keeps monthly archive copies of the whole dataset, and this page is built from every one of them since January 2019. Each date under Listed by CMS links to the archived edition that listed the penalty, so any row can be checked against CMS's own file.

A penalty that is no longer shown was, in almost every case, not withdrawn: it aged out. One that left early is marked, and the file does not say why; appeals, settlements and corrections are all possible. Amounts are as CMS published them. Payment denials are counted in days, not dollars. This page states records; it is not legal advice and makes no finding about the care this home provides.

Built from CMS's archive through the 2026-08-26 edition by tools/facility_pages.py in cms-penalty-ledger. Data: Centers for Medicare & Medicaid Services, Provider Data Catalog, public domain.