Missouri › St. Louis County › Saint Louis
Estates of Spanish Lake, The
610 Prigge Road, Saint Louis, MO 63138
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Estates of Spanish Lake, The, in Saint Louis, Missouri, is certified for 150 beds under for-profit, limited liability company ownership.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 66 health deficiencies across the three most recent survey cycles (14, 28, 24 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 44.0 per 100 beds, more than the state median of 32.1.
CMS lists 4 penalties in the period covered: fines totalling $58K and 2 payment denials.
Reported nurse staffing is 2.3 hours per resident per day (0.1 RN), below the Missouri median of 3.4; nursing staff turnover is 68.8%.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 66 | 46 | 31 | 28.7 |
| Citations per 100 beds | 44.0 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.3 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.1 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 68.8% | 60.7% | 56.1% | 45.8% |
| Fines listed | $57,868 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Apr 2025, 25 Jan 2024.
Severity mix: J ×1 K ×1 G ×1 D ×35 E ×23 F ×4 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Aug 2025 |
| 25 Apr 2025 | F0727 | 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. | F | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Complaint investigation | 5 Jun 2025 |
| 25 Apr 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard survey | 14 Apr 2025 |
| 25 Apr 2025 | F0761 | 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. | E | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0584 | 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. | D | Standard survey | 10 Jun 2025 |
| 25 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jun 2025 |
| 25 Apr 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Jun 2025 |
| 25 Apr 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 5 Jun 2025 |
| 25 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 5 Jun 2025 |
| 10 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Nov 2024 |
| 17 Sep 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 9 Oct 2024 |
| 17 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Oct 2024 |
| 17 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 9 Oct 2024 |
| 17 Sep 2024 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 9 Oct 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 8 Mar 2024 |
| 25 Jan 2024 | F0575 | 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. | F | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0727 | 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. | F | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0584 | 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. | E | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0585 | 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. | E | Complaint investigation | 8 Mar 2024 |
| 25 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 8 Mar 2024 |
| 25 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 8 Mar 2024 |
| 25 Jan 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 8 Mar 2024 |
| 17 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Sep 2023 |
| 17 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Nov 2023 |
| 17 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Nov 2023 |
| 24 Aug 2023 | F0584 | 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. | K | Complaint investigation | 21 Sep 2023 |
| 24 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Nov 2023 |
| 24 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Nov 2023 |
| 8 Apr 2021 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0761 | 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. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2021 |
| 8 Apr 2021 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 22 May 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jan 2024 | Payment denial | — | 9 days |
| 25 Jan 2024 | Fine | $32,771 | |
| 24 Aug 2023 | Payment denial | — | 40 days |
| 24 Aug 2023 | Fine | $25,097 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 68.8%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.6% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: The Estates Of Spanish Lake, Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Medallion Healthcare Systems LLC | Adp of the snf | NOT APPLICABLE | 09/10/2014 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Estates of Spanish Lake, The been cited for?
66 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Estates of Spanish Lake, The been fined?
Yes. CMS lists fines totalling $58K in the period covered, plus 2 payment denials.
How does staffing at Estates of Spanish Lake, The compare?
Reported total nurse staffing is 2.3 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Estates of Spanish Lake, The?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Estates of Spanish Lake, The last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jul 2025; the most recent standard health survey was 25 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.