Nursing home · St. Louis, MO
The Estates of Spanish Lake
610 Prigge Road, St. Louis, MO 63138 · 150 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jul 17, 2025, when they cited 1 problem from a complaint investigation. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Apr 25, 2025) it had 14 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.30 hours per resident per day here, 33% less than the Missouri average (3.43) and 40% less than the U.S. average (3.86). Registered nurses account for 0.05 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 69% over the past year, 13 points higher than Missouri (56%) and 23 points higher than the U.S. (46%).
How The Estates of Spanish Lake compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.30 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.05 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.00 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 69% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | — | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 14 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 63 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 17, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | 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. Nursing and physician services | F | Deficient, Provider has date of correction |
| Apr 25, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| Apr 25, 2025 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Apr 25, 2025 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of life and care | E | Past Non-Compliance |
| Apr 25, 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 25, 2025 | 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. Resident rights | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | 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. Resident rights | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Oct 10, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Sep 17, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental · complaint | E | Deficient, Provider has date of correction |
| Sep 17, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Sep 17, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Sep 17, 2024 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Jan 25, 2024 | 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. Quality of life and care | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | Honor the resident's right to manage his or her financial affairs. Resident rights | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights | E | Deficient, Provider has date of correction |
| Jan 25, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | F | Deficient, Provider has date of correction |
| Jan 25, 2024 | 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. Nursing and physician services | F | Deficient, Provider has date of correction |
| Jan 25, 2024 | 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. Resident rights | F | Deficient, Provider has date of correction |
| Jan 25, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jan 25, 2024 | Fine | $32,771 |
| Jan 25, 2024 | Payment Denial | 9 days |
Location
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Reviews
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Questions about The Estates of Spanish Lake
Answers computed from CMS data for this facility.
What is The Estates of Spanish Lake's Medicare rating?
Medicare rates The Estates of Spanish Lake 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did The Estates of Spanish Lake do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 17, 2025, when they cited 1 problem from a complaint investigation. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Apr 25, 2025) it had 14 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has The Estates of Spanish Lake been fined?
Yes. CMS reports 1 fine totaling $32,771 in the past three years.
Does The Estates of Spanish Lake accept Medicaid?
The Estates of Spanish Lake is certified for both Medicare and Medicaid. Call (314) 741-9393 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.