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Medicare-certifiedSkilled Nursing

Estates of Spanish Lake, the

Saint Louis, MissouriMedicare inspection record
(314) 741-9393

About Estates of Spanish Lake, the

The Estates of Spanish Lake brings together skilled nursing and rehabilitation services in Saint Louis, Missouri, with a focus on personalized recovery and comfort. Our experienced team supports patients through every stage of healing, combining medical expertise with compassionate care to help you regain independence and return home.

Community at a glance

Capacity

150 residents

Location

Saint Louis, MO

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

610 PRIGGE ROAD, Saint Louis, Missouri 63138

(314) 741-9393

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on April 25, 2025, state inspectors cited 14 health deficiencies (the Missouri average is 11.4).

Nurses and nurse aides spend 2 hours 18 minutes with each resident a day, below the Missouri average of 3 hours 26 minutes.

Medicare fined Estates of Spanish Lake, the once in the last three years, $32,771 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 18 minutesBelow the Missouri average
Registered nurse time per resident, per day3 minutesBelow the Missouri average
Nursing staff who left in the past year69%Above the Missouri average

2 administrators have left the home in the past year.

Inspections

42 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 17, 2025 · Complaint investigation · 1 citation

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 20, 2025

April 25, 2025 · Standard inspection · 14 citations

  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jun 5, 2025
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareAlready fixed by Apr 14, 2025
  • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 5, 2025
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 5, 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 5, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 5, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 5, 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 5, 2025
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 5, 2025
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 5, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 5, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 5, 2025
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 5, 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 10, 2025
October 10, 2024 · Complaint investigation · 1 citation+
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 22, 2024
September 17, 2024 · Complaint investigation · 4 citations+
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Oct 9, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 9, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 9, 2024
  • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 9, 2024
January 25, 2024 · Standard inspection · 22 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Mar 8, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 8, 2024
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Mar 8, 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Mar 8, 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.

    Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Mar 8, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 8, 2024
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 8, 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 8, 2024
  • Honor the resident's right to manage his or her financial affairs.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 8, 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.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 8, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 8, 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 8, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 8, 2024
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 8, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 8, 2024
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 8, 2024
  • Assess the resident when there is a significant change in condition

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 8, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 8, 2024
  • Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Mar 8, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 8, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 8, 2024
  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 8, 2024

Fines and payment denials

1 fine totaling $32,771 and 1 Medicare payment denial in the last three years.

  • January 25, 2024Payment denial, 9 days
  • January 25, 2024Fine: $32,771

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
The Estates of Spanish Lake, LLC
Medicare-certified beds
150
Average residents per day
140
Accepts
Medicare and Medicaid
First certified
March 19, 2004
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265776

Location

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610 PRIGGE ROADSaint Louis, MO 63138

12 other communities within 10 miles

Senior living near Saint Louis

Questions about Estates of Spanish Lake, the

How did Estates of Spanish Lake, the do on its last inspection?+

State inspectors visited on April 25, 2025 and cited 14 health deficiencies, 4 of them from complaint investigations. The Missouri average is 11.4.

How much nursing care does each resident get at Estates of Spanish Lake, the?+

Nurses and aides spend 2 hours 18 minutes with each resident per day, including 3 minutes from registered nurses. 69% of nursing staff left over the past year.

Has Estates of Spanish Lake, the been fined by Medicare?+

Yes. Medicare fined Estates of Spanish Lake, the once in the last three years, totaling $32,771.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Saint Louis Skilled Nursing in Missouri Skilled Nursing guide Information last updated October 2026