Estates of Spanish Lake, the
610 Prigge Road · Saint Louis, MO · 63138 · 3147419393
150 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.09 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.40 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.09 | 0.55–0.75 |
| Weekend hours / resident-day | 2.02 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | 2 · $57,868 |
Inspection citations (66 in the current record)
-
Potential for harm · D July 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 20, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 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.
Corrected June 5, 2025 · Resident Rights
-
Potential for harm · D April 25, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 5, 2025 · Resident Rights
-
Potential for harm · D April 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.
Corrected June 10, 2025 · Resident Rights
-
Potential for harm · E April 25, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 5, 2025 · Resident Rights
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Potential for harm · D April 25, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 5, 2025 · Quality of Life and Care
-
Potential for harm · F April 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.
Corrected June 5, 2025 · Nursing and Physician Services
-
Potential for harm · E April 25, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 14, 2025 · Quality of Life and Care
-
Potential for harm · E April 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.
Corrected June 5, 2025 · Pharmacy Service
-
Potential for harm · D April 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 25, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 5, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E April 25, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D April 25, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 10, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 9, 2024 · Quality of Life and Care
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Potential for harm · D September 17, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 9, 2024 · Quality of Life and Care
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Potential for harm · D September 17, 2024 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected October 9, 2024 · Quality of Life and Care
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Potential for harm · E September 17, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 9, 2024 · Environmental
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Immediate jeopardy · J January 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2024 · Quality of Life and Care
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Actual harm · G January 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 25, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 8, 2024 · Resident Rights
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Potential for harm · E January 25, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 8, 2024 · Resident Rights
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Potential for harm · E January 25, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected March 8, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 25, 2024 | Fine | $32,771 |
| January 25, 2024 | Payment Denial | 9 days |
| August 24, 2023 | Fine | $25,097 |
| August 24, 2023 | Payment Denial | 40 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265776 · certified since March 19, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.