The Estates of Spanish Lake

610 Prigge Road, Saint Louis, MO 63138 · (314) 741-9393
For profit - Limited Liability company · 150 certified beds

The Estates of Spanish Lake has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 14 citations (the Missouri average is 11.4). It was fined 1 time in the last three years, $32,771 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 25, 2025 found 14 citations. What an inspection citation means

• 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.April 25, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.April 25, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.April 25, 2025 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide medically-related social services to help each resident achieve the highest possible quality of life.April 25, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 25, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 25, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.April 25, 2025 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 25, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 25, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesApril 25, 2025 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 25, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.April 25, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.April 25, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 25, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 17 citations.

• Ensure services provided by the nursing facility meet professional standards of quality.July 17, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 25, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.April 25, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.April 25, 2025 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 25, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.October 10, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 17, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.September 17, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.September 17, 2024 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.September 17, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 25, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 25, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 25, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.January 25, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 17, 2023 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 17, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.October 17, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $32,771January 25, 2024
• Medicare payment denial for 9 daysStarting February 28, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home