The Estates of Spanish Lake

Nursing home in Saint Louis, MO

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address: 610 Prigge Road, Saint Louis, MO 63138
Phone: (314) 741-9393
Listed under: For-profit
Medicare CCN: 265776
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 150
Average residents per day: 140
Ownership: For-profit, limited Liability company
Legal business name: The Estates of Spanish Lake, LLC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Mar 19, 2004
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 265776. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 25, 2025. CMS lists 66 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 8, 2021 to Jul 17, 2025): 20 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

Inspection	Citation	Severity
Jul 17, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
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… Resident Rights	D Potential for more than minimal harm, isolated
Apr 25, 2025	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights	D Potential for more than minimal harm, isolated
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 Potential for more than minimal harm, isolated
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 inspection	D Potential for more than minimal harm, isolated
Apr 25, 2025	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
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 Potential for more than minimal harm, isolated
Apr 25, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Apr 25, 2025	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care	D Potential for more than minimal harm, isolated
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 inspection	D Potential for more than minimal harm, isolated
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 Potential for more than minimal harm, pattern
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 inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 66. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $57,868 and 2 denials of Medicare payment for new admissions in the last three years.

Jan 25, 2024	Fine: $32,771
Jan 25, 2024	Payment denial for 9 days from Feb 28, 2024
Aug 24, 2023	Fine: $25,097
Aug 24, 2023	Payment denial for 40 days from Sep 29, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 2.30 hours
Registered nurse (RN) time per resident per day: 0.05 hours
Nurse aide time per resident per day: 1.81 hours
Total nurse staffing on weekends: 2.00 hours
Nursing staff turnover (yearly): 69%
Administrators who left in the past year: 2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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