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Data / Nursing homes / Missouri / Estates of Spanish Lake, the

Estates of Spanish Lake, the, Saint Louis, MO: 1 star rating, fined $32,771 across 1 fine and had 1 payment denial

Estates of Spanish Lake, the in Saint Louis, MO is owned by 2 individuals whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $32,771 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 45 health citations from inspections in that time, the latest survey on July 17, 2025, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Missouri
Address
610 Prigge Road, Saint Louis, MO 63138
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
1 of 5
Certified beds
150
Residents per day
140 on average
Ownership type
For profit, limited liability company
Legal business name
The Estates of Spanish Lake, LLC
Fines
$32,771 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
45, of which 2 with actual harm or immediate jeopardy
Latest survey
July 17, 2025
CMS Certification Number
265776
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 25, 2024Fine$32,771Not listeddata.cms.gov
January 25, 2024Payment denialNot listedFebruary 28, 20249data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2025data.cms.gov
April 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceApril 14, 2025data.cms.gov
April 25, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 25, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
April 25, 2025F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
October 10, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
September 17, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2024data.cms.gov
September 17, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2024data.cms.gov
September 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2024data.cms.gov
September 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2024data.cms.gov
January 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F742Provide 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesE: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F575Post 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F567Honor the resident's right to manage his or her financial affairs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
January 25, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
October 17, 2023F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2023data.cms.gov
October 17, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2023data.cms.gov
October 17, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 22, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (2 owners, 4 managers, 4 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Medallion Healthcare Systems LLCAdditional disclosable partyNot listedSeptember 10, 2014data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.