Nursing Home Alerts

Estates of Spanish Lake, the

610 Prigge Road, Saint Louis, MO 63138

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Estates of Spanish Lake, the is a nursing home in Saint Louis, Missouri. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 1 of 5.

  2. CMS update of October 8, 2026

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  4. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  5. CMS update of July 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

    • Staffing

      Total nurse staffing reported to CMS went from 2.8 to 2.4 hours per resident per day.

    • Health citation

      CMS removed citation F0623 from the health inspection on January 25, 2024.

  6. Health inspection on July 17, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on August 20, 2025.

      CMS has cited this home for F0658 3 times since 2021.

    See this home on CMS Care Compare

  7. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  8. Health inspection on April 25, 2025

    14 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 14 citations
    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for F0727 2 times since 2024.

    • Citation F0623. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for F0623 3 times since 2021.

    • Citation F0741. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

      CMS lists it as corrected on June 5, 2025.

    • Citation F0745. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide medically-related social services to help each resident achieve the highest possible quality of life.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for F0761 2 times since 2021.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 5, 2025.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on June 5, 2025.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 10, 2025.

      CMS has cited this home for F0584 2 times since 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for F0609 3 times since 2023.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for F0645 2 times since 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for F0656 2 times since 2021.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on June 5, 2025.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for F0698 2 times since 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on June 5, 2025.

    See this home on CMS Care Compare

  9. Fire safety inspection on April 25, 2025

    11 citations

    CMS lists this as a standard inspection.

    Show the 11 citations
    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for K0353 3 times since 2021.

    • Citation K0372. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on July 1, 2025.

      CMS has cited this home for K0372 2 times since 2021.

    • Citation K0531. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have elevators that firefighters can control in the event of a fire.

      CMS lists it as corrected on June 5, 2025.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for K0918 2 times since 2021.

    • Citation K0161. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on June 5, 2025.

    • Citation K0223. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

      CMS lists it as corrected on September 15, 2025.

    • Citation K0225. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.

      CMS lists it as corrected on June 5, 2025.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on September 15, 2025.

      CMS has cited this home for K0363 2 times since 2024.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on June 5, 2025.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on June 5, 2025.

      CMS has cited this home for K0511 2 times since 2021.

    • Citation K0712. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on June 5, 2025.

    See this home on CMS Care Compare

  10. CMS update of March 26, 2025

    • Fine

      CMS changed the fine from February 9, 2023 from $31,327 to $34,062.

    • Fine

      CMS changed the fine from May 1, 2023 from $22,629 to $24,639.

  11. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Fine

      CMS changed the fine from August 24, 2023 from $24,531 to $25,098.

  12. CMS update of December 20, 2024

    • Fine

      CMS changed the fine from August 24, 2023 from $37,740 to $24,531.

  13. Health inspection on October 10, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on November 22, 2024.

      CMS has cited this home for F0610 3 times since 2023.

    See this home on CMS Care Compare

  14. Health inspection on September 17, 2024

    4 citations

    CMS lists this as a complaint inspection.

    Show the 4 citations
    • Citation F0919. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on October 9, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on October 9, 2024.

      CMS has cited this home for F0684 2 times since 2021.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on October 9, 2024.

      CMS has cited this home for F0686 2 times since 2021.

    • Citation F0691. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

      CMS lists it as corrected on October 9, 2024.

    See this home on CMS Care Compare

  15. CMS update of June 26, 2024

    • Fine

      CMS changed the fine from February 9, 2023 from $30,030 to $31,327.

    • Fine

      CMS changed the fine from May 1, 2023 from $21,801 to $22,629.

  16. CMS update of May 29, 2024

    • Fine

      CMS changed the fine from October 2, 2023 from $13,636 to $13,762.

  17. CMS update of April 25, 2024

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

    • Fine

      CMS changed the fine from August 14, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from August 21, 2023 from $4,545 to $4,587.

  18. CMS update of March 28, 2024

    • Fine

      CMS changed the fine from July 17, 2023 from $13,636 to $13,762.

    • Fine

      CMS changed the fine from August 7, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from August 28, 2023 from $4,545 to $4,587.

  19. CMS update of February 29, 2024

    • Fine

      CMS changed the fine from February 9, 2023 from $46,200 to $30,030.

    • Fine

      CMS changed the fine from May 1, 2023 from $33,540 to $21,801.

  20. February 28, 2024

    Payment stopped

    CMS stopped payment for new admissions from February 28, 2024, for 9 days.

    See this home on CMS Care Compare

  21. CMS update of January 31, 2024

    • Fine

      CMS changed the fine from April 17, 2023 from $13,636 to $13,762.

    • Fine

      CMS changed the fine from May 8, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from May 15, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from May 23, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from May 30, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from June 5, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from June 12, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from June 20, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from June 26, 2023 from $4,545 to $4,587.

  22. Health inspection on January 25, 2024

    22 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    70 of 486 Missouri homes (14%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $32,771 on January 25, 2024.

    Show the 22 citations
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 8, 2024.

      CMS has cited this home for F0689 2 times since 2021.

    • Citation F0600. Severity G: actual harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on March 8, 2024.

      CMS has cited this home for F0600 2 times since 2023.

    • Citation F0575. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0868. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      CMS lists it as corrected on March 8, 2024.

    • Citation F0565. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0567. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to manage his or her financial affairs.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0585. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0607. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0609. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0610. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0645. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on March 8, 2024.

    • Citation F0742. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0569. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0637. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident when there is a significant change in condition

      CMS lists it as corrected on March 8, 2024.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0847. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

      CMS lists it as corrected on March 8, 2024.

    See this home on CMS Care Compare

  23. Fire safety inspection on January 25, 2024

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0324. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on March 8, 2024.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on March 8, 2024.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 8, 2024.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on March 8, 2024.

    See this home on CMS Care Compare

  24. Health inspection on October 17, 2023

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on September 22, 2023.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on November 8, 2023.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on November 8, 2023.

    See this home on CMS Care Compare

  25. Health inspection on April 8, 2021

    18 citations

    CMS lists this as a standard inspection.

    Show the 18 citations
    • Citation F0568. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0570. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Assure the security of all personal funds of residents deposited with the facility.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0688. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0700. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0909. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0679. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on May 22, 2021.

    • Citation F0623. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on May 22, 2021.

    See this home on CMS Care Compare

  26. Fire safety inspection on April 8, 2021

    12 citations

    CMS lists this as a standard inspection.

    Show the 12 citations
    • Citation E0030. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: List the names and contact information of those in the facility.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0511. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on October 8, 2021.

    • Citation K0211. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0325. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed hallway dispensers for alcohol-based hand rub.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on October 8, 2021.

    • Citation K0355. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on May 22, 2021.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on October 8, 2021.

    • Citation K0741. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on May 22, 2021.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(314) 741-9393
Last standard health inspection
April 25, 2025 (1 year ago)
Certified beds
150
Residents per day, on average
140.5
Ownership type
For profit - Limited Liability company
Legal business name
The Estates of Spanish Lake, LLC
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the Missouri average (63 vs 36).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Show 1 more
  • SPECTOR, TUVIYAHOperational/managerial control · not applicable · since 09/10/2014

Questions

When was Estates of Spanish Lake, the last inspected?

CMS lists April 25, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Estates of Spanish Lake, the have?

CMS lists 63 health citations since April 8, 2021. CMS also calls these deficiencies.

Has Estates of Spanish Lake, the been fined?

CMS lists 1 fine in the past three years, $32,771 in total.

What is the CMS star rating of Estates of Spanish Lake, the?

Its CMS overall star rating is 1 of 5.

Is Estates of Spanish Lake, the a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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