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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriEstates of Spanish Lake, the

Estates of Spanish Lake, the

610 Prigge Road, Saint Louis, MO 631383147419393
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
5/5
Beds
150
certified
3 fine(s) totaling $82,507

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 150 certified beds with an average of 140.2 residents per day (93% occupancy)

• Last health inspection found 15 deficiencies (inspected Apr 25, 2025)

• Has been fined a total of $82,507 across 3 fine(s)

• Total nursing staff: 2.66 hours per resident per day

• Staff turnover rate: 75.0% (high)

Estates of Spanish Lake, the is a 2-star Medicare and Medicaid certified nursing home in Saint Louis, Missouri with 150 certified beds. It has been operating since 2004. The facility scored below average compared to Missouri facilities.

Beds
150
Avg Residents/Day
140.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 19, 2004
Sprinklers
Yes
Council
Resident
County
St. Louis
Last Inspection
Apr 25, 2025
Deficiencies (Cycle 1)
15
Weighted Score
181.0
Infection Citations
0

Deficiency Citations (69)

F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0623Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0745Potential for Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0741Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Oct 10, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Sep 17, 2024Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Sep 17, 2024Corrected: NoCycle: 2
F0691Potential for Harm

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Survey: Sep 17, 2024Corrected: NoCycle: 2
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Sep 17, 2024Corrected: NoCycle: 2
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0569Potential for Harm

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0575Potential for Harm

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.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0623Potential for Harm

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

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Jan 25, 2024Corrected: NoCycle: 2

+ 39 more deficiencies

Total Fines
$82,507
Number of Fines
3
Payment Denials
2
Total Penalties
5

Penalty History

FineMay 1, 2023
$24,639
FineAug 24, 2023
$25,097
FineJan 25, 2024
$32,771
Payment DenialJan 25, 2024
9 days denied
Payment DenialAug 24, 2023
40 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.15 hrs
National avg: 2.35 hrs
LPN0.46 hrs
National avg: 0.86 hrs
RN0.04 hrs
National avg: 0.68 hrs
Total Nursing2.66 hrs
National avg: 3.89 hrs
Weekend Total2.22 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
75.0%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
ROSENBERG, ZEV5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual60%Sep 10, 2014
GAO, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2019
HAWKINS, KATRINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 4, 2025
ROSENBERG, ZEVOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 10, 2014
SPECTOR, TUVIYAHOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 10, 2014

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Frequently Asked Questions

What is the CMS rating for Estates of Spanish Lake, the?▾
Estates of Spanish Lake, the has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
Has Estates of Spanish Lake, the had any health inspection violations?▾
Estates of Spanish Lake, the had 15 deficiency citations in its most recent health inspection (Apr 25, 2025). The facility has been fined a total of $82,507 across 3 fine(s).
What are the staffing levels at Estates of Spanish Lake, the?▾
Estates of Spanish Lake, the provides 2.66 total nursing staff hours per resident per day, including 0.04 RN hours, 0.46 LPN hours, and 2.15 nurse aide hours. The total staff turnover rate is 75.0%.
How many beds does Estates of Spanish Lake, the have?▾
Estates of Spanish Lake, the has 150 certified beds with an average of 140.2 residents per day, resulting in approximately 93% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Estates of Spanish Lake, the?▾
Yes, there are 35 other nursing homes in Saint Louis, Missouri with an average rating of 2/5. You can compare all facilities on the Saint Louis nursing homes page.