CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Estates of Spanish Lake, the is a 1-star Medicare and Medicaid certified nursing home in Saint Louis, Missouri with 150 certified beds. It has been operating since 2004. Its overall CMS rating is 1 out of 5.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
+ 36 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ROSENBERG, ZEV | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 60% | Sep 10, 2014 |
| SPECTOR, TUVIYAH | DIRECT OWNERSHIP INTEREST | Individual | N/A | Sep 10, 2014 |
| GAO, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2019 |
| HAWKINS, KATRINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 4, 2025 |
| ROSENBERG, ZEV | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 10, 2014 |
| SPECTOR, TUVIYAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 10, 2014 |
| MEDALLION HEALTHCARE SYSTEMS LLC | ADP OF THE SNF | Organization | N/A | Sep 10, 2014 |
| GAO, SHAWN | ADP OF THE SNF | Individual | N/A | May 1, 2019 |
| HAWKINS, KATRINA | ADP OF THE SNF | Individual | N/A | Feb 4, 2025 |
| ROSENBERG, ZEV | ADP OF THE SNF | Individual | N/A | Sep 10, 2014 |
| SPECTOR, TUVIYAH | ADP OF THE SNF | Individual | N/A | Sep 10, 2014 |
Compare CMS ratings and recorded fines for Estates of Spanish Lake, the and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.