Estates of Spanish Lake, the

Nursing Home · Saint Louis, MO

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number265776

Contact & location

610 Prigge Road
Saint Louis, MO 63138
St. Louis County
Phone
(314) 741-9393
ZIP code
63138 – all care providers

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Facility details

Certified beds
150
Residents per day
140.3 (94% occupied)
Ownership
For profit - Limited Liability company
Legal name
The Estates of Spanish Lake, LLC
Medicare certified since
March 19, 2004
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 4/5
State avg 2.7
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.30 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.05 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.44 (state 0.68 · U.S. 0.86)
Nurse aides
1.81 (state 2.29 · U.S. 2.32)
Weekend total
2.00 (state 3.02 · U.S. 3.42)
Nursing staff turnover
68.8 (state 56.0 · U.S. 45.8)%
RN turnover
—
Administrators who left
2 in the last year

Inspections

Last standard inspection
April 25, 2025
Health deficiencies (last cycle)
14.0 (state 11.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
65 health · 15 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-07-17 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-20
2025-04-25 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.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-04-25 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-25 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2025-04-25 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-05
2024-10-10 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-09-17 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-09
2024-09-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-09
2024-09-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-09
2024-09-17 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-09
2024-01-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-03-08
2024-01-25 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-03-08
2024-01-25 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.
F0575 · Resident Rights Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 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.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 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.
F0742 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-01-25 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2023-10-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-22
2023-10-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-08
2023-10-17 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-08
2023-08-24 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2023-09-21
2023-08-24 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-08
2023-08-24 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-08
2021-04-08 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-05-22
2021-04-08 Assure the security of all personal funds of residents deposited with the facility.
F0570 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-05-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $57,868 in fines.

DateTypeAmount
2024-01-25Payment Denial9 days payment denial
2024-01-25Fine$32,771
2023-08-24Payment Denial40 days payment denial
2023-08-24Fine$25,097

Ownership & management

NameRoleSince
Rosenberg, Zev (individual)5%+ Direct Ownership Interest · 60%
Gao, Shawn (individual)Administrator · NOT APPLICABLE
Hawkins, Katrina (individual)Administrator · NOT APPLICABLE
Medallion Healthcare Systems LLC (organization)Administrator · NOT APPLICABLE
Rosenberg, Zev (individual)Administrator · NOT APPLICABLE
Spector, Tuviyah (individual)Administrator · NOT APPLICABLE
Spector, Tuviyah (individual)Direct Ownership Interest · NOT APPLICABLE
Gao, Shawn (individual)Operational/managerial Control · NOT APPLICABLE
Hawkins, Katrina (individual)Operational/managerial Control · NOT APPLICABLE
Rosenberg, Zev (individual)Operational/managerial Control · NOT APPLICABLE
Spector, Tuviyah (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

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

Estates of Spanish Lake, the has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Estates of Spanish Lake, the have?

It has 150 certified beds and cares for about 140 residents per day.

Has Estates of Spanish Lake, the been fined?

Yes. CMS lists 4 penalties totaling $57,868 in the last three years.

What is the phone number of Estates of Spanish Lake, the?

(314) 741-9393. The facility is located at 610 Prigge Road, Saint Louis, MO 63138.

Other nursing homes in Saint Louis

Compare all nursing homes in Saint Louis, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.