Nursing Homes · Saint Louis, MO
Nursing Homes · Medicare certified
Estates of Spanish Lake, The
610 Prigge Road · Saint Louis, MO 63138 · 150 certified beds
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About Estates of Spanish Lake, The
Estates of Spanish Lake, The is a nursing home in Saint Louis, Missouri. Its capacity is 150 beds, above the St. Louis County median of 120 for nursing homes. It is run by a for-profit operator and is part of Medallion Healthcare Systems LLC. It is Medicare certified. Its public inspection record shows 66 citations, the most recent on July 17, 2025. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 2.35 hours per resident per day. It is one of 39 nursing homes listed in Saint Louis. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (66)
Records from April 2021 to July 2025.
July 17, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 20, 2025.
April 25, 2025
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 14, 2025.
April 25, 2025
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
April 25, 2025
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
April 25, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
October 10, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
September 17, 2024
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 9, 2024.
September 17, 2024
Tag F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 9, 2024.
September 17, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 9, 2024.
September 17, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 9, 2024.
Penalties (4)
Total fines: $57,868
January 25, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting February 28, 2024, lasting 9 days (triggered by inspection on January 25, 2024).
January 25, 2024 · Fine
CMS recorded a civil money penalty of $32,771 against this nursing home on January 25, 2024.
August 24, 2023 · Fine
CMS recorded a civil money penalty of $25,097 against this nursing home on August 24, 2023.
August 24, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting September 29, 2023, lasting 40 days (triggered by inspection on August 24, 2023).
Staffing
2.35 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
- Parent company: Medallion Healthcare Systems LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Saint Louis.
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Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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