Estates of Spanish Lake, The

Inspection history (66)

Records from April 2021 to July 2025.

• January 25, 2024 · E

  Citation F0645

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0645 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0569

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0569 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · E

  Citation F0607

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · E

  Citation F0609

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · J

  Citation F0689

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · E

  Citation F0742

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0742 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · F

  Citation F0868

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · E

  Citation F0610

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0610 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · F

  Citation F0727

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0847

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0847 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · G

  Citation F0600

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · E

  Citation F0567

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0567 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to manage his or her financial affairs. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · F

  Citation F0575

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0575 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0637

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · E

  Citation F0565

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

Penalties (4)

Total fines on file: $57,868

• January 25, 2024 · Payment Denial

  Citation PAYDEN-2024-02-28

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-02-28, lasting 9 days (triggered by inspection on 2024-01-25). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · Fine

  Citation FINE-90506

  CMS recorded a civil money penalty of $32,771 against this nursing home on 2024-01-25 (Fine ID: 90506). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• August 24, 2023 · Fine

  Citation FINE-90407

  CMS recorded a civil money penalty of $25,097 against this nursing home on 2023-08-24 (Fine ID: 90407). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-24.GOV

• August 24, 2023 · Payment Denial

  Citation PAYDEN-2023-09-29

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2023-09-29, lasting 40 days (triggered by inspection on 2023-08-24). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-24.GOV

Staffing

Latest: 2.30 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: Medallion Healthcare Systems LLC

   parent · PAC 7517469083

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)