Estates of Spanish Lake, The

Inspection history (66)

Records from April 2021 to July 2025.

• April 8, 2021 · E

  Citation F0568

  Federal surveyors cited this nursing home on 2021-04-08 under CMS tag F0568 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. The deficiency was recorded as corrected on 2021-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-04-08.GOV

• April 8, 2021 · C

  Citation F0623

  Federal surveyors cited this nursing home on 2021-04-08 under CMS tag F0623 (CMS scope/severity C: widespread, no actual harm, potential for 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 2021-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-04-08.GOV

• April 8, 2021 · E

  Citation F0688

  Federal surveyors cited this nursing home on 2021-04-08 under CMS tag F0688 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2021-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-04-08.GOV

• April 8, 2021 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2021-04-08 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2021-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-04-08.GOV

• April 8, 2021 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2021-04-08 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2021-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-04-08.GOV

• April 8, 2021 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2021-04-08 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2021-05-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-04-08.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)