Nursing home report
SAINT LOUIS, MO · Medicare-certified · 150 beds
Estates of Spanish Lake in Saint Louis has a 1-star overall rating, with 1-star health inspection and staffing ratings but a 4-star quality rating. It has the lowest overall rating flag, no fines in the last 24 months, and reported nurse staffing of 2.40 hours per resident per day versus the 4.1 federal benchmark.
Health inspections
Staffing
2.3954 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.3954.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2023 — limited pattern, immediate jeopardy to residents.
F-Tag 584 — 42 CFR §483.10 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2024 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2025 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 14 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 2 fines · $57,868 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jan 25, 2024
Federal fine
Jan 25, 2024
Medicare/Medicaid payment denial
Aug 24, 2023
Federal fine
Aug 24, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
