Nursing home report
Registered name: ESTATES OF SPANISH LAKE, THE
SAINT LOUIS, MO · Medicare-certified · 150 beds
Green Valley Nursing & Rehabilitation Center in Saint Louis has an overall rating of 1 out of 5 stars, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (2.30 vs 4.1 hours per resident per day). Its health inspection rating is 2 stars, quality measures are 4 stars, there were no fines in the last 24 months, and it carries the lowest overall rating flag.
Health inspections
Staffing
2.3047 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.3047.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
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 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
The home failed to post the required contact information for state agencies and advocacy groups, and the notice that residents can file complaints. Cited January 2024 — widespread issue, potential for harm.
F-Tag 575 — 42 CFR §483.10 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited January 2024 — widespread issue, potential for harm.
F-Tag 868 — 42 CFR §483.75 — 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: 1 fine · $32,771 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jan 25, 2024
Federal fine
Jan 25, 2024
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.
