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, MO has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and a 4-star quality measures rating. It reports 2.30 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and is flagged for the lowest overall rating.
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 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 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
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.
