ESTATES OF SPANISH LAKE, THE

St. Louis · MO · For profit - Limited Liability company · 150 certified beds · CCN 265776 · THE ESTATES OF SPANISH LAKE, LLC


ESTATES OF SPANISH LAKE, THE operates 150 certified beds in SAINT LOUIS, Missouri. Its Medicare and Medicaid certification dates to 2004-03-19. It averages 140.3 residents a day.

What harm was found in the violations cited at ESTATES OF SPANISH LAKE, THE?

CMS lists 66 health-inspection deficiencies for ESTATES OF SPANISH LAKE, THE since 2021-04-08, 48 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-07-17.

Survey dateTagDeficiencySeverity
2025-07-17F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-04-25F0727Have 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.F
2025-04-25F0623, F0741, F0745, F0761Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E
2025-04-25F0578, F0582, F0584, F0609, F0645, F0656, F0658, F0698, F0842Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-10F0610Respond appropriately to all alleged violations.D
2024-09-17F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2024-09-17F0684, F0686, F0691Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D
2024-01-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-01-25F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-01-25F0575, F0727, F0868Post 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. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF
2024-01-25F0565, F0567, F0584, F0585, F0607, F0609, F0610, F0645, F0742Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to manage his or her financial affairs. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / 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.E
2024-01-25F0554, F0569, F0623, F0637, F0644, F0698, F0756, F0847Allow residents to self-administer drugs if determined clinically appropriate. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident when there is a significant change in condition / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D
2023-10-17F0600, F0609, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2023-08-24F0584Honor 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.K
2023-08-24F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2021-04-08F0568, F0570, F0656, F0658, F0688, F0700, F0755, F0759, F0909Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Assure the security of all personal funds of residents deposited with the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.E
2021-04-08F0550, F0677, F0679, F0684, F0686, F0689, F0761, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide and implement an infection prevention and control program.D
2021-04-08F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C

Why was ESTATES OF SPANISH LAKE, THE fined 2 times?

DateTypeAmount
2024-01-25Fine$32,771
2023-08-24Fine$25,097

Has ESTATES OF SPANISH LAKE, THE had payment denied by Medicare more than once?

Payment denial startLength in days
2024-02-289
2023-09-2940

How is ESTATES OF SPANISH LAKE, THE staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day2.304683.43324
Total nursing staff turnover (%)68.856.0
Average number of residents per day140.373.0

Who owns ESTATES OF SPANISH LAKE, THE?

ESTATES OF SPANISH LAKE, THE is registered with CMS as For profit - Limited Liability company, operates under the legal business name THE ESTATES OF SPANISH LAKE, LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTROSENBERG, ZEVsince 09/10/2014
DIRECT OWNERSHIP INTERESTSPECTOR, TUVIYAHsince 09/10/2014
OPERATIONAL/MANAGERIAL CONTROLGAO, SHAWN, HAWKINS, KATRINA, ROSENBERG, ZEV, SPECTOR, TUVIYAHsince 02/04/2025
ADP OF THE SNFMEDALLION HEALTHCARE SYSTEMS LLC, GAO, SHAWN, HAWKINS, KATRINA, ROSENBERG, ZEV, SPECTOR, TUVIYAHsince 02/04/2025

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