Starfile / Missouri

ESTATES OF SPANISH LAKE, THE

610 PRIGGE ROAD, SAINT LOUIS, MO 63138 · CCN 265776

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$82,507

Number of fines

3

Number of penalties

5

Payment denials

2

Inspection citations (67)2 immediate jeopardy2 actual harm

1. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-17 · Health · corrected 2025-08-20

   Potential for more than minimal harm

2. DF0578Honor 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.2025-04-25 · Health · corrected 2025-06-05

   Potential for more than minimal harm

3. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-04-25 · Health · corrected 2025-06-05

   Potential for more than minimal harm

4. DF0584Honor 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.2025-04-25 · Health · corrected 2025-06-10

   Potential for more than minimal harm

5. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-25 · Health · corrected 2025-06-05

   Potential for more than minimal harm

6. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-25 · Health · corrected 2025-06-05

   Potential for more than minimal harm

7. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-04-25 · Health · corrected 2025-06-05

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-25 · Health · corrected 2025-06-05

   Potential for more than minimal harm

9. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-25 · Health · corrected 2025-06-05

   Potential for more than minimal harm

10. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-25 · Health · corrected 2025-06-05

    Potential for more than minimal harm

11. FF0727Have 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.2025-04-25 · Health · corrected 2025-06-05

    Potential for more than minimal harm

12. EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-04-25 · Health · corrected 2025-06-05

    Potential for more than minimal harm

13. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-04-25 · Health · corrected 2025-04-14

    Potential for more than minimal harm

14. EF0761Ensure 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.2025-04-25 · Health · corrected 2025-06-05

    Potential for more than minimal harm

15. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-25 · Health · corrected 2025-06-05

    Potential for more than minimal harm

16. DF0610Respond appropriately to all alleged violations.2024-10-10 · Health · corrected 2024-11-22

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-17 · Health · corrected 2024-10-09

    Potential for more than minimal harm

18. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-17 · Health · corrected 2024-10-09

    Potential for more than minimal harm

19. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-09-17 · Health · corrected 2024-10-09

    Potential for more than minimal harm

20. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-09-17 · Health · corrected 2024-10-09

    Potential for more than minimal harm

21. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

22. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

23. EF0567Honor the resident's right to manage his or her financial affairs.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

24. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

25. FF0575Post 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.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

26. EF0584Honor 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.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

27. EF0585Honor 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.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

28. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-25 · Health · corrected 2024-03-08

    Actual harm

29. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

30. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

31. EF0610Respond appropriately to all alleged violations.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

32. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

33. DF0637Assess the resident when there is a significant change in condition2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

34. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

35. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

36. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-03-08

    Immediate jeopardy

37. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

38. FF0727Have 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.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

39. EF0742Provide 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.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

40. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

41. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

42. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-01-25 · Health · corrected 2024-03-08

    Potential for more than minimal harm

43. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-17 · Health · corrected 2023-09-22

    Potential for more than minimal harm

44. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-17 · Health · corrected 2023-11-08

    Potential for more than minimal harm

45. DF0610Respond appropriately to all alleged violations.2023-10-17 · Health · corrected 2023-11-08

    Potential for more than minimal harm

46. KF0584Honor 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.2023-08-24 · Health · corrected 2023-09-21

    Immediate jeopardy

47. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-24 · Health · corrected 2023-11-08

    Potential for more than minimal harm

48. DF0610Respond appropriately to all alleged violations.2023-08-24 · Health · corrected 2023-11-08

    Potential for more than minimal harm

49. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-01 · Health · corrected 2023-05-22

    Actual harm

50. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

51. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

52. EF0570Assure the security of all personal funds of residents deposited with the facility.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

53. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-04-08 · Health · corrected 2021-05-22

    Potential for minimal harm

54. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

55. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

56. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

57. DF0679Provide activities to meet all resident's needs.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

58. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

59. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

60. EF0688Provide 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.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

61. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

62. EF0700Try 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.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

63. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

64. EF0759Ensure medication error rates are not 5 percent or greater.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

65. DF0761Ensure 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.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

66. DF0880Provide and implement an infection prevention and control program.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

67. EF0909Regularly 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.2021-04-08 · Health · corrected 2021-05-22

    Potential for more than minimal harm

Ownership

Other facilities in SAINT LOUIS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.