Nursing home
The Estates of Spanish Lake
610 Prigge Road, Saint Louis, MO 63138 · Map
For profit - Limited Liability company · 150 certified beds
The Estates of Spanish Lake is a Medicare-certified nursing home in Saint Louis, Missouri. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.66 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Apr 25, 2025 cited 15 deficiencies.
- 3 fines totaling $82,507In CMS records: 5 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Estates of Spanish Lake compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.66 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.04 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.15 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 75.0% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 15.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 17, 2025 inspection was corrected by August 20, 2025
Penalties in CMS records: 3 fines totaling $82,507, 5 total penalties, 2 Medicare payment denials.
What inspectors found at The Estates of Spanish Lake
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 610 Prigge Road
Saint Louis, MO 63138 - CMS certification #
- 265776
- Ownership
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 140.2
- Provider type
- Medicare and Medicaid
- First certified
- 2004-03-19
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Estates of Spanish Lake using Google Maps.
Other public records
- Website says Respite stays, works with hospice, diabetes care, 3 meals a day
- Workplace safety 1 OSHA workplace safety inspection since 2017, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What The Estates of Spanish Lake says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
The Estates skilled nursing facilities comprehensive services include short-term rehabilitation with a specialization in orthopedic rehab, respite care, long-term nursing care and hospice care.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
The Estates skilled nursing facilities comprehensive services include short-term rehabilitation with a specialization in orthopedic rehab, respite care, long-term nursing care and hospice care.
(page, checked Oct 15, 2026) - Offers diabetes care.
Clinical Nursing Services including nutritional services, cardiac care, wound care services, renal care and renal dieting, IV Therapy Services, drain management, diagnostics-x-ray, EKG, ultrasound, doppler, teaching services including diabetic management, colostomy care.
(page, checked Oct 15, 2026) - 3 meals a day.
Each day, for each meal, The Estates residents are served quality dining for breakfast, lunch and dinner.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 2, 2017: complaint inspection, partial (health). Case closed Jun 7, 2017. 2 violations cited (2 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as Estates of Spanish Lakes.
Details
- Other than serious: Employee access to exposure and medical records (1910.1020(g)(1)(iii)). Penalty $0 proposed, $0 now. To be fixed by May 30, 2017.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(h)(2)(iii)). Penalty $0 proposed, $0 now. To be fixed by May 30, 2017.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Christian Hospital Northeast, Saint Louis. 3.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Hidden Lake Health Care Center, Saint Louis. 2.4 miles away, straight line.
- Nearest home health agency office
- Life Fountain Health Care, Inc., Saint Louis. 4.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 2.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63138 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita North County Kidney Care Dialysis, Saint Louis, 2.0 miles away, straight line (CMS rating 3 of 5 stars)
Quality Care Dialysis Centers - North County, Florissant, 3.0 miles away, straight line (CMS rating 2 of 5 stars)
Davita Chambers Dialysis, Saint Louis, 3.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 63138.
Medi-Plex Hospice, LLC, office in Saint Louis, 11.3 miles away, straight line
Unity Hospice Gsl, LLC, office in Saint Louis, 11.9 miles away, straight line (CMS family survey rating 2 of 5 stars)
Evertrue Hospice, office in Brentwood, 13.6 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Mercy Clinic East Communities, Hazelwood. 9.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Estates of Spanish Lake a good nursing home?
CMS gives The Estates of Spanish Lake an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Estates of Spanish Lake staffed?
The Estates of Spanish Lake reports 2.66 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has The Estates of Spanish Lake had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does The Estates of Spanish Lake have?
The Estates of Spanish Lake is certified for 150 beds.