01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-25 | 14 | 2025-04-25 | 11 |
| Cycle 2 | 2024-01-25 | 28 | 2024-01-25 | 4 |
| Cycle 3 | 2021-04-08 | 24 | 2021-04-08 | 12 |
CMS CCN 2657762026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Estates Of Spanish Lake, The
610 Prigge Road · Saint Louis, MO 63138 · St. Louis County
Certified beds150CMS provider file
Recent citation rows93current CMS citation release
Penalty rows4current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
93 rows in the current release
3 rows carry G–L scope/severity codes; 2 carry J–L. 19 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-17 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-08-20 · complaint2025-04-25 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-102025-04-25 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-06-05 · complaint2025-04-25 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-06-05 · complaint2025-04-25 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0741Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Correction field: Deficient, Provider has date of correction · 2025-06-05 · complaint2025-04-25 · HEALTHF0745Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction field: Past Non-Compliance · 2025-04-142025-04-25 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-05 · complaint2025-04-25 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Waiver has been granted · 2025-09-152025-04-25 · FIREK0225Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Waiver has been granted · 2025-09-152025-04-25 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-07-012025-04-25 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Waiver has been granted · 2025-06-052025-04-25 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-06-052025-04-25 · FIREK0531Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Correction field: Deficient, Provider has date of correction · 2025-06-0503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-01-25 | Fine | $32,771 | 0 |
| 2024-01-25 | Payment Denial | $0 | 9 |
| 2023-08-24 | Fine | $25,097 | 0 |
| 2023-08-24 | Payment Denial | $0 | 40 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ROSENBERG, ZEVIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST60% · since 09/10/2014
- SPECTOR, TUVIYAHIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/10/2014
- GAO, SHAWNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2019
- HAWKINS, KATRINAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/04/2025
- ROSENBERG, ZEVIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/10/2014
- SPECTOR, TUVIYAHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/10/2014
- MEDALLION HEALTHCARE SYSTEMS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/10/2014
- GAO, SHAWNIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2019
- HAWKINS, KATRINAIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/04/2025
- ROSENBERG, ZEVIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/10/2014
- SPECTOR, TUVIYAHIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/10/2014
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.30per resident day
RN hours0.05per resident day
Weekend nurse hours2.00per resident day
Staff turnover68.8%CMS reported field
06 / LOCAL RECORDS
Open the Saint Louis ledger →Other published facilities nearby
Amberwood Estates Nursing And Rehabilitation115 beds · CMS overall 1/5101 citation rowsAtrium Place Health And Rehabilitation120 beds · CMS overall 1/576 citation rowsBarnes-Jewish Extended Care120 beds · CMS overall 3/541 citation rowsBeauvais Rehab And Healthcare Center184 beds · CMS overall 1/580 citation rowsBernard Care Center141 beds · CMS overall 1/597 citation rowsBethesda Dilworth350 beds · CMS overall 3/538 citation rowsBethesda Southgate130 beds · CMS overall 5/532 citation rowsBlue Circle Rehab And Nursing90 beds · CMS overall 2/5104 citation rows