21/100
Poor
610 Prigge Road, Saint Louis, MO 63138
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$57,868 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 69%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 25, 2025 (1 year ago).
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, 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.
No actual harm, 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.
No actual harm, 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.
No actual harm, 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.
No actual harm, 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...
No actual harm, 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.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| SPECTOR, TUVIYAH | Individual | DIRECT OWNERSHIP INTEREST | — |
| GAO, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HAWKINS, KATRINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ROSENBERG, ZEV | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SPECTOR, TUVIYAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MEDALLION HEALTHCARE SYSTEMS LLC | Organization | ADP OF THE SNF | — |
| GAO, SHAWN | Individual | ADP OF THE SNF | — |
| HAWKINS, KATRINA | Individual | ADP OF THE SNF | — |
| ROSENBERG, ZEV | Individual | ADP OF THE SNF | — |
| SPECTOR, TUVIYAH | Individual | ADP OF THE SNF | — |
| ROSENBERG, ZEV | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Estates Of Spanish Lake, The holds an ElderGrade of F (21 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 2.30 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 66 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Estates Of Spanish Lake, The is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.