The Estates of Spanish Lake
Nursing Home Facility
610 Prigge Road, Saint Louis, MO 63138
The Estates of Spanish Lake is a senior care community located in Saint Louis, MO. It provides nursing home care and senior living for older adults in the Saint Louis area. To learn more or schedule a tour, call (314) 741-9393.
With 150 beds, The Estates of Spanish Lake is one of the larger communities in the area, senior care communities in Saint Louis average about 102 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 94% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Saint Louis average of roughly 73%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Saint Louis average about 1.8 stars. Its most recent standard health inspection was in April 2025 and recorded 14 deficiencies.
Residents receive about 2.3 hours of nursing care per day on average, including 0.1 hours from a registered nurse. Communities in Saint Louis average about 3.2 hours. Nursing staff turnover over the past year was about 69%, which is high and can affect continuity of care.
The community is located in Saint Louis County, MO.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 66 problems at The Estates of Spanish Lake. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 20 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $32,771. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Resident Rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
PASARR screening for Mental disorders or Intellectual Disabilities
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
The Estates of Spanish Lake offers nursing home care and senior living.
Facility details
- Organization type For profit - Individual
- Beds / units 150
- Occupancy 94%
- Nursing hours per resident/day 2.3
- Annual staff turnover 69%
- Last health inspection April 2025
Resident & family reviews
No one has shared a review of The Estates of Spanish Lake yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.