Overview
The Estates of Spanish Lake has a Medicare overall rating of 1 out of 5, below the Missouri average of 2.6. It ranks 31st of 34 nursing homes in Saint Louis. It scores best on health inspections (2 of 5) and lowest on quality of care (1 of 5).
Residents receive about 2.4 hours of nursing care per day, fewer than at 92% of nursing homes in Missouri (the state average is 3.4 hours). Of that, 0.0 hours come from registered nurses.
Its most recent standard inspection, on April 25, 2025, found 14 health deficiencies, more than the Missouri average of 11.4. 4 of them came from complaint investigations. Medicare records 1 fine totaling $32,771 in the past three years.
The Estates of Spanish Lake is a for-profit facility with 150 certified beds, caring for about 141 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2004.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 92%
Top 90%
Top 94%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- April 25, 2025
- Health deficiencies cited
- 14
- Complaint-related deficiencies
- 4
- Fines in the last 3 years
- 1 totaling $32,771
- Payment denials
- 1
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff2.35 hrs
- Registered nurses (RN)0.05 hrs
- Licensed practical nurses (LPN)0.44 hrs
- Nurse aides1.86 hrs
- Physical therapists0.00 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 150
- Average residents per day
- 141
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- March 19, 2004
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes