Estates Of Spanish Lake, The has received an F grade based on CMS data, with a score of 17/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Saint Louis facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Estates Of Spanish Lake, The, with 2.66 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 67 deficiencies at Estates Of Spanish Lake, The, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure services provided by the nursing facility meet professional standards of quality..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.66 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.04 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.46 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.15 | 2.4 | Below Average |
| Weekend Total Nursing | 2.22 | 3.8 | Below Average |
| Weekend RN Hours | 0.00 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Jul 16, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0727 Severity FHave 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.Apr 24, 2025 · Nursing and Physician Services Deficiencies
- Tag 0623 Severity EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aApr 24, 2025 · Resident Rights Deficiencies
- Tag 0745 Severity EProvide medically-related social services to help each resident achieve the highest possible quality of life.Apr 24, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 24, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.7% | 4.5% | Better |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 44.1% | 14.5% | Worse |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 4.5% | 14.0% | Better |
| Excessive weight loss | 8.3% | 7.5% | Worse |
| New/worsened incontinence | 19.1% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $82,507
How This Grade Was Calculated
This facility's grade of F is based on a score of 17 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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