The Estates of Spanish Lake: Staffing, Turnover, and Inspection Record
The Estates of Spanish Lake is a 150-bed for-profit nursing home in Saint Louis, Missouri. In the CMS August 2026 release it reported 1.81 nurse aide hours per resident per day, 21% below the Missouri average of 2.29, and 68.8% nursing staff turnover (Missouri average 56.0%).
The Estates of Spanish Lake
610 Prigge RoadSaint Louis, MO 63138
St. Louis County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Estates of Spanish Lake, nurse aides logged 1.81 hours per resident per day, 21% below the Missouri average. With about 140 residents a day, that works out to roughly 254 aide hours a day, or about 32 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.81 | 2.29 | 2.32 |
| Licensed practical nurses | 0.44 | 0.68 | 0.86 |
| Registered nurses | 0.05 | 0.46 | 0.69 |
| All nursing staff | 2.30 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.00 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
68.8% of nursing staff at The Estates of Spanish Lake left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Missouri average 11.5). CMS lists 2 fines totaling $57,868 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 25, 2024 | Fine | $32,771 |
| Jan 25, 2024 | Payment Denial | 9 days from Feb 28, 2024 |
| Aug 24, 2023 | Fine | $25,097 |
| Aug 24, 2023 | Payment Denial | 40 days from Sep 29, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Estates of Spanish Lake holds 1 of 5 overall; the Missouri average is 2.5.
About The Estates of Spanish Lake
- Ownership: For profit - Limited Liability company
- Legal name: The Estates of Spanish Lake, LLC
- Medicare and Medicaid certified since: Mar 19, 2004
- Councils: resident council
- Area: urban
Nursing homes near The Estates of Spanish Lake
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Hidden Lake Health Care Center Saint Louis | 2.4 | 67 | 1.65 | 2.52 | — | 1 | $123,610 |
| Christian Extended Care & Rehabilitation Saint Louis | 3.5 | 60 | 2.19 | 3.69 | 38.7% | 5 | None |
| Atrium Place Health and Rehabilitation Saint Louis | 3.8 | 120 | 1.31 | 2.19 | 82.0% | 1 | $157,667 |
| Stonebridge Florissant Florissant | 4.1 | 120 | 2.30 | 3.28 | 75.9% | 2 | None |
| Evercare of Granite City Granite City | 4.3 | 86 | 1.45 | 2.45 | 78.3% | 3 | $32,523 |
| The Estates of St Louis, LLC Saint Louis · many days without an RN | 4.6 | 94 | 1.91 | 2.49 | 65.6% | 1 | $66,640 |
| Crestwood Health Care Center Florissant · abuse citation | 4.7 | 150 | 2.19 | 2.62 | 64.6% | 1 | $146,887 |
| Delmar Gardens North Black Jack | 5.2 | 240 | 2.55 | 3.56 | 42.9% | 2 | $39,299 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.