Estates Of Spanish Lake, The is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2004-03-19. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (314) 741-9393 or your local Medicaid office to verify current eligibility.

Estates Of Spanish Lake, The holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 57.8/100, placing it #12658 of 14703 facilities nationally and #302 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Estates Of Spanish Lake, The receives a reported average of 2 hours 39 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 3 minutes; Licensed Practical Nurse (LPN) — 28 minutes; Nurse Aide — 2 hours 9 minutes. On weekends, total nurse staffing is 2 hours 13 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 75.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 3 fine(s) totaling $82,507. 103 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 2 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $82,507, and 2 Medicare payment denial(s). Total penalties: 5. The Total Weighted Health Survey Score is 175.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Estates Of Spanish Lake, The ranks 12658th out of 14,703 facilities (composite score: 57.8/100), placing it in the bottom 25% nationwide. Within MO, it ranks 302nd out of 487 nursing homes. In Saint Louis, it ranks 19th out of 36 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #13,884 nationally and RN hours rank #14,166 nationally (#468 in MO). Our composite quality score of 57.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Saint Louis, visit: https://nursinghomesnearme.org/missouri/saint-louis/