Skilled nursing facility · CMS certification number 265776
ESTATES OF SPANISH LAKE, THE
SAINT LOUIS, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 150
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 4 · Fines: 2 · Fines, total amount: $57,868.00 · Payment denials: 2. The most recent penalty on file: January 25, 2024, Fine, $32,771. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,385,198 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $141,954 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,243,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,837,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,405,755 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $177,467 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,583,222 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,583,222 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 54,900 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 754 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 42,832 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,383 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 45,969 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 395 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 436 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 108.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440434, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 6, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,306,557 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $77,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,229,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,941,594 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,712,433 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $82,750 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,629,683 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,629,683 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 404 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 96.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1422111, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,904,230 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $38,055 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,866,175 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,615,085 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$748,910 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$8,367 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$757,277 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$757,277 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,840 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 69.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1379415, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,203,727 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,203,727 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,799,800 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,596,073 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,439,687 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $843,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $843,614 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,797 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 483.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 434.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339649, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,149,162 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,149,162 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,070,764 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$921,602 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $765,406 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$156,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$156,196 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 463.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 329.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1326634, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 30, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,856,955 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,856,955 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,533,202 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$676,247 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $89,472 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$586,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$586,775 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,275 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 715.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 487.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277821, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,643,573 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,643,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,696,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$52,720 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $75 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$52,645 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$52,645 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,521 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,078.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 657.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240964, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,430,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,430,760 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,610,905 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$180,145 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$180,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$180,133 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,215 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 997.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 619.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210699, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for March 1, 2016 to December 31, 2016 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,052,446 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,052,446 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,827,611 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$775,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$775,156 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$775,156 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 727.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 485.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169977, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 10, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,090,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,090,133 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,932,847 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $157,286 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $157,286 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $157,286 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 112 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 615.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 479.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140580, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,214,453 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,214,453 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,179,446 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $35,007 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $35,007 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $35,007 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,591 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 299.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 221.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108172, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,131,919 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,131,919 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,660,476 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $471,443 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $471,443 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $471,443 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,942 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073647, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,081,169 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,081,169 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,246,889 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$165,720 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$165,720 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$165,720 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,442 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 296.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042787, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,638,939 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,638,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,116,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $522,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $522,042 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $522,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,967 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 233.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013884, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,799,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,265,312 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $534,661 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $534,661 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,233 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 276.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412880, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,708,725 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,938,700 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$229,975 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$229,975 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,327 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 273 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 143.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384277, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for May 1, 2008 to December 31, 2008 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 13, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,793,099 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,790,336 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,002,763 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,002,763 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,173 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 528.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 599.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354571, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,416,285 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,223,511 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $192,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,470 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $196,244 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,153 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 321694, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,399,660 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,654,693 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$255,033 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,664 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$251,369 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,462 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305330, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 2, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,900,814 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,926,772 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$25,958 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,727 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$23,231 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,434 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 84.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 147.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 265636, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for March 19, 2004 to December 31, 2004 — a reporting period of 287 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 21, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,127,450 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,590,270 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$462,820 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $148,624 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$314,196 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,229 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 105.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 150.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269526, read from the public cost report file SNFFY2004.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ROSENBERG, ZEV | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 60% | since 09/10/2014 |
| GAO, SHAWN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2019 |
| HAWKINS, KATRINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/04/2025 |
| MEDALLION HEALTHCARE SYSTEMS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/10/2014 |
| ROSENBERG, ZEV | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/10/2014 |
| SPECTOR, TUVIYAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/10/2014 |
| SPECTOR, TUVIYAH | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/10/2014 |
| GAO, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2019 |
| HAWKINS, KATRINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/04/2025 |
| ROSENBERG, ZEV | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/10/2014 |
| SPECTOR, TUVIYAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/10/2014 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE ESTATES OF SPANISH LAKE, LLC (enrollment ID O20160317000166).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ZEV ROSENBERG | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 60 | 9/10/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATRINA HAWKINS | Individual | ADP OF THE SNF | Not stated in the filing | 2/4/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEDALLION HEALTHCARE SYSTEMS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/10/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHAWN MICHAEL GAO | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TUVIYAH SPECTOR | Individual | ADP OF THE SNF | Not stated in the filing | 9/10/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZEV ROSENBERG | Individual | ADP OF THE SNF | Not stated in the filing | 9/10/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 6/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 6/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 6/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TUVIYAH SPECTOR | Individual | DIRECT OWNERSHIP INTEREST | 40 | 9/10/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATRINA HAWKINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/4/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAWN MICHAEL GAO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TUVIYAH SPECTOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/10/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZEV ROSENBERG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/10/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2025: TUVIYAH SPECTOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZEV ROSENBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ARIN PAKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KAVITHA NALLABELLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEDALLION HEALTHCARE SYSTEMS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATRINA HAWKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATRINA HAWKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHAWN MICHAEL GAO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHAWN MICHAEL GAO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZEV ROSENBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZEV ROSENBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- October 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 1, 2025: TUVIYAH SPECTOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZEV ROSENBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ARIN PAKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KAVITHA NALLABELLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TUVIYAH SPECTOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEDALLION HEALTHCARE SYSTEMS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATRINA HAWKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATRINA HAWKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHAWN MICHAEL GAO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHAWN MICHAEL GAO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZEV ROSENBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZEV ROSENBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 10, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- May 6, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 28, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- January 17, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 22, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 30, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 15, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 27, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 19, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 19, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 10, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 18, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 25, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 26, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 29, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 13, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- May 18, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- July 28, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 25, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- December 21, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 2, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 25, 2025 | April 25, 2025 | 14 | 11 |
| 2 | January 25, 2024 | January 25, 2024 | 28 | 4 |
| 3 | April 8, 2021 | April 8, 2021 | 21 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
66 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 17, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | August 20, 2025 |
| April 25, 2025 | Health | F 0578 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0584 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | June 10, 2025 |
| April 25, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0741 | Quality of Life and Care Deficiencies | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Yes | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | No | Past Non-Compliance | April 14, 2025 |
| April 25, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | June 5, 2025 |
| April 25, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | June 5, 2025 |
| October 10, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 22, 2024 |
| September 17, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| September 17, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| September 17, 2024 | Health | F 0691 | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| September 17, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Yes | Deficient, Provider has date of correction | October 9, 2024 |
| January 25, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | E | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0575 | Resident Rights Deficiencies | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | F | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0584 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| January 25, 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | March 8, 2024 |
| October 17, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | September 22, 2023 |
| October 17, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | November 8, 2023 |
| October 17, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 8, 2023 |
| August 24, 2023 | Health | F 0584 | Resident Rights Deficiencies | 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. | K | Yes | Deficient, Provider has date of correction | September 21, 2023 |
| August 24, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | November 8, 2023 |
| August 24, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 8, 2023 |
| April 8, 2021 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0568 | Resident Rights Deficiencies | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0570 | Resident Rights Deficiencies | Assure the security of all personal funds of residents deposited with the facility. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 22, 2021 |
| April 8, 2021 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | No | Deficient, Provider has date of correction | May 22, 2021 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 25, 2024 | Fine | $32,771 | 90506 | ||
| January 25, 2024 | Payment Denial | February 28, 2024 | 9 | ||
| August 24, 2023 | Fine | $25,097 | 90407 | ||
| August 24, 2023 | Payment Denial | September 29, 2023 | 40 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | THE ESTATES OF SPANISH LAKE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-03-19 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | St. Louis |
| Telephone Number | 3147419393 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 150 |
| Average Number of Residents per Day | 140.3 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on ESTATES OF SPANISH LAKE, THE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On October 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for ESTATES OF SPANISH LAKE, THE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Missouri
- ELM POINT INDUSTRIAL LOT 1, SAINT CHARLES Water discharge permit
- EAST VILLAGE PHASE 2, LEE'S SUMMIT Water discharge permit
- MARIPOSA RIDGE, COLUMBIA Water discharge permit
- 1701 GRAVOIS ROAD SITE IMPROVEMENTS, HIGH RIDGE Water discharge permit
- RHINEHART ROAD, BRANSON Water discharge permit
- COLD STORAGE, WARSAW Water discharge permit
- LDS CHURCH - WILLARD MO, WILLARD Water discharge permit
- COLD STORAGE, WARSAW Water discharge permit
- CAPITAL QUARRIES - JERSEY PLANT, JEFFERSON CITY Air emission source
- IOWA LIMESTONE COMPANY (PORT-0927), JASPER Air emission source
- MARTIN MARIETTA (PORT-0893), DAWN Air emission source
- CAPITAL MATERIALS (PORT-0892), PORTABLE Air emission source
- KIENSTRA READY MIX, SAINT LOUIS COUNTY Air emission source
- AUDUBON READY MIX LLC (PORT-0873), SUGAR CREEK Air emission source
- APPERSON UTILITIY PLANT 2, ELDON Air emission source
- WHISTLE READY MIX (PORT-0864), PLEASANT HILL Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 265776.