ESTATES OF SPANISH LAKE, THE in SAINT LOUIS, MO was fined $82,507 by CMS across 3 separate penalties following 67 deficiency citations identified during federal surveys.

ESTATES OF SPANISH LAKE, THE (SAINT LOUIS, MO) — $82,507 in CMS Fines

Outcome: ESTATES OF SPANISH LAKE, THE in SAINT LOUIS, MO was fined $82,507 by CMS across 3 separate penalties following 67 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure services provided by the nursing facility meet professional standards of quality.


• 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.


• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.


• 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.


• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.


• PASARR screening for Mental disorders or Intellectual Disabilities


• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.


• Provide safe, appropriate dialysis care/services for a resident who requires such services.