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

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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.

Revenue and expenses, fiscal year 2024
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%).

Beds, days and discharges, fiscal year 2024
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 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2025.

Revenue and expenses, fiscal year 2023
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%).

Beds, days and discharges, fiscal year 2023
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 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2024.

Revenue and expenses, fiscal year 2022
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%).

Beds, days and discharges, fiscal year 2022
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 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.

Revenue and expenses, fiscal year 2021
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%).

Beds, days and discharges, fiscal year 2021
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 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2020
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%).

Beds, days and discharges, fiscal year 2020
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 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 December 2020.

Revenue and expenses, fiscal year 2019
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%).

Beds, days and discharges, fiscal year 2019
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 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2019.

Revenue and expenses, fiscal year 2018
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%).

Beds, days and discharges, fiscal year 2018
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 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2018.

Revenue and expenses, fiscal year 2017
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%).

Beds, days and discharges, fiscal year 2017
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 31 December 2016

Cost report for 1 March 2016 to 31 December 2016 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2017.

Revenue and expenses, fiscal year 2016
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%).

Beds, days and discharges, fiscal year 2016
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 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 August 2016.

Revenue and expenses, fiscal year 2015
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%).

Beds, days and discharges, fiscal year 2015
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 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2015.

Revenue and expenses, fiscal year 2014
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%).

Beds, days and discharges, fiscal year 2014
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 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2014.

Revenue and expenses, fiscal year 2013
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%).

Beds, days and discharges, fiscal year 2013
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 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
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%).

Beds, days and discharges, fiscal year 2012
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 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
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%).

Beds, days and discharges, fiscal year 2011
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 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2011.

Revenue and expenses, fiscal year 2010
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, stated at moderate confidence: $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.

Beds, days and discharges, fiscal year 2010
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 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 July 2010.

Revenue and expenses, fiscal year 2009
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, stated at moderate confidence: −$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.

Beds, days and discharges, fiscal year 2009
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 31 December 2008

Cost report for 1 May 2008 to 31 December 2008 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 August 2009.

Revenue and expenses, fiscal year 2008
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, stated at moderate confidence: $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.

Beds, days and discharges, fiscal year 2008
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 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2008.

Revenue and expenses, fiscal year 2007
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, stated at moderate confidence: $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.

Beds, days and discharges, fiscal year 2007
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 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 March 2008.

Revenue and expenses, fiscal year 2006
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, stated at moderate confidence: −$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.

Beds, days and discharges, fiscal year 2006
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 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 November 2006.

Revenue and expenses, fiscal year 2005
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, stated at moderate confidence: −$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.

Beds, days and discharges, fiscal year 2005
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 31 December 2004

Cost report for 19 March 2004 to 31 December 2004 — a reporting period of 287 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 December 2006.

Revenue and expenses, fiscal year 2004
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, stated at moderate confidence: −$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.

Beds, days and discharges, fiscal year 2004
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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE ESTATES OF SPANISH LAKE, LLC (enrollment ID O20160317000166).

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: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATRINA HAWKINS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/4/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MEDALLION HEALTHCARE SYSTEMS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/10/2014	Private equity company: No Real estate investment trust: No Holding company: No
SHAWN MICHAEL GAO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TUVIYAH SPECTOR	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/10/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ZEV ROSENBERG	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/10/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/26/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/30/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATRINA HAWKINS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/4/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHAWN MICHAEL GAO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TUVIYAH SPECTOR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/10/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ZEV ROSENBERG	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/10/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 October 2025: TUVIYAH SPECTOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 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
1 October 2025: ZEV ROSENBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 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
1 October 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
1 October 2025: TUVIYAH SPECTOR appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TUVIYAH SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TUVIYAH SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MEDALLION HEALTHCARE SYSTEMS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATRINA HAWKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATRINA HAWKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN MICHAEL GAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN MICHAEL GAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ZEV ROSENBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ZEV ROSENBERG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv

Recent changes on this record

10 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 October 2025: TUVIYAH SPECTOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 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
1 October 2025: ZEV ROSENBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 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
1 October 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
1 October 2025: TUVIYAH SPECTOR appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TUVIYAH SPECTOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TUVIYAH SPECTOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MEDALLION HEALTHCARE SYSTEMS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATRINA HAWKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KATRINA HAWKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN MICHAEL GAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN MICHAEL GAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ZEV ROSENBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ZEV ROSENBERG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
6 May 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
28 May 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
17 January 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
22 July 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
30 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
15 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
27 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
19 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
19 October 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
10 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
18 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
25 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
26 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
29 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
13 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
18 May 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
28 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
25 March 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
21 December 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
2 November 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	25 April 2025	25 April 2025	14	11
2	25 January 2024	25 January 2024	28	4
3	8 April 2021	8 April 2021	24	12

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 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
17 July 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	20 August 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	10 June 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
25 April 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	14 April 2025
25 April 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	5 June 2025
25 April 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	5 June 2025
10 October 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	22 November 2024
17 September 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	9 October 2024
17 September 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	9 October 2024
17 September 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	9 October 2024
17 September 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	9 October 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
25 January 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	8 March 2024
17 October 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	22 September 2023
17 October 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	8 November 2023
17 October 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	8 November 2023
24 August 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	21 September 2023
24 August 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	8 November 2023
24 August 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	8 November 2023
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 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	22 May 2021
8 April 2021	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	22 May 2021
8 April 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	22 May 2021

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
25 January 2024	Fine	$32,771			90506
25 January 2024	Payment Denial		28 February 2024	9
24 August 2023	Fine	$25,097			90407
24 August 2023	Payment Denial		29 September 2023	40

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 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 1 August 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 10 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

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.

Read the citable document for this facility →

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.