The Estates of Spanish Lake

    610 Prigge Rd, Saint Louis, MO 63138
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    2.4ยท34 reviews

    Compassionate memory care, residents engaged

    I placed my dad in their memory care unit and I'm very pleased - the compassionate, caring staff truly love their work (Gine' is amazing) and the residents are happy and engaged. New management and a supportive owner keep it affordable and all-inclusive; my great-grandmother loves it there.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.38ยท(34)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.3
    • Staff

      1.8
    • Meals

      1.0
    • Amenities

      1.3
    • Value

      4.0

    Pros

    • Caring and compassionate nursing staff
    • Dedicated memory-care team
    • Affordable all-inclusive pricing
    • Owner-level engagement and support
    • Friendly resident social environment
    • Ongoing facility modernization efforts
    • Positive recreational atmosphere for some residents

    Cons

    • Inconsistent staffing levels across shifts
    • Delays in clinical response and call-button reliability
    • Medication-administration and documentation gaps
    • Allegations of resident property theft and loss
    • Laundry and personal-property management weaknesses
    • Sanitation and pest-control concerns in resident areas
    • Inconsistent meal quality and dining-service continuity
    • Communication and family-notification lapses
    • Limited storage and institutional physical layout
    • Security and locked-unit staffing/monitoring gaps
    • Workplace morale and staff-discipline inconsistencies

    Summary of reviews

    Reviews for The Estates of Spanish Lake Nursing and Rehabilitation Facility describe a highly mixed picture, with clear strengths acknowledged alongside substantial operational concerns. Positive aspects most frequently mentioned include individual staff members and teams who provide compassionate, attentive careโ€”particularly within memory-care servicesโ€”and an affordable allโ€‘inclusive pricing structure. There are also mentions of owner involvement and ongoing modernization efforts that have been viewed favorably by some families and residents.

    Care quality appears inconsistent. Several accounts describe adequate, attentive care provided by particular nurses and aides, while others describe delays in clinical response, long call-light wait times, and medication-management problems. Concerns cited include missed or incorrect medication administration, weight loss related to inadequate meal support, fall-related injuries, and delayed clinical follow-up. There are also references to communication problems around critical events, including concerns following a resident's death and delayed family notification.

    Staffing and workplace culture are recurring themes. Reviewers describe both exemplary individual caregivers and broader staffing shortfalls, especially on night and evening shifts. Staffing variability is linked to slower response times and reduced availability of direct-care staff in locked or secured units. Commenters also raise concerns about inconsistent supervisory practices, morale issues, and disciplinary actions that contribute to an uneven staff environment.

    Dining and activities receive mixed feedback. Several reviewers note limited or inconsistent meal quality and interruptions to kitchen or dishwasher operations. At the same time, some residents and families describe an active, fun social climate and engaged activities staff. Other comments indicate problems with the activities coordinator role and inadequate monitoring of resident interactions, including isolated incident reports such as resident altercations.

    Facility condition and housekeeping are described as uneven. The building is characterized as older and somewhat institutional but undergoing modernization in parts. Practical limitations noted include limited closet/storage space, crowded wards, laundry mismanagement with lost clothing, and sanitation and pest-control concerns in both dining and sleeping areas. Locked-unit arrangements prompt additional concerns about staffing levels and monitoring in secured areas.

    Management and communication show divergence between visible strengths and weaknesses. Some reviewers praise owner involvement and recent management improvements, while others describe poor frontโ€‘desk communication, unresponsive casework coordination, and distant remote monitoring practices. Allegations involving property loss or theft and questions about property-security procedures recur; these matters are serious and warrant direct inquiry. The facility's visitor policies during infection-control periods were also a point of frustration for some families.

    Overall pattern: experiences appear highly variable from family to family. The consistent operational issues to investigate further are staffing reliability (especially evenings/nights and in locked units), medication and clinical-response procedures, property and laundry safeguards, sanitation/pest-control practices, and family communication protocols. Prospective residents and families should conduct in-person visits, ask for staffing schedules and recent inspection records, review the facilityโ€™s incident and property-loss policies, and request references from current families to assess whether the facilityโ€™s strengths align with their expectations and care needs.

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    Medicare Ratings

    1ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Estates of Spanish Lake

    The Estates of Spanish Lake is located at 610 Prigge Rd, Saint Louis, MO, 63138.

    About The Estates of Spanish Lake

    The Estates of Spanish Lake Nursing and Rehabilitation Facility, located at 610 Prigge Rd in St. Louis, offers care for older adults and those with medical needs, covering a whole range of services from short-term rehab and long-term care to palliative and hospice care for people facing chronic illness, dementia, or needing end-of-life support, and you'll see people come here for memory support, post-surgery rehabilitation, cardiac care, and stroke recovery, with staff on hand round the clock to help with medication, daily tasks, transfers, and more serious health problems that need skilled nursing. The facility has 150 certified beds, available as private or semi-private suites with private bathrooms, cable TV, kitchenettes, phones, air conditioning, and Wi-Fi-they let folks bring personal items to make their space feel like home, which does help folks settle in, and the 24-hour call system means staff can respond quickly if needed.

    Families seem to notice that the staff has nurses, social workers, physical therapists, speech and occupational therapists, plus outside specialists such as a physician wound specialist, podiatrists, and optometrists, which allows for services like complex wound care, diabetic teaching, colostomy care, IV therapies, and cardiac and renal management, including things like cardiac vest and dialysis transport. In addition, there's a Geriatric Behavior Management Program in a secured unit for residents who need behavioral support, and that area is managed by specially trained nurses and social workers to help maintain safety and dignity for everyone involved, and that's important for folks with dementia or behavioral problems. Rehabilitation is really a key focus, using therapies to help residents try to regain abilities after injuries, surgeries, or strokes, and there's support for cognitive retraining and activities of daily living if someone's function has changed.

    The memory care program helps people with dementia, and the environment feels friendly, with a sense of routine and security; they aim to keep people engaged with daily activities and social events, and families can join resident councils or family councils to help improve the quality of care, which is something that seems to matter to the staff. Dining comes in a restaurant-style setting where residents can choose from all-day menus, and meals are made by a professional chef with special diets for diabetes or allergies; services also include meal preparation, housekeeping, furnished rooms, emergency alert systems, move-in help, and other comforts. Amenities range wide-outdoor common space, gardens, walking paths, library, game and movie rooms, arts and music spaces, a wellness spa and sauna, plus fitness facilities and various scheduled programs to keep folks busy, with high-speed internet so families can stay connected.

    For health care, there's a 24-hour pharmacy, onsite lab, and X-ray, plus equipment for ultrasound and EKGs, and they offer transport for treatments like dialysis. Residents with higher medical needs get continuous monitoring and help, while folks staying for rehab can expect personalized care plans focused on regaining strength or independence, with the hope of going home or just improving quality of life. Payment options cover Medicare, Medicaid, private pay, and private insurance, and there's financial assistance for those who qualify. Educational opportunities are available too, such as CNA courses, insulin training, and online resources for residents, families, and staff. The administration, with Katina Hawkins as the administrator, is run by Estates of Spanish Lake, LLC, and the facility has a clear mission and values statement, offers Board-led oversight, community engagement, and online event calendars to keep residents and families informed. The Estates of Spanish Lake tries to create a welcoming, supportive place where the focus stays on comfort, health, and the daily routines that help people feel secure and cared for, right there in the St. Louis area, 24 hours a day.

    People often ask...

    The Estates of Spanish Lake offers assisted living, memory care, and skilled nursing.

    The full address for this community is 610 Prigge Rd, Saint Louis, MO 63138.

    No, The Estates of Spanish Lake does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Estates of Spanish Lake. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Estates of Spanish Lake directly. There is no cost for this service. We are compensated by the community you select.

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