Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265776

Estates Of Spanish Lake, The

67 federal citations on record , including 2 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $82,507.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
67
Total citations
49
Last 3 years
4
Actual harm+
5
Federal penalties
$82,507
Total fines
2
Overall ★ rating

Most common violation categories here

Resident Rights17 Quality of Care17 Abuse & Neglect11 Care Planning10 Medication & Pharmacy5

Most common F-tags at this facility

F6094 F6104 F6583 F5843 F6233

Citation history

67 on record
SurveyF-TagViolationSeveritySource
Jul 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 25, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EComplaint
Apr 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 25, 2025F761Ensure 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.EStandard
Apr 25, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.EStandard
Apr 25, 2025F727Have 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.FStandard
Apr 25, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 25, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 25, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 25, 2025F584Honor 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.DStandard
Apr 25, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 25, 2025F578Honor 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.DStandard
Oct 10, 2024F610Respond appropriately to all alleged violations.DComplaint
Sep 17, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Sep 17, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint
Sep 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 25, 2024F610Respond appropriately to all alleged violations.EComplaint
Jan 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jan 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 25, 2024F585Honor 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.EComplaint
Jan 25, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Jan 25, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard
Jan 25, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 25, 2024F742Provide 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.EStandard
Jan 25, 2024F727Have 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.FStandard
Jan 25, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Jan 25, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Jan 25, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jan 25, 2024F637Assess the resident when there is a significant change in conditionDStandard
Jan 25, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jan 25, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Jan 25, 2024F584Honor 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.EStandard
Jan 25, 2024F575Post 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.FStandard
Jan 25, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Jan 25, 2024F567Honor the resident's right to manage his or her financial affairs.EStandard
Jan 25, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jan 25, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Oct 17, 2023F610Respond appropriately to all alleged violations.DComplaint
Oct 17, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 17, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 24, 2023F610Respond appropriately to all alleged violations.DComplaint
Aug 24, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 24, 2023F584Honor 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.KComplaint
May 1, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Apr 8, 2021F909Regularly 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.EStandard
Apr 8, 2021F880Provide and implement an infection prevention and control program.DStandard
Apr 8, 2021F761Ensure 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.DStandard
Apr 8, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 8, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 8, 2021F700Try 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.EStandard
Apr 8, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 8, 2021F688Provide 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.EStandard
Apr 8, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 8, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 8, 2021F679Provide activities to meet all resident's needs.DStandard
Apr 8, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 8, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 8, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 8, 2021F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Apr 8, 2021F570Assure the security of all personal funds of residents deposited with the facility.EStandard
Apr 8, 2021F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
Apr 8, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $82,507 and 2 payment-denial actions spanning 49 days.

DateTypeFinePayment denial
Jan 25, 2024Fine$32,771—
Jan 25, 2024Payment Denial—Feb 28, 2024 · 9 days
Aug 24, 2023Fine$25,097—
Aug 24, 2023Payment Denial—Sep 29, 2023 · 40 days
May 1, 2023Fine$24,639—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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