All citations for Estates of Spanish Lake, the

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Estates of Spanish Lake, the

Last standard health inspection on record

April 25, 2025

Showing 1 to 25 of 90 citations

Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2024).
Harm to a resident
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level G.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 25, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (March 8, 2024).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0575, Resident Rights Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2024).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2024).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2024).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 8, 2024).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of April 8, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2021).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of April 8, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2021).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 8, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2021).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 8, 2021. Found during a standard inspection.
A waiver was granted (October 8, 2021).
No harm, with potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pattern (more than a few residents). CMS level E.
Health citation F-0623, Resident Rights Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Pattern (more than a few residents). CMS level E.
Health citation F-0741, Quality of Life and Care Deficiencies. Inspection of April 25, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Pattern (more than a few residents). CMS level E.
Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
Past non-compliance: already corrected by the time of the inspection (April 14, 2025).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0161, Construction Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, Egress Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
A waiver was granted (September 15, 2025).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0225, Egress Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 25, 2025. Found during a standard inspection.
A waiver was granted (September 15, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.