Nursing home · St. Louis, MO
Hidden Lake Health Care Center
11728 Hidden Lake Drive, St. Louis, MO 63138 · 67 certified beds · for profit ownership · part of Reliant Care Management
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on May 21, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. All have been marked corrected. At its most recent standard inspection (Aug 19, 2024) it had 26 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.52 hours per resident per day here, 27% less than the Missouri average (3.43) and 35% less than the U.S. average (3.86). Registered nurses account for 0.22 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Hidden Lake Health Care Center compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.52 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.22 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.41 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | — | 58% | 56% | 46% |
| Registered nurse turnover (past year) | — | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 26 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 81 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| May 21, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Past Non-Compliance |
| Apr 22, 2026 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jun 30, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Past Non-Compliance |
| Feb 25, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Dec 11, 2024 | Assure the security of all personal funds of residents deposited with the facility. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Dec 11, 2024 | Honor the resident's right to manage his or her financial affairs. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Oct 8, 2024 | 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. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 30, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Aug 30, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Aug 19, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | C | Deficient, Provider has date of correction |
| Aug 19, 2024 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration · complaint | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Aug 19, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Aug 19, 2024 | Dispose of garbage and refuse properly. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | 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. Nursing and physician services | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | 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. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Aug 19, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | F | Deficient, Provider has date of correction |
| Aug 19, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| Aug 19, 2024 | 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. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 19, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Jun 4, 2024 | 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. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jun 4, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Deficient, Provider has date of correction |
| Jun 4, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Oct 28, 2022 | Ensure staff are vaccinated for COVID-19 Infection control | C | Deficient, Provider has date of correction |
| Oct 28, 2022 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| May 21, 2026 | Fine | $19,635 |
| Aug 19, 2024 | Fine | $96,420 |
| Aug 19, 2024 | Payment Denial | 51 days |
| Jun 4, 2024 | Fine | $27,190 |
Location
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Reviews
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Questions about Hidden Lake Health Care Center
Answers computed from CMS data for this facility.
What is Hidden Lake Health Care Center's Medicare rating?
Medicare rates Hidden Lake Health Care Center 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Hidden Lake Health Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on May 21, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. All have been marked corrected. At its most recent standard inspection (Aug 19, 2024) it had 26 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Hidden Lake Health Care Center been fined?
Yes. CMS reports 3 fines totaling $143,245 in the past three years.
Does Hidden Lake Health Care Center accept Medicaid?
Hidden Lake Health Care Center is certified for both Medicare and Medicaid. Call (314) 355-8833 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.