Missouri › St. Louis County › Saint Louis
Hidden Lake Health Care Center
11728 Hidden Lake Drive, Saint Louis, MO 63138
Ownership changed in last 12 monthsContinuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Hidden Lake Health Care Center, in Saint Louis, Missouri, is certified for 67 beds under for-profit, limited liability company ownership and belongs to the Reliant Care Management chain.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 83 health deficiencies across the three most recent survey cycles (27, 33, 23 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 123.9 per 100 beds, more than the state median of 32.1.
CMS lists 3 penalties in the period covered: fines totalling $124K and 1 payment denial.
Reported nurse staffing is 2.5 hours per resident per day (0.2 RN), below the Missouri median of 3.4.
CMS flags that the facility changed ownership in the last 12 months.
83health deficiencies, 3 survey cycles7 at actual harm or worse
$124Kfines listed by CMS3 penalties in period
2.5nurse hours per resident per daystate median 3.4
75%occupancy (residents ÷ beds)50 residents a day
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 83 | 46 | 31 | 28.7 |
| Citations per 100 beds | 123.9 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.5 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | — | 60.7% | 56.1% | 45.8% |
| Fines listed | $123,610 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Aug 2024, 28 Oct 2022.
Severity mix: K ×1 G ×6 D ×26 E ×30 F ×14 B ×2 C ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 22 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 May 2026 |
| 30 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 May 2025 |
| 25 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Mar 2025 |
| 25 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 11 Mar 2025 |
| 11 Dec 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint investigation | 10 Feb 2025 |
| 11 Dec 2024 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Complaint investigation | 7 Feb 2025 |
| 8 Oct 2024 | F0585 | 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. | D | Complaint investigation | 15 Nov 2024 |
| 30 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 3 Oct 2024 |
| 30 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 3 Oct 2024 |
| 19 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 3 Oct 2024 |
| 19 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 3 Oct 2024 |
| 19 Aug 2024 | F0803 | 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. | F | Standard survey | 15 Nov 2024 |
| 19 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 15 Nov 2024 |
| 19 Aug 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0584 | 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 | Complaint investigation | 3 Oct 2024 |
| 19 Aug 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0700 | 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 | Standard survey | 15 Nov 2024 |
| 19 Aug 2024 | F0727 | 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. | E | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0849 | 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. | E | Standard survey | 15 Nov 2024 |
| 19 Aug 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0585 | 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. | D | Complaint investigation | 15 Nov 2024 |
| 19 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0693 | 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. | D | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0761 | 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 | Standard survey | 7 Oct 2024 |
| 19 Aug 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 3 Oct 2024 |
| 19 Aug 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 3 Oct 2024 |
| 19 Aug 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 15 Nov 2024 |
| 19 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 3 Oct 2024 |
| 4 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Jul 2024 |
| 4 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Jul 2024 |
| 4 Jun 2024 | F0742 | 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. | D | Complaint investigation | 10 Jul 2024 |
| 9 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 23 Aug 2023 |
| 9 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Aug 2023 |
| 28 Oct 2022 | F0880 | Provide and implement an infection prevention and control program. | K | Standard survey | 7 Feb 2023 |
| 28 Oct 2022 | F0688 | 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. | F | Standard survey | 13 Dec 2022 |
| 28 Oct 2022 | F0700 | 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. | F | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 13 Dec 2022 |
| 28 Oct 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0909 | 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. | F | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0727 | 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. | E | Standard survey | 13 Dec 2022 |
| 28 Oct 2022 | F0761 | 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 | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 8 Dec 2022 |
| 28 Oct 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 8 Dec 2022 |
| 27 Aug 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0727 | 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 | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0584 | 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 | Standard survey | 14 Nov 2019 |
| 27 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0761 | 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 | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Nov 2019 |
| 27 Aug 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0575 | 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. | C | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 11 Oct 2019 |
| 27 Aug 2019 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 11 Oct 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Aug 2024 | Payment denial | — | 51 days |
| 19 Aug 2024 | Fine | $96,420 | |
| 4 Jun 2024 | Fine | $27,190 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.6% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hidden Lake Health Care Center, Llc. Chain: Reliant Care Management (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Reliant Care Group LLC | Direct ownership interest | NOT APPLICABLE | 08/01/2025 |
| Rcg Inc | Indirect ownership interest | NOT APPLICABLE | 08/01/2025 |
| Reliant Care Management Company LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| Hl Property, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Reliant Care Management Company LLC | Adp of the snf | NOT APPLICABLE | 08/06/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Hidden Lake Health Care Center been cited for?
83 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Hidden Lake Health Care Center been fined?
Yes. CMS lists fines totalling $124K in the period covered, plus 1 payment denial.
How does staffing at Hidden Lake Health Care Center compare?
Reported total nurse staffing is 2.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Hidden Lake Health Care Center?
It is part of the Reliant Care Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Reliant Care Group LLC, Rcg Inc and Reliant Care Management Company LLC. Individual owners and managers are not listed on this site.
When was Hidden Lake Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 19 Aug 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.