Hidden Lake Health Care Center in Saint Louis, MO has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. It also has a recent federal penalty, $123,610 in fines over the last 24 months, and reported staffing of 3.98 hours per resident per day, below the 4.1 federal benchmark.
Last inspection: June 30, 2025Penalties, last 24 months: $123,610recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9761.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
0.93
Nurse aides
2.75
Weekend nursing
3.83
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.8%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
4.5%Improving
Residents with a urinary tract infection
4.4%Improving
Residents who lost too much weight
12.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
35.8%Worsening
Residents whose ability to walk got worse
44.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
8%Steady
Residents with a long-term catheter
2%Worsening
Residents with new or worsening incontinence
20.8%Improving
Residents with depressive symptoms
19.8%Worsening
Long-stay residents given the seasonal flu vaccine
94.1%Steady
Long-stay residents given the pneumonia vaccine
84.9%Worsening
Short-stay residents given the pneumonia vaccine
36.7%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2022 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2024 — isolated incident, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $96,420 was recorded.
PENALTY
A federal fine of $27,190 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $123,610 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Aug 19, 2024
51 days
Federal fine
Aug 19, 2024
$96,420
Federal fine
Jun 4, 2024
$27,190
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of RELIANT CARE MANAGEMENT · 32 homes · 1.2 stars avg
Occupancy
43.1 residents on an average day (64% of 67 beds)
Medicare history
Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.