Nursing home report
Registered name: HIDDEN LAKE HEALTH CARE CENTER
SAINT LOUIS, MO · Medicare-certified · 67 beds
The Estates of Hidden Lake in Saint Louis, MO has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It is a special-focus facility candidate with $96,420 in fines over the last 24 months, and reported nurse staffing of 2.52 hours per resident per day is below the federal benchmark of 4.1.
Health inspections
Staffing
2.5165 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5165.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
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.
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 May 2026 — isolated incident, actual harm.
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.
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.
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.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The facility reported a change in ownership in the past 12 months.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
A federal payment denial was recorded.
A federal fine of $96,420 was recorded.
A federal fine of $27,190 was recorded.
On record with Medicare: 2 fines · $123,610 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Aug 19, 2024
Federal fine
Aug 19, 2024
Federal fine
Jun 4, 2024
Now operated by Hidden Lake Health Care Center, previously The Estates of Hidden Lake.
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.
