PlainNursing
CMS Nursing Home Compare · August 2026

Hidden Lake Health Care Center

11728 Hidden Lake Drive, Saint Louis, MO 63138

Hidden Lake Health Care Center, a 67-bed for profit - limited liability company nursing facility in Saint Louis, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #453 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3143558833

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1 / 5
Much below average · CMS overall · nat'l 3.0
#453 of 479
In-state rank among rated MO homes
2.52
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 5 serious

The verdict

Hidden Lake Health Care Center, a 67-bed for profit - limited liability company nursing facility in Saint Louis, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #453 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#453 of 479
In-state rank among rated MO homes
2.52
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 5 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 487 MO nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
265735
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
67
Residents
50
In Hospital
No
County
St. Louis
Last Inspection
Aug 19, 2024

Staffing Data

How the 2.52 total nursing hours per resident-day are staffed:

RN Hours
0.22 (nat'l avg: 0.69)
LPN Hours
0.65
CNA Hours
1.65
Total Nursing Hours
2.52 (nat'l avg: 3.86)
PT Hours
0.01

What the CMS Record Reveals About Hidden Lake Health Care Center

According to CMS Nursing Home Compare, Hidden Lake Health Care Center ranks #453 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hidden Lake Health Care Center operates 67 certified beds in Saint Louis, MO with approximately 50 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $124K. Reported nurse staffing runs 2.52 total hours per resident day (national average 3.86); RN hours specifically are 0.22 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Hidden Lake Health Care Center falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

G - Isolated - Actual harm May 21, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

D - Isolated - Minimal harm Apr 22, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm Jun 30, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 7, 2025

D - Isolated - Minimal harm Feb 25, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2025

D - Isolated - Minimal harm Feb 25, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2025

E - Pattern - Minimal harm Dec 11, 2024 Tag: 0570

Assure the security of all personal funds of residents deposited with the facility.

Category: Resident Rights Deficiencies

Corrected: Feb 7, 2025

E - Pattern - Minimal harm Dec 11, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Feb 10, 2025

D - Isolated - Minimal harm Oct 8, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Nov 15, 2024

D - Isolated - Minimal harm Aug 30, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2024

G - Isolated - Actual harm Aug 30, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2024

C - Widespread - No harm Aug 19, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 15, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Nov 15, 2024

D - Isolated - Minimal harm Aug 19, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Oct 3, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Nov 15, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 3, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 3, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 15, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2024

E - Pattern - Minimal harm Aug 19, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2024

F - Widespread - Minimal harm Aug 19, 2024 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Oct 3, 2024

F - Widespread - Minimal harm Aug 19, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 15, 2024

F - Widespread - Minimal harm Aug 19, 2024 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 15, 2024

G - Isolated - Actual harm Aug 19, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2024

G - Isolated - Actual harm Aug 19, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0742

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 10, 2024

D - Isolated - Minimal harm Jun 4, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 10, 2024

G - Isolated - Actual harm Jun 4, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 10, 2024

D - Isolated - Minimal harm Aug 9, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 23, 2023

D - Isolated - Minimal harm Aug 9, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 23, 2023

C - Widespread - No harm Oct 28, 2022 Tag: 0888

Ensure staff are vaccinated for COVID-19

Category: Infection Control Deficiencies

Corrected: Dec 8, 2022

C - Widespread - No harm Oct 28, 2022 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 8, 2022

D - Isolated - Minimal harm Oct 28, 2022 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 8, 2022

D - Isolated - Minimal harm Oct 28, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 8, 2022

D - Isolated - Minimal harm Oct 28, 2022 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 8, 2022

D - Isolated - Minimal harm Oct 28, 2022 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 8, 2022

E - Pattern - Minimal harm Oct 28, 2022 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 8, 2022

E - Pattern - Minimal harm Oct 28, 2022 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 8, 2022

E - Pattern - Minimal harm Oct 28, 2022 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 13, 2022

E - Pattern - Minimal harm Oct 28, 2022 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 8, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 33.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 35.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 38.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 77.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 20.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 2 penalties totaling $124K

Date Type Amount
Aug 19, 2024 Fine $96K
Aug 19, 2024 Payment Denial -
Jun 4, 2024 Fine $27K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Hidden Lake Health Care Center, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Hidden Lake Health Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
  • Peer homes near 67 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Hidden Lake Health Care Center?
Hidden Lake Health Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
Where does Hidden Lake Health Care Center rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Hidden Lake Health Care Center ranks 453rd among 479 rated nursing homes in MO (#453 of 479). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Hidden Lake Health Care Center?
Hidden Lake Health Care Center reports 2.52 total nursing hours per resident day (national average: 3.86). RN hours are 0.22 per resident day (national average: 0.69).
How many beds does Hidden Lake Health Care Center have?
Hidden Lake Health Care Center has 67 certified beds with approximately 50 residents. The facility is located at 11728 Hidden Lake Drive, Saint Louis, MO 63138.
Does Hidden Lake Health Care Center have any deficiencies on record?
Yes, Hidden Lake Health Care Center has 50 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Hidden Lake Health Care Center received any fines or penalties?
Yes, Hidden Lake Health Care Center has received 2 penalties totaling $124K.
Who owns Hidden Lake Health Care Center?
Hidden Lake Health Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Hidden Lake Health Care Center last inspected?
The most recent health inspection for Hidden Lake Health Care Center was on Aug 19, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Hidden Lake Health Care Center?
Hidden Lake Health Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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