Hidden Lake Health Care Center
11728 Hidden Lake Drive · Saint Louis, MO · 63138 · 3143558833
67 certified beds For profit - Limited Liability company Chain: Reliant Care Management Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $96,420 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$96,420 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 3.83 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $123,610 |
Inspection citations (82 in the current record)
-
Potential for harm · D April 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 11, 2026 · Quality of Life and Care
-
Potential for harm · D June 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2025 · Quality of Life and Care
-
Potential for harm · D February 25, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 25, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 11, 2025 · Quality of Life and Care
-
Potential for harm · E December 11, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected February 10, 2025 · Resident Rights
-
Potential for harm · E December 11, 2024 · found via complaint
Assure the security of all personal funds of residents deposited with the facility.
Corrected February 7, 2025 · Resident Rights
-
Potential for harm · D October 8, 2024 · found via complaint
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.
Corrected November 15, 2024 · Resident Rights
-
Actual harm · G August 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2024 · Quality of Life and Care
-
Potential for harm · D August 30, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 3, 2024 · Resident Assessment and Care Planning
-
Actual harm · G August 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2024 · Quality of Life and Care
-
Actual harm · G August 19, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 3, 2024 · Quality of Life and Care
-
Potential for harm · D August 19, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 3, 2024 · Resident Rights
-
Potential for harm · E August 19, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 19, 2024
Ensure each resident receives an accurate assessment.
Corrected October 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 19, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2024 · Quality of Life and Care
-
Potential for harm · D August 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.
Corrected October 3, 2024 · Quality of Life and Care
-
Potential for harm · E August 19, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 3, 2024 · Quality of Life and Care
-
Potential for harm · E August 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.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · E August 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.
Corrected October 3, 2024 · Nursing and Physician Services
-
Potential for harm · D August 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.
Corrected October 7, 2024 · Pharmacy Service
-
Potential for harm · F August 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.
Corrected November 15, 2024 · Nutrition and Dietary
-
Potential for harm · D August 19, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 3, 2024 · Nutrition and Dietary
-
Potential for harm · D August 19, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected November 15, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 19, 2024 | Fine | $96,420 |
| August 19, 2024 | Payment Denial | 51 days |
| June 4, 2024 | Fine | $27,190 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265735 · certified since February 26, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.