Hidden Lake Health Care Center
A nursing home in Saint Louis, Missouri 63138
11728 Hidden Lake Drive, Saint Louis, Missouri 63138. (314) 355-8833.
- A candidate for CMS’s special focus list
- Not fully inspected in over two years (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 27 health citations at the latest inspection cycle Missouri average: 11.4
- 2.76 nurse hours per resident per day Missouri average: 3.40
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
27 health citations at the latest inspection cycle
The Missouri average is 11.4.
Last standard inspection Aug 19, 2024.
Most serious in three years: actual harm (G), at a complaint inspection on May 21, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
39 citations in 9 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 39 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 20 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 10, 2026: complaint inspection1 citation
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
May 21, 2026: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 22, 2026: complaint inspection1 citation
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 30, 2025: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 25, 2025: complaint inspection2 citations
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Dec 11, 2024: complaint inspection2 citations
-
Honor the resident’s right to manage his or her financial affairs.
-
Assure the security of all personal funds of residents deposited with the facility.
Oct 8, 2024: complaint inspection1 citation
-
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.
Aug 30, 2024: complaint inspection2 citations
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 19, 2024: standard inspection19 citations
-
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
-
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
-
Ensure each resident receives an accurate assessment.
-
Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
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.
-
Provide safe, appropriate dialysis care/services for a resident who requires such services.
-
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.
-
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.
-
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.
-
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.
-
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
-
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
-
Dispose of garbage and refuse properly.
-
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.
-
Have a plan that describes the process for conducting QAPI and QAA activities.
-
Develop and implement policies and procedures for flu and pneumonia vaccinations.
-
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Aug 19, 2024: standard and complaint inspection6 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
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.
-
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.
-
Provide timely, quality laboratory services/tests to meet the needs of residents.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jun 4, 2024: complaint inspection3 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 26, 2002.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 67 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $143,245 in all.
- 1 Medicare payment denial in the last three years.
- 20 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 21, 2026 | Fine | $19,635 |
| Aug 19, 2024 | Medicare payment denial | Not given |
| Aug 19, 2024 | Fine | $96,420 |
| Jun 4, 2024 | Fine | $27,190 |
Who does the caring?
2.76 nurse hours per resident per day
The Missouri average is 3.40.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Missouri average |
|---|---|---|
| Nurse hours per resident per day | 2.76 | 3.40 |
| Of which registered nurses | 0.18 | 0.46 |
| At weekends | 2.48 | 2.96 |
| Nursing staff turnover | Not given | 56.9% |
| Registered nurse turnover | Not given | 50% |
| Administrators who left | 2 | Not given |
Who owns it?
- Reliant CARE Group LLC owns 100% directly since Aug 1, 2025.
- Reliant Care Management Company LLC runs it.
- 7 owners or officers are people: Richard J Destefane (owns a share through other companies, 100%); Harold Lutz (runs it (operational or managerial control)); Harold Lutz (additional disclosable party (controls, leases property to, or provides services to the home)); Richard J Destefane (runs it (operational or managerial control)); Abdullah Arshad (runs it (operational or managerial control)); Abdullah Arshad (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Reliant Care Management (35 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Richard J. Destefane Revocable Living Trust | Owns a share through other companies | 100% | Aug 1, 2025 |
| Reliant CARE Group LLC | Owns a share directly | 100% | Aug 1, 2025 |
| Rcg Inc. | Owns a share through other companies | 0.01% | Aug 1, 2025 |
| Reliant Care Management Company LLC | Runs it (operational or managerial control) | Aug 1, 2025 | |
| Reliant Care Management Company LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 6, 2025 | |
| Hl Property, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2025 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Missouri average 2.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.8 miles, this one had the 2nd most health citations at the latest inspection cycle (27; the middle value was 16.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Hidden Lake Health Care Center This nursing home | 27 | |
| Christian Extended Care & Rehabilitation | 1.2 | 2 |
| Atrium Place Health and Rehabilitation | 1.4 | 17 |
| The Estates of Spanish Lake | 2.4 | 14 |
| Crestwood Health Care Center | 2.4 | 19 |
| Stonebridge Florissant | 2.5 | 8 |
| Delmar Gardens North | 2.8 | 6 |
| Lakeview Post Acute | 2.8 | 25 |
| The Estates of St Louis, LLC | 3.1 | 21 |
| The Pillars of North County Health & Rehab Center | 3.1 | 16 |
| Arbor Hills Care & Rehab Center | 4.4 | 13 |
| Hillside Health Care Center | 4.8 | 32 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.