Estates of Hidden Lake
Estates of Hidden Lake is an Assisted Living Home in Missouri
Estates of Hidden Lake is an Assisted Living Home in Missouri
Estates of Hidden Lake
Estates of Hidden Lake is an Assisted Living Home in Missouri
Estates of Hidden Lake is an Assisted Living Home in Missouri
Offering luxury skilled nursing, assisted living, and memory care support in Spanish Lake, Estates of Hidden Lake holds a renowned reputation for a high standard of senior living care. Its resident-centered approach is supported by an extensive and individualized care plan tailored to fulfill holistic needs. Estates of Hidden Lake create a home and a community that empowers seniors to thrive and acquire the lifestyle that they deserve.
The upscale resort-style environment presents world-class hospitality that extends to its accommodations. With a commitment to deliver freedom and individuality for each resident, the retirement experience is designed to focus on the unique needs of each senior. Featured amenities and services include respite stays, memory care activities, transportation, ADLs, specialized meal plans, rehabilitation, and long-term care services.
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Occupancy levels track close to the statewide midpoint, indicating balanced availability. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Residents tend to stay here longer than similar facilities across the state.
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Home revenue lands near the state median, signaling steady but not standout inflows. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income exceeds the majority of state facilities, highlighting strong profitability.
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Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights are roughly in line with the state middle third, maintaining a balanced safety-net share. Private pay nights trail most peers, signaling limited market-rate volume.
Comparison Chart
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.For seniors needing help with daily tasks but not full-time nursing.
For self-sufficient seniors seeking community and minimal assistance.
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
24/7 care needed
For seniors needing help with daily tasks but not full-time nursing.
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Respite Care
For seniors needing help with daily tasks but not full-time nursing.
Senior Living
For seniors needing help with daily tasks but not full-time nursing.
For self-sufficient seniors seeking community and minimal assistance.
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Respite Care
For seniors needing help with daily tasks but not full-time nursing.
For self-sufficient seniors seeking community and minimal assistance.
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
24/7 care needed
Touring Checklist for Senior Living
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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Places of interest near Estates of Hidden Lake
16.0 miles from city center
11728 Hidden Lake Dr, St. Louis, MO 63138
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 9.6 | Yes |
| Licensed Practical Nurse | 15 | 9 | No |
| Certified Nursing Assistant | 38 | 7.2 | No |
Staff by Category
Contractor Analysis
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 38 | 0 | 38 | 8,090 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 15 | 0 | 15 | 4,083 | 91 | 100% | 9 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,275 | 91 | 100% | 7 |
| Registered Nurse | 5 | 1 | 6 | 1,188 | 81 | 89% | 9.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 1 | 2 | 496 | 61 | 67% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 494 | 64 | 70% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 443 | 58 | 64% | 6.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 434 | 62 | 68% | 7 |
| Dietitian | 1 | 0 | 1 | 425 | 66 | 73% | 6.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 285 | 55 | 60% | 5.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 237 | 41 | 45% | 5.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 74 | 31 | 34% | 2.4 |
| Qualified Social Worker | 0 | 1 | 1 | 68 | 22 | 24% | 3.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 48 | 21 | 23% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 38 | 7 | 8% | 5.4 |
| Medical Director | 1 | 0 | 1 | 33 | 7 | 8% | 4.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.7 |
Health Inspection History
Source: CMS Health Citations (Aug 2019 – Jun 2025)
Citation Severity Distribution
Top Deficiency Categories
Citation Sources
State Comparison (MO)
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jun 30, 2025 | D | Quality of Care | F0689 | Corrected |
| Feb 25, 2025 | D | Quality of Care | F0686 | Corrected |
| Feb 25, 2025 | D | Care Planning | F0658 | Corrected |
| Dec 11, 2024 | E | Resident Rights | F0567 | Corrected |
| Dec 11, 2024 | E | Resident Rights | F0570 | Corrected |
| Oct 08, 2024 | D | Resident Rights | F0585 | Corrected |
| Aug 30, 2024 | G | Quality of Care | F0689 | Corrected |
| Aug 30, 2024 | D | Care Planning | F0842 | Corrected |
| Aug 19, 2024 | D | Administration | F0770 | Corrected |
| Aug 19, 2024 | E | Administration | F0849 | Corrected |
| Aug 19, 2024 | F | Administration | F0865 | Corrected |
| Aug 19, 2024 | E | Infection Control | F0883 | Corrected |
| Aug 19, 2024 | E | Nursing Services | F0727 | Corrected |
| Aug 19, 2024 | F | Nutrition | F0803 | Corrected |
| Aug 19, 2024 | D | Nutrition | F0806 | Corrected |
| Aug 19, 2024 | D | Nutrition | F0810 | Corrected |
| Aug 19, 2024 | F | Nutrition | F0812 | Corrected |
| Aug 19, 2024 | E | Nutrition | F0814 | Corrected |
| Aug 19, 2024 | D | Pharmacy | F0761 | Corrected |
| Aug 19, 2024 | G | Quality of Care | F0684 | Corrected |
| Aug 19, 2024 | G | Quality of Care | F0686 | Corrected |
| Aug 19, 2024 | D | Quality of Care | F0689 | Corrected |
| Aug 19, 2024 | D | Quality of Care | F0693 | Corrected |
| Aug 19, 2024 | E | Quality of Care | F0698 | Corrected |
| Aug 19, 2024 | E | Quality of Care | F0700 | Corrected |
| Aug 19, 2024 | E | Care Planning | F0640 | Corrected |
| Aug 19, 2024 | D | Care Planning | F0641 | Corrected |
| Aug 19, 2024 | D | Care Planning | F0655 | Corrected |
| Aug 19, 2024 | D | Care Planning | F0656 | Corrected |
| Aug 19, 2024 | D | Resident Rights | F0582 | Corrected |
| Aug 19, 2024 | E | Resident Rights | F0584 | Corrected |
| Aug 19, 2024 | D | Resident Rights | F0585 | Corrected |
| Aug 19, 2024 | C | Resident Rights | F0623 | Corrected |
| Jun 04, 2024 | G | Abuse/Neglect | F0600 | Corrected |
| Jun 04, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Jun 04, 2024 | D | Quality of Care | F0742 | Corrected |
| Aug 09, 2023 | D | Quality of Care | F0689 | Corrected |
| Aug 09, 2023 | D | Care Planning | F0656 | Corrected |
| Oct 28, 2022 | D | Abuse/Neglect | F0607 | Corrected |
| Oct 28, 2022 | F | Administration | F0865 | Corrected |
| Oct 28, 2022 | F | Environmental | F0909 | Corrected |
| Oct 28, 2022 | K | Infection Control | F0880 | Corrected |
| Oct 28, 2022 | F | Infection Control | F0882 | Corrected |
| Oct 28, 2022 | F | Infection Control | F0883 | Corrected |
| Oct 28, 2022 | C | Infection Control | F0888 | Corrected |
| Oct 28, 2022 | E | Nursing Services | F0726 | Corrected |
| Oct 28, 2022 | E | Nursing Services | F0727 | Corrected |
| Oct 28, 2022 | C | Nursing Services | F0732 | Corrected |
| Oct 28, 2022 | E | Nutrition | F0806 | Corrected |
| Oct 28, 2022 | F | Nutrition | F0809 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Resident Census by Payment Source
Programs & Services
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Penalties & Fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalty History
Showing all 3 penalties (Jun 2024 - Aug 2024)
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for Missouri Seniors
- General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- MO Specifics: Rural access prioritized.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
- General: Age 65+, Missouri resident, in approved facility.
- Income Limits: ~$1,215/month (individual).
- Asset Limits: $2,000 (individual).
- MO Specifics: Supplements SSI; facility-based only.
- Services: Monthly cash payment (~$156-$292/month) for care costs.
- General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
- Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.
- Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
- MO Specifics: Caregiver must be family; small program size.
- Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
- General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
- Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.
- Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
- MO Specifics: Less intensive than waivers; statewide access.
- Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
- General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
- General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).
- Asset Limits: Not assessed; need-based.
- MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.
- Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
- General: Age 55+, unemployed, low-income, Missouri resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- MO Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
- General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- MO Specifics: High veteran demand in rural/urban areas.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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