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

11728 Hidden Lake Dr, St. Louis, MO 63138 View Map

Estates of Hidden Lake is an Assisted Living Home in Missouri

Estates of Hidden Lake is an Assisted Living Home in Missouri

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Overview of Estates of Hidden Lake

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.

(314) 434-6264

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.82/day Missouri avg: 3.74/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Missouri avg: 2.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Missouri avg: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Missouri avg: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Missouri avg: 2.7/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 67

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 67%
Residents per day (avg) 51
Occupancy rate
67%
Residents per day (avg)
51

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

42% of new residents, often for short stays.

Typical stay 2 months

Medicaid

24% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Proprietary home
Other
Home revenue
$5.5M
Operating loss
-$1.1M
Proprietary home Other
Home revenue
$5,516,828.00
Operating loss
$-1,102,576.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
48.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
Total costs $6.6M

Compare Assisted Living around St Louis

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Sunrise of Des Peres
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Des Peres
147
Yes
A-
50
GRODEON, MARY
67.6%
$15,609,810.00
$5,615,455.00
36%
118.30
1/5
3.5046
1/5
2/5
3/5
2
87
13
-28%
-6%
+1%
-
The Grande At Laumeier Park
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

RC

Respite Care

Sappington
98
Yes
-
50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed
Sunrise of Webster Groves
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Webster Groves
90
Yes
-
77
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Estates of Hidden Lake
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

St. Louis
67
No
-
29
KATZ, HAROLD
67.0%
$4,916,593.00
$2,651,129.00
53.9%
50.80
1/5
3.8208
1/5
1/5
1/5
2
81
6
-11%
+2%
+1%
-
Anthology of Clayton
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SL

Senior Living

St. Louis
-
No
-
71
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Estates of Hidden Lake

Address 16.0 miles from city center — 10.59 miles to nearest hospital (Barnes-Jewish Hospital :Washington University Acute Ccm Sgy)

Address 11728 Hidden Lake Dr, St. Louis, MO 63138

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

86
Total Staff
75
Employees
11
Contractors
19,746
Total Hours (Quarter)
29
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse69.6 Yes
Licensed Practical Nurse159 No
Certified Nursing Assistant387.2 No
Staff by Category
Administration
2 staff
7.7hs shift avg
Nursing Staff
68 staff
7.7hs shift avg
Physicians & Practitioners
3 staff
6.2hs shift avg
Therapy Services
8 staff
5.6hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
3.1hs shift avg
Dietary Services
3 staff
6.4hs shift avg
Other Services
1 staff
8hs shift avg
Contractor Analysis
5.8%
of total hours from contractors
1,144 contractor hours this quarter
Qualified Social Worker: 1 Speech Language Pathologist: 2 Physical Therapy Assistant: 1 Nurse Practitioner: 1 Registered Nurse: 1 Physical Therapy Aide: 1 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant380388,09091100%7.2
Licensed Practical Nurse150154,08391100%9
Medication Aide/Technician8082,27591100%7
Registered Nurse5161,1888189%9.6
Administrator1015126470%8
Mental Health Service Worker1015046369%8
Nurse Practitioner1124966167%8.1
RN Director of Nursing1014946470%7.7
Other Dietary Services Staff2024435864%6.4
Speech Language Pathologist0224346268%7
Dietitian1014256673%6.4
Physical Therapy Aide0112855560%5.2
Physical Therapy Assistant0112374145%5.8
Clinical Nurse Specialist101743134%2.4
Qualified Social Worker011682224%3.1
Respiratory Therapy Technician022482123%2.3
Occupational Therapy Aide0113878%5.4
Medical Director1013378%4.7
Occupational Therapy Assistant0112033%6.7

Health Inspection History

Total Health inspections 10
52% above Missouri average
Missouri average: 6.6

Last Health inspection on Jun 2025

Total Health citations 81
122% above Missouri average
Missouri average: 36.5

8.1 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 68 citations
Complaint investigations 19 citations
Breakdown of citations
Critical Health citations 1
43% above Missouri average
Missouri average: 0.7
Serious Health citations 5
400% above Missouri average
Missouri average: 1.0
Moderate Health citations 69

Minor Health citations 6
Citations history (last 3 years)
Quality of Care moderate citation Jun 30, 2025
Corrected

Quality of Care moderate citation Feb 25, 2025
Corrected

Care Planning moderate citation Feb 25, 2025
Corrected

Resident Rights moderate citation Dec 11, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: EXTENDED CARE LLC
Resident Census by Payment Source
54 Total Residents
Medicare 9 (16.7%)
Medicaid 39 (72.2%)
Private Pay/Other 6 (11.1%)
Programs & Services
CCRC

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 17.7
62% worse than Missouri average
Missouri average: 10.9
Functional decline score 28.5
47% worse than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 26.7%
35% above Missouri average.

Walking Ability Worsened 38.9%
89% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 20.0%
10% above Missouri average.
Safety & clinical stability

Falls with Major Injury 0.5%
87% below Missouri average.

High Risk Residents with Pressure Ulcers 6.1%
22% above Missouri average.

Urinary Tract Infection 2.8%
2% above Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Missouri average.

Antipsychotic Use 17.1%
22% below Missouri average.
Preventive care

Pneumococcal Vaccine 88.0%
3% above Missouri average.

Influenza Vaccine 94.1%
4% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 16.3%
192% above Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 57.1%

14% worse than Missouri average
Antipsychotic medication increase 0.0%

100% better than Missouri average

Penalties and 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)

Total fines amount $124K
This home paid 69% more in fines than the state average.
Missouri average: $73K
Number of Fines 2
This home received 18% fewer fines than the state average.
Missouri average: 2.4
Payment Denials 1
This home had 45% more payment denials than the state average.
Missouri average: 0.7
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Aug 19, 2024
$96K
Payment Denial Aug 19, 2024
51 days
Civil Money Penalty Jun 4, 2024
$27K

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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