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
Home Information HIDDEN LAKE HEALTH CARE CENTER
  • 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.

  • 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.

  • 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.

Occupancy
Beds
67
Occupancy
74.8%
Total Bed Days Available
24455
Avg. Length of Stay
207 days
Avg. Residents per Day
51
Finance
Home Revenue
$5,199,207.00
Payroll Costs
$2,300,047.00
Profit
$1,096,272.00
Total Home Costs
$5,890,180.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
44.2%
House Specifics:
CCN
265735
Owner Name
KATZ, HAROLD
Rural vs. Urban
Urban
County
St. Louis
Type of Control
Proprietary — Individual
Operations
Total Admissions
94
Total Discharges
92
% Medicaid Admissions
17%
% Medicare Admissions
41%
% Private Pay Admissions
41%
% Medicaid Discharges
16%
% Medicare Discharges
35%
% Private Pay Discharges
49%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
1 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
1 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
1 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
1 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
3.82 hrs
Number of Fines
2
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
14752
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
1784
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
2482

Comparison Chart

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Compare Assisted Living around St Louis
Sunrise of Des Peres
AL

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

IL

For self-sufficient seniors seeking community and minimal assistance.

MC

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

SNF

24/7 care needed

Des Peres
147
Yes
A-
50
GRODEON, MARY
70.0%
$16,443,261.00
$4,659,382.00
28.3%
118.30
1/5
3.5046
1/5
2/5
3/5
2
-
The Grande At Laumeier Park
AL

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

MC

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
Anthology of Clayton
AL

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

SL

Senior Living

St. Louis
-
No
-
71
-
-
-
-
-
-
-
-
-
-
-
-
-
Estates of Hidden Lake
AL

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

IL

For self-sufficient seniors seeking community and minimal assistance.

MC

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

RC

Respite Care

St. Louis
67
No
-
29
KATZ, HAROLD
74.8%
$5,199,207.00
$2,300,047.00
44.2%
50.80
1/5
3.8208
1/5
1/5
1/5
2
-
Sunrise of Webster Groves
AL

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

IL

For self-sufficient seniors seeking community and minimal assistance.

MC

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

SNF

24/7 care needed

Webster Groves
90
Yes
-
77
-
-
-
-
-
-
-
-
-
-
-
-
-
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Places of interest near Estates of Hidden Lake

Address 16.0 miles from city center

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

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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

Source: CMS Health Citations (Aug 2019 – Jun 2025)

10
Inspections
81
Total Citations
1
Critical (J-L)
5
Serious (G-I)
8.1
Citations/Inspection
Jun 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
6
Moderate (D-F)
69
Serious (G-I)
5
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
19
23% of total
Resident Rights
14
17% of total
Administration
6
7% of total
Pharmacy Services
6
7% of total
Infection Control
5
6% of total
Abuse, Neglect & Exploitation
3
4% of total
Citation Sources
Standard Inspections 68
Complaint Investigations 19
State Comparison (MO)
Avg Citations (State)
36.5
This Facility: 81
Avg Critical (State)
0.7
This Facility: 1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Jun 30, 2025 D Quality of CareF0689 Corrected
Feb 25, 2025 D Quality of CareF0686 Corrected
Feb 25, 2025 D Care PlanningF0658 Corrected
Dec 11, 2024 E Resident RightsF0567 Corrected
Dec 11, 2024 E Resident RightsF0570 Corrected
Oct 08, 2024 D Resident RightsF0585 Corrected
Aug 30, 2024 G Quality of CareF0689 Corrected
Aug 30, 2024 D Care PlanningF0842 Corrected
Aug 19, 2024 D AdministrationF0770 Corrected
Aug 19, 2024 E AdministrationF0849 Corrected
Aug 19, 2024 F AdministrationF0865 Corrected
Aug 19, 2024 E Infection ControlF0883 Corrected
Aug 19, 2024 E Nursing ServicesF0727 Corrected
Aug 19, 2024 F NutritionF0803 Corrected
Aug 19, 2024 D NutritionF0806 Corrected
Aug 19, 2024 D NutritionF0810 Corrected
Aug 19, 2024 F NutritionF0812 Corrected
Aug 19, 2024 E NutritionF0814 Corrected
Aug 19, 2024 D PharmacyF0761 Corrected
Aug 19, 2024 G Quality of CareF0684 Corrected
Aug 19, 2024 G Quality of CareF0686 Corrected
Aug 19, 2024 D Quality of CareF0689 Corrected
Aug 19, 2024 D Quality of CareF0693 Corrected
Aug 19, 2024 E Quality of CareF0698 Corrected
Aug 19, 2024 E Quality of CareF0700 Corrected
Aug 19, 2024 E Care PlanningF0640 Corrected
Aug 19, 2024 D Care PlanningF0641 Corrected
Aug 19, 2024 D Care PlanningF0655 Corrected
Aug 19, 2024 D Care PlanningF0656 Corrected
Aug 19, 2024 D Resident RightsF0582 Corrected
Aug 19, 2024 E Resident RightsF0584 Corrected
Aug 19, 2024 D Resident RightsF0585 Corrected
Aug 19, 2024 C Resident RightsF0623 Corrected
Jun 04, 2024 G Abuse/NeglectF0600 Corrected
Jun 04, 2024 D Abuse/NeglectF0609 Corrected
Jun 04, 2024 D Quality of CareF0742 Corrected
Aug 09, 2023 D Quality of CareF0689 Corrected
Aug 09, 2023 D Care PlanningF0656 Corrected
Oct 28, 2022 D Abuse/NeglectF0607 Corrected
Oct 28, 2022 F AdministrationF0865 Corrected
Oct 28, 2022 F EnvironmentalF0909 Corrected
Oct 28, 2022 K Infection ControlF0880 Corrected
Oct 28, 2022 F Infection ControlF0882 Corrected
Oct 28, 2022 F Infection ControlF0883 Corrected
Oct 28, 2022 C Infection ControlF0888 Corrected
Oct 28, 2022 E Nursing ServicesF0726 Corrected
Oct 28, 2022 E Nursing ServicesF0727 Corrected
Oct 28, 2022 C Nursing ServicesF0732 Corrected
Oct 28, 2022 E NutritionF0806 Corrected
Oct 28, 2022 F NutritionF0809 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 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)

High-Risk Clinical Events
17.7 Score
62% worse than avg State avg: 10.9

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
28.5 Score
47% worse than avg State avg: 19.5

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.

Need for Help with Daily Activities Increased
26.7%
Lost Too Much Weight
16.3%
Urinary Tract Infection
2.8%
Depressive Symptoms
0.0%
Falls with Major Injury
0.5%
Pneumococcal Vaccine
88.0%
Antipsychotic Use
17.1%
Walking Ability Worsened
38.9%
Influenza Vaccine
94.1%
High Risk Residents with Pressure Ulcers
6.1%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.0%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
57.1% 14% worse than avg State: 66.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0% 100% better than avg State: 2.2%

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)

Total Fines $124K State avg: $73K 69% worse than avg
Number of Fines 2 State avg: 2.4
Payment Denials 1 51 total days
Compared to State Average Facility: $124K | State Avg: $73K
Penalty History

Showing all 3 penalties (Jun 2024 - Aug 2024)

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

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

Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
Missouri Medicaid A&D Waiver
Official government program page
  • 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.
Missouri Supplemental Nursing Care (SNC)
  • 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.
Structured Family Caregiving Waiver (SFCW)
Missouri Structured Family Caregiving Waiver
Official government program page
  • 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).
MO HealthNet Aged, Blind, and Disabled (ABD)
Missouri MO HealthNet ABD
Official government program page
  • 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.
Medicare Savings Program (MSP)
Missouri Medicare Savings Program
Official government program page
  • 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%).
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Missouri Caregiver Program
Official government program page
  • 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.
Senior Community Service Employment Program (SCSEP)
  • 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.
VA Aid and Attendance (A&A) and Housebound Benefits
Missouri VA Aid and Attendance/Housebound
  • 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).

Claim What’s Yours Financial Aid for Missouri Seniors

Missouri Medicaid A&D Waiver

Aged and Disabled Waiver

Requirements:
  • 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.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
MO SNC

Missouri Supplemental Nursing Care (SNC)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Monthly cash payment (~$156-$292/month) for care costs.
Missouri Structured Family Caregiving Waiver

Structured Family Caregiving Waiver (SFCW)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
Missouri MO HealthNet ABD

MO HealthNet Aged, Blind, and Disabled (ABD)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Missouri Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Missouri SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Missouri VA Aid and Attendance/Housebound

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

Requirements:
  • 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.
Benefits without Contact:
  • 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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