Last Health inspection on Jun 2025
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.

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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.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
34% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
24% of new residents, often for long-term daily care.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Respite Care
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Senior Living
16.0 miles from city center — 10.59 miles to nearest hospital (Barnes-Jewish Hospital :Washington University Acute Ccm Sgy)
11728 Hidden Lake Dr, St. Louis, MO 63138
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Source: CMS Payroll-Based Journal (Q2 2025)
| 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 |
| 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 |
Last Health inspection on Jun 2025
8.1 citations per inspection (avg)
Citations can result from standard inspections or complaint-based investigations.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
Last updated: Jan 2026
Historical financial and operational data for Estates of Hidden Lake based on CMS SNF Cost Reports.
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