Total health inspections
10
Missouri average 6.6
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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Assisted Living in St. Louis
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Estates of Hidden Lake
Assisted Living in St. Louis
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
67%
Residents per day (avg)
51
Occupancy rate
67%
Residents per day (avg)
51
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Privately-owned community
Home revenue
$5.5M
Operating loss
-$1.1M
Privately-owned community
Home revenue
$5,516,828.00
Operating loss
$-1,102,576.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.6M
Health Inspection History
Inspections
Total health citations
81
Missouri average 36.5
Citations per inspection
8.1
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
62 of 81 citations resulted from standard inspections; 13 of 81 resulted from complaint investigations; and 6 of 81 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
5
5
400% worse than Missouri averageMissouri average: 1
1 critical citation
5 serious citations
69 moderate citations
6 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 30, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 30, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 25, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 25, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 25, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 25, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Dec 11, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Dec 11, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
Filter by care type
Sunrise of Des Peres
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Des Peres
147
Yes
50
-
Sjv 1 Des Peres Opco Llc
45
A-
The Grande At Laumeier Park
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Sappington
98
Yes
50
Studio / 1 Bed / 2 Bed
Rott Senior Care, Llc
-
-
Sunrise of Webster Groves
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Webster Groves
90
Yes
77
-
Welltower Opco Group Llc
-
-
Estates of Hidden Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
St. Louis
67
No
29
-
-
-
-
Anthology of Clayton
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
St. Louis
-
No
71
-
-
-
-
Places of interest near Estates of Hidden Lake
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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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
86
Employees
75
Contractors
11
Staff to resident ratio
1.59:1
7% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
29
Average shift
7.5 hours
7% worse than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
19,746
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
38
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.8%
1,144 contractor hours this quarter
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Physical Therapy Assistant: 1
Nurse Practitioner: 1
Registered Nurse: 1
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
38 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
8 Medication Aide/Technician
% of Days
100%
6 Registered Nurse
% of Days
89%
1 Administrator
% of Days
70%
1 Mental Health Service Worker
% of Days
69%
2 Nurse Practitioner
% of Days
67%
1 RN Director of Nursing
% of Days
70%
2 Other Dietary Services Staff
% of Days
64%
2 Speech Language Pathologist
% of Days
68%
1 Dietitian
% of Days
73%
1 Physical Therapy Aide
% of Days
60%
1 Physical Therapy Assistant
% of Days
45%
1 Clinical Nurse Specialist
% of Days
34%
1 Qualified Social Worker
% of Days
24%
2 Respiratory Therapy Technician
% of Days
23%
1 Occupational Therapy Aide
% of Days
8%
1 Medical Director
% of Days
8%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
54 residents
Residents by payment source
Medicare
9 residents (16.7%)
Medicaid
39 residents (72.2%)
Private pay or other
6 residents (11.1%)
Programs & Services
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.7
62% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.5
47% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.7%
Percent of long-stay residents whose need for help with daily activities has increased
26.7%
35% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
38.9%
Percent of long-stay residents whose ability to move independently worsened
38.9%
89% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
10% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
87% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.1%
Percent of long-stay high risk residents with pressure ulcers
6.1%
22% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.8%
Percent of long-stay residents with a urinary tract infection
2.8%
In line with Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
16.3%
Percent of long-stay residents who lose too much weight
16.3%
192% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.1%
Percent of long-stay residents who received an antipsychotic medication
17.1%
22% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.0%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.1%
14% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
69% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$124K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 19, 2024
$96K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 19, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 19, 2024
51 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 4, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 4, 2024
$27K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Estates of Hidden Lake based on CMS SNF Cost Reports.
Occupancy Rate
67.0%
↓ 10.8pp vs 2022
Net Income
-$1,102,576
↓ ~$2.2M vs 2022
Total Payroll
$3,423,476
↑ ~$380K vs 2022
Profit Margin
-22.4%
↓ 43.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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