Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
90
78 employees · 12 contractors · 24 on an average day Estates of Hidden Lake
Nursing Home, Assisted Living, Hospice Care & Respite Care · St. Louis, MO
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Estates of Hidden Lake
Nursing Home, Assisted Living, Hospice Care & Respite Care · St. Louis, MO
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Estates of Hidden Lake accepts Medicare, Medicaid, and private pay.
Estates of Hidden Lake offers nursing home, assisted living, hospice care, nursing care, and respite care in St. Louis, MO. Nursing home and nursing care support residents who need ongoing nursing attention, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Hospice care focuses on comfort for a person nearing the end of life, and respite care provides a short stay when a usual caregiver needs temporary relief.
With several care types in one community, Estates of Hidden Lake may suit a resident whose needs change over time or a family seeking temporary care during a caregiver’s recovery or travel. The community is in the Spanish Lake neighborhood and has 67 beds. Total nurse staffing is 2 hours and 36 minutes per resident per day, representing the daily amount of nurse staffing assigned across each resident.
Medicare, Medicaid, and private pay are accepted. Medicare applies to eligible short-term skilled care rather than long-term residence, Medicaid is a payment route for eligible residents, and private pay means paying directly. Sharon Wooten serves as the administrator.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 246th out of 267 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 36m
This nursing home is ranked 246th out of 267 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 36m6 of 6 metrics below Missouri average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 3 are the facility's own employees; no agency contractors work in this role.
3 staff · 10.7-hour shifts
10m
↓ 66% · MO 29mThis facility: 10m per resident per day, 66% below the Missouri average of 29m (among Missouri facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 3 are the facility's own employees; no agency contractors work in this role.
3 staff · 10.7-hour shiftsUS average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 10 are the facility's own employees; no agency contractors work in this role.
10 staff · 11.2-hour shifts
33m
↓ 23% · MO 43mThis facility: 33m per resident per day, 23% below the Missouri average of 43m (among Missouri facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 10 are the facility's own employees; no agency contractors work in this role.
10 staff · 11.2-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 32 are the facility's own employees; no agency contractors work in this role.
32 staff · 8.2-hour shifts
1h 53m
↓ 23% · MO 2h 26mThis facility: 1h 53m per resident per day, 23% below the Missouri average of 2h 26m (among Missouri facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 32 are the facility's own employees; no agency contractors work in this role.
32 staff · 8.2-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
↓ 76% · MO 3mThis facility: 1m per resident per day, 76% below the Missouri average of 3m (among Missouri facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 20m
↓ 26% · MO 3h 10mThis facility: 2h 20m per resident per day, 26% below the Missouri average of 3h 10m (among Missouri facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
12m
↓ 40% · MO 20mThis facility: 12m per resident per day, 40% below the Missouri average of 20m (among Missouri facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
90
78 employees · 12 contractors · 24 on an average day
90 total staff / 54 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.67 : 1
≈ 0% · MO 1.66This facility: 1.67 staff per resident, level with the Missouri average of 1.66 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
90 staff ÷ 54 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.3 h
↑ 2% · MO 8.1 hThis facility: 8.3 h, 2% above the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
18,246 staff hours this quarter
See full Missouri ranking →93.5% of staff hours were worked by the facility's own employees
Missouri average: 92.5% · Contractors this quarter: Physical Therapy Aide (3), Qualified Social Worker (2), Respiratory Therapy Technician (2), Medical Director (1), Occupational Therapy Aide (1), Speech Language Pathologist (1), Physical Therapy Assistant (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
67
Rank #233 / 288Bed count — State benchmarked This nursing home is ranked 233rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
67
Rank #233 / 288Bed count — State benchmarked This nursing home is ranked 233rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #239 / 296Walk Score — State benchmarked This nursing home is ranked 239th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #239 / 296Walk Score — State benchmarked This nursing home is ranked 239th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
29
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #85 / 272Occupancy rate — State benchmarked This nursing home is ranked 85th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #85 / 272Occupancy rate — State benchmarked This nursing home is ranked 85th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
93%
This home usually has limited availability
Based on 62.3 residents and 67 beds. Source: CMS Provider Information, average daily residents
Higher than the Missouri average: 67.8%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
197
days
About This Community
CountySaint Louis
Estates of Hidden Lake is legally operated by Estates Of Hidden Lake, LLC, and administered by Sharon Wooten.
Pets not allowed
Continuing Care Retirement Community (CCRC)
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
Inspection History
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Since 2018 · 8 years of data
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 71 deficiencies 18 inspections
Includes all inspection records for this property, which could include management/ownership changes. 71 deficiencies 18 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2018 vs. Missouri state average
Overall vs. MO average
1 Worse
Metrics worse than Missouri average:
• Total deficiencies (54% above) 1 Better Metrics better than Missouri average:
• Deficiencies per inspection (3% below)
• Total deficiencies (54% above) 1 Better Metrics better than Missouri average:
• Deficiencies per inspection (3% below)
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 71 | 46.0 | This facility has 54% more total deficiencies than a typical Missouri nursing home (71 vs. MO avg 46).↑ 54% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.9 | 4.0 | This facility has 3% fewer deficiencies per inspection than a typical Missouri nursing home (3.9 vs. MO avg 4).↓ 3% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 18 | 11.0 | This facility has had 64% more total inspections than the Missouri average (18 vs. MO avg 11). More inspections can mean more regulatory scrutiny rather than worse care.↑ 64% more |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
12
↑ 82% · MO 6.6This facility: 12, 82% above the Missouri average of 6.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
83
Rank #268 / 274Health citations — State benchmarked This nursing home is ranked 268th out of 274 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 130% · MO 36.1This facility: 83, 130% above the Missouri average of 36.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6.92
Rank #222 / 274Citations per inspection — State benchmarked This nursing home is ranked 222nd out of 274 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 24% · MO 5.6This facility: 6.92, 24% above the Missouri average of 5.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
98% corrected
82 of 83 citations corrected · 1 still open
Critical
J–L
1
↑ 67% · MO 0.6This facility: 1, 67% above the Missouri average of 0.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
Immediate jeopardy
Serious
G–I
6
↑ 445% · MO 1.1This facility: 6, 445% above the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
83% corrected · 1 open
Actual harm
Moderate
D–F
70
↑ 110% · MO 33.3This facility: 70, 110% above the Missouri average of 33.3 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, more than minimal risk
Minor
A–C
6
↑ 445% · MO 1.1This facility: 6, 445% above the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, minimal riskLatest inspection: May 21, 2026 · 1 citation (Quality of Care, serious), not yet corrected
Most cited category: Quality of Life & Care, 21 of 83 citations · 10 categories in total
Citations history
Most recent first
May 21, 2026
1 citation
Quality of Care serious citation
Apr 22, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Jun 30, 2025
1 citation
Quality of Care moderate citation
Corrected
Corrected
Feb 25, 2025
2 citations
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Dec 11, 2024
2 citations
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Oct 08, 2024
1 citation
Resident Rights moderate citation
Corrected
Corrected
Aug 30, 2024
2 citations
Quality of Care serious citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Aug 19, 2024
25 citations
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Jun 04, 2024
3 citations
Abuse/Neglect serious citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Aug 09, 2023
2 citations
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Oct 28, 2022
10 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control critical citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control minor citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Showing the 50 most recent of 83 citations.
Top deficiency categories
Share of 83 citations
Quality of Life & Care
21 deficiencies (25%)
Resident Rights
14 deficiencies (17%)
Resident Assessment & Care Planning
11 deficiencies (13%)
Nutrition & Dietary
10 deficiencies (12%)
Administration
6 deficiencies (7%)
Nursing & Physician Services
6 deficiencies (7%)
Pharmacy Services
6 deficiencies (7%)
Infection Control
5 deficiencies (6%)
Abuse, Neglect & Exploitation
3 deficiencies (4%)
Environmental
1 deficiency (1%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
62 of 83 citations resulted from standard inspections; 15 of 83 resulted from complaint investigations; and 6 of 83 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 Aug 2026
3 penalties in the past 3 years
Latest: Aug 19, 2024 · $96,420 civil money penalty
Aug 19, 2024 · $96,420 civil money penalty
Jun 4, 2024 · $27,190 civil money penalty
Aug 19, 2024 · 51-day payment denial
Total fines
$123,610
↑ 52% · MO $81KThis facility: $123,610, 52% above the Missouri average of $81,235. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #254 / 275Federal fines — State benchmarked This nursing home is ranked 254th out of 275 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 275 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↑ 4% · MO 1.93This facility: 2, 4% above the Missouri average of 1.93. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
51 days
↑ 43% · MO 0.7This facility: 1, 43% above the Missouri average of 0.7. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Aug 19, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$96,420
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$96,420
Aug 19, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
51 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
51 days
Jun 4, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$27,190
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$27,190Fine amount comparison
This facility
$123,610
Missouri average
$81,235
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Missouri and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
16.4
Score · lower is better
↑ 67% · MO 9.8This facility: 16.4, 67% above the MO average of 9.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
30.1
Score · lower is better
↑ 69% · MO 17.8This facility: 30.1, 69% above the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 3 better, 6 worse, 2 near MO average
1 short-stay measure: 1 worse
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
33.3%
↑ 84% · MO 18.1This facility: 33.3, 84% above the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
33.3%
↑ 84% · MO 18.1This facility: 33.3, 84% above the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
35.7%
↑ 105% · MO 17.4This facility: 35.7, 105% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
35.7%
↑ 105% · MO 17.4This facility: 35.7, 105% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
↑ 20% · MO 17.8This facility: 21.3, 20% above the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
↑ 20% · MO 17.8This facility: 21.3, 20% above the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.2%
↓ 4% · MO 2.3This facility: 2.2, 4% below the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.2%
↓ 4% · MO 2.3This facility: 2.2, 4% below the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · MO 4.1This facility: 0.0, 100% below the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · MO 4.1This facility: 0.0, 100% below the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.7%
↓ 18% · MO 4.5This facility: 3.7, 18% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.7%
↓ 18% · MO 4.5This facility: 3.7, 18% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
9.1%
↑ 72% · MO 5.3This facility: 9.1, 72% above the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
9.1%
↑ 72% · MO 5.3This facility: 9.1, 72% above the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
38.3%
↑ 107% · MO 18.5This facility: 38.3, 107% above the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
38.3%
↑ 107% · MO 18.5This facility: 38.3, 107% above the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
21.6%
↓ 8% · MO 23.5This facility: 21.6, 8% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
21.6%
↓ 8% · MO 23.5This facility: 21.6, 8% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.4%
↓ 8% · MO 84.1This facility: 77.4, 8% below the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.4%
↓ 8% · MO 84.1This facility: 77.4, 8% below the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
↑ 4% · MO 90.9This facility: 94.1, 4% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
↑ 4% · MO 90.9This facility: 94.1, 4% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 1 measures
Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
20.3%
↓ 69% · MO 65.7This facility: 20.3, 69% below the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
20.3%
↓ 69% · MO 65.7This facility: 20.3, 69% below the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Estates of Hidden Lake’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 267 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−32.5% operating margin
+3.8 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$1.5M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Missouri homes
66.4% payroll share of revenue
MO average 54.9%Rank #41 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 41st out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.1M while revenue rose $0.0M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $4.7M | +$0.0M | Trend 20162024 | MO median $6.2M | Rank in MO Rank #197 / 267Net patient revenue — State benchmarked This nursing home is ranked 197th out of 267 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 26% of homes | Below MO median Higher net patient revenue than 26% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $6.2M | −$0.2M | Trend 20162024 | MO median — | Rank in MO Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.5M | +$0.2M | Trend 20162024 | MO median — | Rank in MO Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −32.5% | +3.8 pts | Trend 20162024 | MO median — | Rank in MO Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | MO median — | Rank in MO Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.5M | −$0.4M | Trend — | MO median — | Rank in MO Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Missouri homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.1M | +$0.1M | Trend 20162024 | MO median $3.5M | Rank in MO Rank #153 / 267Payroll costs — State benchmarked This nursing home is ranked 153rd out of 267 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 43% of homes | Below MO median Higher payroll than 43% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 66.4% | +2.3 pts | Trend 20162024 | MO median 52.9% | Rank in MO Rank #41 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 41st out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 85% of homes | 11.5 pts over MO average The MO average is 54.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020no report | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.9M | $4.9M | $4.7M | $4.8M | $3.6M | $4.9M | $4.7M | $4.7M | |
| Operating expenses | $5.9M | $6.0M | $5.7M | $5.8M | $4.8M | $5.9M | $6.4M | $6.2M | |
| Net patient income | −$1.0M | −$1.2M | −$1.0M | −$1.0M | −$1.2M | −$1.0M | −$1.7M | −$1.5M | |
| Operating margin | −20.0% | −24.2% | −20.5% | −20.4% | −34.2% | −20.2% | −36.3% | −32.5% | |
| Net income | −$1.0M | −$1.2M | −$1.0M | −$1.0M | −$0.3M | $1.1M | −$1.1M | −$1.5M | |
| Payroll costs | $2.8M | $2.9M | $2.4M | $2.7M | $2.3M | $2.6M | $3.0M | $3.1M | |
| Payroll share of revenue | 55.7% | 59.3% | 51.3% | 55.3% | 63.2% | 53.4% | 64.1% | 66.4% | |
| Beds | 67 | 67 | 67 | 67 | 67 | 67 | 67 | 67 | |
| Gross revenue | $6.3M | $6.2M | $6.2M | $6.5M | $4.0M | $5.2M | $4.9M | $5.1M | |
| Salaries | $2.4M | $2.3M | $2.2M | $2.3M | $2.0M | $2.3M | $2.7M | $2.9M | |
| Wage-related costs | $0.4M | $0.6M | $0.3M | $0.3M | $0.3M | $0.3M | $0.4M | $0.3M | |
| Contract labor | $0.5M | $0.5M | $0.6M | $0.5M | $0.4M | $0.4M | $0.4M | $0.4M | |
| Other operating costs | $3.2M | $3.2M | $3.3M | $3.1M | $2.6M | $3.3M | $3.4M | $3.1M | |
| Net patient revenue per day | $269 | $271 | $264 | $251 | $252 | $258 | $286 | $262 | |
| Cost per day | $323 | $337 | $318 | $303 | $338 | $310 | $390 | $347 | |
| Average length of stay | 104.9 days | 86.3 days | 74.3 days | 91.6 days | 115.2 days | 206.7 days | 303.4 days | 197.3 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
130 admissions · FY2024
Residents admitted during the year.
Medicare
36 · 28%
Medicaid
52 · 40%
Private pay & other
42 · 32%
Resident snapshot
54 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
9 · 17%
Medicaid
39 · 72%
Private pay & other
6 · 11%
Leaving
91 discharges · FY2024
Residents discharged during the year.
Medicare
6 · 7%
Medicaid
62 · 68%
Private pay & other
23 · 25%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near Estates of Hidden Lake
11728 Hidden Lake Dr, St. Louis, MO 63138 — 10.59 miles to nearest hospital (Barnes-Jewish Hospital :Washington University Acute Ccm Sgy)
Calculate Travel Distance to Estates of Hidden Lake
Add your location
Compare Nursing Homes around St Louis
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cottages of Lake St. Louis | NH SNF | Lake St Louis (Lake Saint Louis) | 60
Facility
60
MO AVG
110
Rank
#243 / 288 |
92.0%
Facility
92.0%
MO AVG
67.8%
Rank
#67 / 272 | +36% | 6.59
Facility
6.59
MO AVG
3.63
Rank
#3 / 267 | -32% | +81% | $17.7k
Facility
$17.7k
MO AVG
$86.2k
Rank
#192 / 275 | 8
Facility
8
MO AVG
36.1
Rank
#5 / 274 | 2.0
Facility
2.0
MO AVG
5.6
Rank
#5 / 274 | 1 | 55 | - |
13
Facility
13
MO AVG
50
Rank
#275 / 296 | Fsc Of Lake St Louis, LLC | $9.3MFiscal year ending 12/2024
Facility
$9.3MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#73 / 267 | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#75 / 267 | 51.5%Fiscal year ending 12/2024
Facility
51.5%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#145 / 267 | 265860 | ||||
| Laclede Groves | NH AL IL MC SNF | St. Louis | 251
Facility
251
MO AVG
110
Rank
#3 / 288 |
39.6%
Facility
39.6%
MO AVG
67.8%
Rank
#249 / 272 | -42% | 1.19
Facility
1.19
MO AVG
3.63
Rank
#19 / 267 | +48% | -67% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 9
Facility
9
MO AVG
36.1
Rank
#8 / 274 | 4.5
Facility
4.5
MO AVG
5.6
Rank
#97 / 274 | - | 100 | - |
35
Facility
35
MO AVG
50
Rank
#217 / 296 | John Komlos | $23.5MFiscal year ending 12/2024
Facility
$23.5MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#4 / 267 | $29.3MFiscal year ending 12/2024
Facility
$29.3MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#2 / 267 | 124.8%Fiscal year ending 12/2024
Facility
124.8%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#3 / 267 | 265600 | ||||
| Ascension Living Sherbrooke Village | NH ADC AL HC IL MC SNF | St. Louis | 149
Facility
149
MO AVG
110
Rank
#48 / 288 |
84.3%
Facility
84.3%
MO AVG
67.8%
Rank
#172 / 272 | +24% | 3.94
Facility
3.94
MO AVG
3.63
Rank
#59 / 267 | -34% | +9% | $38.5k
Facility
$38.5k
MO AVG
$86.2k
Rank
#216 / 275 | 48
Facility
48
MO AVG
36.1
Rank
#213 / 274 | 6.0
Facility
6.0
MO AVG
5.6
Rank
#182 / 274 | 2 | 126 | - |
29
Facility
29
MO AVG
50
Rank
#239 / 296 | - | $14.4MFiscal year ending 06/2025
Facility
$14.4MFiscal year ending 06/2025
MO AVG
$8.0M
Rank
#18 / 267 | $8.2MFiscal year ending 06/2025
Facility
$8.2MFiscal year ending 06/2025
MO AVG
$4.2M
Rank
#12 / 267 | 57%Fiscal year ending 06/2025
Facility
57%Fiscal year ending 06/2025
MO AVG
54.9%
Rank
#103 / 267 | 265417 | ||||
| Creve Coeur Manor | NH | St. Louis | 149
Facility
149
MO AVG
110
Rank
#48 / 288 |
52.3%
Facility
52.3%
MO AVG
67.8%
Rank
#221 / 272 | -23% | 2.43
Facility
2.43
MO AVG
3.63
Rank
#246 / 267 | -34% | -33% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 69
Facility
69
MO AVG
36.1
Rank
#258 / 274 | 7.7
Facility
7.7
MO AVG
5.6
Rank
#238 / 274 | 3 | 78 | - |
30
Facility
30
MO AVG
50
Rank
#234 / 296 | Jeanne Dirschuweit | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#165 / 267 | $3.5MFiscal year ending 12/2024
Facility
$3.5MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#134 / 267 | 63.7%Fiscal year ending 12/2024
Facility
63.7%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#54 / 267 | 265720 | ||||
| Estates of Hidden Lake | NH AL HOS RC | St. Louis (Spanish Lake) | 67
Facility
67
MO AVG
110
Rank
#233 / 288 |
93.0%
Facility
93.0%
MO AVG
67.8%
Rank
#85 / 272 | +37% | 2.60
Facility
2.60
MO AVG
3.63
Rank
#246 / 267 | -57% | -29% | $123.6k
Facility
$123.6k
MO AVG
$86.2k
Rank
#254 / 275 | 83
Facility
83
MO AVG
36.1
Rank
#268 / 274 | 6.9
Facility
6.9
MO AVG
5.6
Rank
#222 / 274 | 7 | 62 | - |
29
Facility
29
MO AVG
50
Rank
#239 / 296 | Estates Of Hidden Lake, LLC | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#197 / 267 | $3.1MFiscal year ending 12/2024
Facility
$3.1MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#153 / 267 | 66.4%Fiscal year ending 12/2024
Facility
66.4%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#41 / 267 | 265735 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Missouri
Estates of Hidden Lake is located in St. Louis, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Know before you visit
Frequently Asked Questions about Estates of Hidden Lake
Quick answers from public records and the community's own listing.01 What neighborhood is Estates of Hidden Lake in?
Estates of Hidden Lake is in the Spanish Lake neighborhood of St. Louis.
02 Is Estates of Hidden Lake in a walkable area?
Estates of Hidden Lake has a walk score of 29. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 What is the occupancy rate at Estates of Hidden Lake?
Estates of Hidden Lake's occupancy is 93%.
04 Are pets allowed at Estates of Hidden Lake?
No, Estates of Hidden Lake has a no-pet policy.
05 Does Estates of Hidden Lake operate as a for-profit or non-profit?
Estates of Hidden Lake is registered as a for-profit in MO.
06 Who is the administrator of Estates of Hidden Lake?
Sharon Wooten is the administrator of Estates of Hidden Lake.
07 What is the overall rating for Estates of Hidden Lake?
Estates of Hidden Lake received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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