Estates of Hidden Lake
Nursing Home, Assisted Living, Hospice Care & Respite Care · St. Louis, MO
CMS overall rating Info 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 Info 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.
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Estates of Hidden Lake accepts Medicare, Medicaid, and private pay.

Overview of Estates of Hidden Lake

Offering luxury skilled nursing, assisted living, and memory care support in Spanish Lake, Estates of Hidden Lake holds a renowned reputation for a high standard of senior living care. Its resident-centered approach is supported by an extensive and individualized care plan tailored to fulfill holistic needs. Estates of Hidden Lake create a home and a community that empowers seniors to thrive and acquire the lifestyle that they deserve.

The upscale resort-style environment presents world-class hospitality that extends to its accommodations. With a commitment to deliver freedom and individuality for each resident, the retirement experience is designed to focus on the unique needs of each senior. Featured amenities and services include respite stays, memory care activities, transportation, ADLs, specialized meal plans, rehabilitation, and long-term care services.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 59.7% Below MO avg. ▼ 59.7% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.0% Below MO avg. ▼ 64.0% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 54.3% Below MO avg. ▼ 54.3% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 62.4% Below MO avg. ▼ 62.4% Below MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 121st out of 270 homes 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.
3h 49m per day
Rank #121 / 270Nurse hours — State benchmarkedThis home is ranked 121st out of 270 homes in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 270 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Missouri avg (3h 44m per day)
vs Missouri avg
+2%

3 of 6 metrics below state avg

Standout metric LPN / LVN is +37% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 18m per day ▼ 35% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info 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. 56m per day ▲ 37% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info 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. 2h 45m per day ▲ 19% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 3h 50m per day ▲ 25% State avg: 3h 3m per day · National avg: 3h 27m per day
Physical Therapist Info 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 per day ▼ 72% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 18m per day ▼ 12% State avg: 20m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay Info 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.
303 days
Bed community size
67-bed community Rank #314 / 450Bed count — State benchmarkedThis home is ranked 314th out of 450 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 29 / 100 Rank #396 / 563Walk Score — State benchmarkedThis home is ranked 396th out of 563 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
79%
Rank #116 / 418Occupancy rate — State benchmarkedThis home is ranked 116th out of 418 homes in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 418. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
53 / 67
Average occupied beds in Missouri homes 72 beds

License Details

CountySaint Louis

Ownership & Operating Entity

Estates of Hidden Lake is legally operated by Estates Of Hidden Lake, LLC, and administered by Sharon Wooten.

Additional Policies & Features

Pets not allowed

Contact Estates of Hidden Lake

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 103 deficiencies 21 inspections

Inspection Scorecard Info 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 (61% above)
1 Better Metrics better than Missouri average:
• Deficiencies per inspection (8% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10364 This facility has 61% more total deficiencies than a typical Missouri nursing home (103 vs. MO avg 64).↑ 61% worse
Deficiencies per inspection Info Average deficiencies per inspection. 4.95.3 This facility has 8% fewer deficiencies per inspection than a typical Missouri nursing home (4.9 vs. MO avg 5.3).↓ 8% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2112 This facility has had 75% more total inspections than the Missouri average (21 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 75% more

Health Inspection History

Inspections since 2022
Total health inspections 10

Missouri average 6.6


Last Health inspection on Jun 2025

Total health citations
81 Rank #261 / 274Health citations — State benchmarkedThis home is ranked 261st out of 274 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 36.5

Citations per inspection
8.1 Rank #238 / 274Citations per inspection — State benchmarkedThis home is ranked 238th out of 274 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 4 years)
Critical health citations
1
43% worse than Missouri average

Missouri average: 0.7


Serious health citations
5
400% worse than Missouri average

Missouri average: 1

1 critical citation Missouri average: 0.7

5 serious citations Missouri average: 1

69 moderate citations Missouri average: 33.6

6 minor citations Missouri average: 1.2
Citations history (last 4 years)
Quality of Care moderate citation Jun 30, 2025
Corrected

Quality of Care moderate citation Feb 25, 2025
Corrected

Care Planning moderate citation Feb 25, 2025
Corrected

Resident Rights moderate citation Dec 11, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 90
Employees 78
Contractors 12
Staff to resident ratio 1.67 : 1
0% compared with Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 24
Average shift 8.3 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 18,246

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 3 RN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 32 CNA Staff are full-time employees. No contractors work on this role. 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.5%

1,185 contractor hours 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

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant320326,5508795%8.2
Medication Aide/Technician220224,3628795%7.8
Licensed Practical Nurse100103,6908795%11.2
Registered Nurse3036355863%10.7
Administrator2024485459%8.3
Speech Language Pathologist0113966773%5.9
Nurse Practitioner1013604549%8
Dental Services Staff1013364043%8.4
Physical Therapy Assistant0112795257%5.4
Other Dietary Services Staff4042322325%6.4
Qualified Social Worker0222076470%2.8
Clinical Nurse Specialist1011842325%8
Physical Therapy Aide0331804347%4
Dietitian1011361718%8
Mental Health Service Worker1011281617%8
Respiratory Therapy Technician022511617%3.2
Medical Director0112433%8
Occupational Therapy Assistant0112433%8
Occupational Therapy Aide0112433%8
32 Certified Nursing Assistant
% of Days 95%
22 Medication Aide/Technician
% of Days 95%
10 Licensed Practical Nurse
% of Days 95%
3 Registered Nurse
% of Days 63%
2 Administrator
% of Days 59%
1 Speech Language Pathologist
% of Days 73%
1 Nurse Practitioner
% of Days 49%
1 Dental Services Staff
% of Days 43%
1 Physical Therapy Assistant
% of Days 57%
4 Other Dietary Services Staff
% of Days 25%
2 Qualified Social Worker
% of Days 70%
1 Clinical Nurse Specialist
% of Days 25%
3 Physical Therapy Aide
% of Days 47%
1 Dietitian
% of Days 18%
1 Mental Health Service Worker
% of Days 17%
2 Respiratory Therapy Technician
% of Days 17%
1 Medical Director
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapy Aide
% of Days 3%

Penalties and fines

Includes penalties issued in 2024

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 Rank #254 / 276Federal fines — State benchmarkedThis home is ranked 254th out of 276 homes 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 276 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
69% higher than Missouri average

Missouri average: $73K

Number of fines 2
18% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
45% more payment denials than Missouri average

Missouri 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.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 19, 2024
$96K
Payment Denial Info 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 4, 2024
$27K

Last updated: Jan 2026

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 Info 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 average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.5
47% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.7%
35% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 38.9%
89% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.0%
10% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.5%
87% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.1%
22% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.8%
In line with Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 16.3%
192% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.1%
22% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.0%
In line with Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.1%
In line with Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 57.1%
14% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Missouri average

Missouri average: 2.2%

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

Facility Characteristics

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

Total residents 54
Medicare
9
16.7% of residents
Medicaid
39
72.2% of residents
Private pay or other
6
11.1% of residents
Programs & Services
CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.7M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.7M Rank #179 / 277Revenue — State benchmarkedThis home is ranked 179th out of 277 homes in Missouri for revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.7M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$600.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #156 / 277Payroll — State benchmarkedThis home is ranked 156th out of 277 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M 64.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #76 / 277Payroll % — State benchmarkedThis home is ranked 76th out of 277 homes in Missouri for payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.4M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

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

New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 2 months.

Admissions
62 total

Coverage residents most often arrive under.

Medicare 34%
Private pay 42%
Medicaid 24%
Discharges
54 total

Coverage residents most often leave under.

Medicare 19%
Private pay 56%
Medicaid 26%

Places of interest near Estates of Hidden Lake

Address 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

Address

Compare Assisted Living 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 to lowest based on our ranking methodology.

Laclede Groves
AL
IL
MC
NH
St. Louis
251
Facility 251
MO AVG 96
Rank #3 / 450
40.8%
Facility 40.8%
MO AVG 65.1
Rank #366 / 418
-37%
5.27
Facility 5.27
MO AVG 3.74
Rank #18 / 270
+48%+41%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
9
Facility 9
MO AVG 36.5
Rank #10 / 274
4.5
Facility 4.5
MO AVG 5.7
Rank #98 / 274
-103-
35
Facility 35
MO AVG 45
Rank #356 / 563
John Komlos
$24.9MFiscal year ending 12/2023
Facility $24.9MFiscal year ending 12/2023
MO AVG $8.4M
Rank #3 / 277
$27.4MFiscal year ending 12/2023
Facility $27.4MFiscal year ending 12/2023
MO AVG $3.3M
Rank #2 / 277
109.9%Fiscal year ending 12/2023
Facility 109.9%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #189 / 277
265600
River Crossing Rehab and Healthcare Center
AL
HOS
MC
NH
PC
SNF
St. Louis (Dunn Loring)
120
Facility 120
MO AVG 96
Rank #87 / 450
73.2%
Facility 73.2%
MO AVG 65.1
Rank #159 / 418
+12%
3.34
Facility 3.34
MO AVG 3.74
Rank #196 / 270
-45%-11%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
36
Facility 36
MO AVG 36.5
Rank #169 / 274
5.1
Facility 5.1
MO AVG 5.7
Rank #132 / 274
188-
1
Facility 1
MO AVG 45
Rank #549 / 563
River Crossing Holdco LLC
$6.7M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $6.7M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG $8.4M
Rank #132 / 277
$4.3M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $4.3M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG $3.3M
Rank #78 / 277
64.8%*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility 64.8%*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG 45.6%
Rank #31 / 277
265457
St Louis Altenheim
AL
IL
MC
NH
RC
SNF
St. Louis (Carondelet)
48
Facility 48
MO AVG 96
Rank #395 / 450
89.6%
Facility 89.6%
MO AVG 65.1
Rank #36 / 418
+38%
3.97
Facility 3.97
MO AVG 3.74
Rank #97 / 270
-+6%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
---43A+
39
Facility 39
MO AVG 45
Rank #329 / 563
Malik St Louis LLC---26A484
Estates of Hidden Lake
AL
HOS
NH
RC
St. Louis (Spanish Lake)
67
Facility 67
MO AVG 96
Rank #314 / 450
79.1%
Facility 79.1%
MO AVG 65.1
Rank #116 / 418
+22%
3.82
Facility 3.82
MO AVG 3.74
Rank #121 / 270
-57%+2%
$123.6k
Facility $123.6k
MO AVG $76.9k
Rank #254 / 276
81
Facility 81
MO AVG 36.5
Rank #261 / 274
8.1
Facility 8.1
MO AVG 5.7
Rank #238 / 274
653-
29
Facility 29
MO AVG 45
Rank #396 / 563
Harold Katz
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MO AVG $8.4M
Rank #179 / 277
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
MO AVG $3.3M
Rank #156 / 277
64.1%Fiscal year ending 12/2023
Facility 64.1%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #76 / 277
265735

Financial Assistance for
Assisted Living in Missouri

Estates of Hidden Lake is located in St. Louis, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

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

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

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

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Estates of Hidden Lake

What neighborhood is Estates of Hidden Lake in?

Estates of Hidden Lake is in the Spanish Lake neighborhood of St. Louis.

Is Estates of Hidden Lake in a walkable area?

Estates of Hidden Lake has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Estates of Hidden Lake?

Estates of Hidden Lake's occupancy is 79%.

Are pets allowed at Estates of Hidden Lake?

No, Estates of Hidden Lake has a no-pet policy.

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.

Who is the administrator of Estates of Hidden Lake?

Sharon Wooten is the administrator of Estates of Hidden Lake.

How many beds does Estates of Hidden Lake have?

Estates of Hidden Lake has 67 beds.

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