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Hidden Lake Health Care Center, Saint Louis, Missouri
- 81
- Citations from health inspectionsMissouri average: 36 a home
- 7
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $143,245
- Fines from the federal governmentMissouri average: $37,425 a home
- 1 out of 5
- Overall rating in starsMissouri average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
11 inspection visits produced 81 citations. Residents were in immediate danger in one finding. Residents were found hurt in six cases. Federal fines came to $143,245 (three fines). Once, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 2.52 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.22 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- Not sent to CMS
- Beds that are certified
- 67
- Ownership
- Limited Liability company (for profit)
- Chain
- Reliant Care Management, with 34 homes
- Street address
- 11728 Hidden Lake Drive, Saint Louis, Missouri 63138
- County
- St. Louis
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated May 21, 2026
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated April 22, 2026
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated June 30, 2025
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Feb. 25, 2025
Two citations dated Dec. 11, 2024
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F567 Right to Manage Own Finances: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Oct. 8, 2024
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Aug. 30, 2024
25 citations dated Aug. 19, 2024
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
- F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, a pattern, several residents.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, widespread.
- F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
- F700 Safe Use of Bed Rails: risk of harm, no one found hurt, a pattern, several residents.
- F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
Three citations dated June 4, 2024
- F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
25 citations dated Oct. 28, 2022
- F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, widespread.
- F888 Staff Coronavirus Vaccination: minimal risk to residents, widespread.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, widespread.
- F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: immediate danger to residents, a pattern, several residents.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
- F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, widespread.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents.
- F700 Safe Use of Bed Rails: risk of harm, no one found hurt, widespread.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, widespread.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, a pattern, several residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, a pattern, several residents.
18 citations dated Aug. 27, 2019
- F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread.
- F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
- F625 Written Notice of Bed Hold Policy: minimal risk to residents, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: minimal risk to residents, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F575 Post Agency Contacts and Complaint Rights: minimal risk to residents, widespread.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| May 21, 2026 | Fine | $19,635 |
| Aug. 19, 2024 | Fine | $96,420 |
| Aug. 19, 2024 | Payment denial for new admissions | 51 days |
| June 4, 2024 | Fine | $27,190 |
Ownership and Management of the Home
- The home is run by Reliant Care Management Company LLC (operational or managerial control).
- The direct owner is Reliant Care Group LLC.
- Owns a share through another company: Rcg Inc..
- Owns a share through another company: Richard J. Destefane Revocable Living Trust.
One person with an ownership stake is also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265735. Other homes in Saint Louis.