The Estates of Hidden Lake

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionPast Non-Compliance

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 11, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 7, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 11, 2025

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 11, 2025

• Honor the resident's right to manage his or her financial affairs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 10, 2025

• Assure the security of all personal funds of residents deposited with the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 7, 2025

• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 15, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2024

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2024

• Have elevators that firefighters can control in the event of a fire.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Nov 15, 2024

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 15, 2024

• Conduct risk assessment and an All-Hazards approach.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• List the names and contact information of those in the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 3, 2024

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 7, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 7, 2024

• Have an enclosure around a vertical opening shaft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 15, 2024

• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Dispose of garbage and refuse properly.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 15, 2024

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 3, 2024

• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Have proper medical gas storage and administration areas.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2024

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2024

• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024

• Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024

• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 15, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 7, 2024

• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity C of L: potential for minimal harm, widespreadCorrected Oct 3, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jul 10, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 10, 2024

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 10, 2024

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 17, 2024

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 17, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 23, 2023

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 23, 2023

• Provide and implement an infection prevention and control program.

  Severity K of L: immediate jeopardy, patternCorrected Feb 7, 2023

• Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 28, 2023

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 21, 2022

• Have elevators that firefighters can control in the event of a fire.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 28, 2023

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 13, 2022

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 13, 2022

• Have simulated fire drills held at unexpected times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 21, 2022

• Assure the security of all personal funds of residents deposited with the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 13, 2022

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 21, 2022

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 21, 2022

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 8, 2022

• Ensure staff are vaccinated for COVID-19

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 8, 2022

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G of L: actual harm, isolatedCorrected Oct 11, 2019

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 18, 2019

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2019

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 14, 2019

• Have proper medical gas storage and administration areas.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2019

• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2019

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Observe each nurse aide's job performance and give regular training.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2019

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 11, 2019

• Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

  Severity C of L: potential for minimal harm, widespreadCorrected Oct 11, 2019

• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  Severity B of L: potential for minimal harm, patternCorrected Oct 11, 2019

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity B of L: potential for minimal harm, patternCorrected Oct 11, 2019

The Estates of Hidden Lake offers Skilled Nursing / Long Term Care.

The Estates of Hidden Lake is located at 11728 Hidden Lake Drive in Saint Louis, Missouri.

Reviews of The Estates of Hidden Lake are sharply divided, with some families praising attentive, caring nursing staff and a clean, quiet environment, while others report serious neglect issues including mold, unresolved HVAC problems, and inadequate meals. A change in management has also led to complaints about rent increases and notices to vacate for independent living residents.

The Estates of Hidden Lake had 13 government inspection visits in the last three years, with 116 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with The Estates of Hidden Lake and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.