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Nursing homesMissouri › Hidden Lake Health Care Center

Hidden Lake Health Care Center

11728 Hidden Lake Drive, Saint Louis, MO 63138 · 3143558833 · 67 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.
Ownership changed in the last 12 months. Current ratings partly reflect the previous operator; recent inspections are the better signal.

Ownership group

Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 33 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $4,513,946 in federal fines. This facility rates below its group average (1.2/5).

See all 33 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 2.52 (Missouri median: 3.36). RN hours: 0.22. Weekend total: 2.41.

Inspection deficiencies

All-time on record: 83 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-21Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. GcomplaintPast Non-Compliance
2026-04-22Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2026-05-11
2025-06-30Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-05-07
2025-02-25Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2025-03-11
2025-02-25Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2025-03-11
2024-12-11Honor the resident's right to manage his or her financial affairs. Ecomplaintcorrected 2025-02-10
2024-12-11Assure the security of all personal funds of residents deposited with the facility. Ecomplaintcorrected 2025-02-07
2024-10-08Honor 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. Dcomplaintcorrected 2024-11-15
2024-08-30Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-10-03
2024-08-30Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2024-10-03
2024-08-19Provide appropriate treatment and care according to orders, resident’s preferences and goals. Gcomplaintcorrected 2024-10-03
2024-08-19Provide appropriate pressure ulcer care and prevent new ulcers from developing. Gcomplaintcorrected 2024-10-03
2024-08-19Ensure 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. FHealthcorrected 2024-11-15
2024-08-19Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2024-11-15
2024-08-19Have a plan that describes the process for conducting QAPI and QAA activities. FHealthcorrected 2024-10-03
2024-08-19Honor 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. Ecomplaintcorrected 2024-10-03
2024-08-19Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. EHealthcorrected 2024-10-03
2024-08-19Provide safe, appropriate dialysis care/services for a resident who requires such services. EHealthcorrected 2024-10-03
2024-08-19Try 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. EHealthcorrected 2024-11-15
2024-08-19Have 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. EHealthcorrected 2024-10-03
2024-08-19Dispose of garbage and refuse properly. EHealthcorrected 2024-10-03
2024-08-19Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. EHealthcorrected 2024-11-15
2024-08-19Develop and implement policies and procedures for flu and pneumonia vaccinations. EHealthcorrected 2024-10-03
2024-08-19Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2024-10-03
2024-08-19Honor 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. Dcomplaintcorrected 2024-11-15
2024-08-19Ensure each resident receives an accurate assessment. DHealthcorrected 2024-10-03
2024-08-19Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted DHealthcorrected 2024-10-03
2024-08-19Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2024-10-03
2024-08-19Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2024-10-03
2024-08-19Ensure 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. DHealthcorrected 2024-10-03
2024-08-19Ensure 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. DHealthcorrected 2024-10-07
2024-08-19Provide timely, quality laboratory services/tests to meet the needs of residents. Dcomplaintcorrected 2024-10-03
2024-08-19Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. DHealthcorrected 2024-10-03
2024-08-19Provide special eating equipment and utensils for residents who need them and appropriate assistance. DHealthcorrected 2024-11-15
2024-08-19Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. CHealthcorrected 2024-10-03
2024-06-04Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2024-07-10
2024-06-04Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-07-10
2024-06-04Provide 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. Dcomplaintcorrected 2024-07-10
2023-08-09Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2023-08-23
2023-08-09Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2023-08-23

Federal penalties

DateTypeAmount
2024-08-19Fine$96,420
2024-08-19Payment Denial51 days payment denial
2024-06-04Fine$27,190

Ownership & control records (CMS filings)

NameRoleType%Since
RELIANT CARE GROUP LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 08/01/2025
RCG INCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 08/01/2025
RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTIndirect Ownership InterestOrganizationNOT APPLICABLEsince 08/01/2025
DESTEFANE, RICHARDIndirect Ownership InterestIndividualNOT APPLICABLEsince 08/01/2025
RELIANT CARE MANAGEMENT COMPANY LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/01/2025
ARSHAD, ABDULLAHOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/01/2025
DESTEFANE, RICHARDOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/01/2025
LUTZ, HAROLDOperational/Managerial ControlIndividualNOT APPLICABLEsince 10/20/2025

Compare nearby (St. Louis County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265735. Corrections: data@carerecords.org.