CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2657352026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Hidden Lake Health Care Center

11728 Hidden Lake Drive · Saint Louis, MO 63138 · St. Louis County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds67CMS provider file
Recent citation rows116current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-08-19272024-08-1913
Cycle 22022-10-28332022-10-286
Cycle 32019-08-27232019-08-2714
02 / CITATION DETAIL

116 rows in the current release

7 rows carry G–L scope/severity codes; 1 carry J–L. 29 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-21 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Past Non-Compliance · complaint
2026-04-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-11 · complaint
2025-06-30 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Past Non-Compliance · 2025-05-07 · complaint
2025-02-25 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-11 · complaint
2025-02-25 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-11 · complaint
2024-12-11 · HEALTHF0567Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-10 · complaint
2024-12-11 · HEALTHF0570Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-07 · complaint
2024-10-08 · HEALTHF0585Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint
2024-08-30 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03 · complaint
2024-08-30 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03 · complaint
2024-08-19 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · FIREE0006Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · FIREE0030Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · HEALTHF0582Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-10-03 · complaint
2024-08-19 · HEALTHF0585Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint
2024-08-19 · HEALTHF0623Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · HEALTHF0640Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03
2024-08-19 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03 · complaint
2024-08-19 · HEALTHF0686Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-03 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-08-19Fine$96,4200
2024-08-19Payment Denial$051
2024-06-04Fine$27,1900
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • RELIANT CARE GROUP LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 08/01/2025
  • RCG INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 08/01/2025
  • RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 08/01/2025
  • DESTEFANE, RICHARDIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 08/01/2025
  • RELIANT CARE MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2025
  • ARSHAD, ABDULLAHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2025
  • DESTEFANE, RICHARDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2025
  • LUTZ, HAROLDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/20/2025
  • HL PROPERTY, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2025
  • RELIANT CARE MANAGEMENT COMPANY LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/06/2025
  • ARSHAD, ABDULLAHIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2025
  • LUTZ, HAROLDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 10/20/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.52per resident day
RN hours0.22per resident day
Weekend nurse hours2.41per resident day
Staff turnover—%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.