Christian Extended Care & Rehabilitation
Saint Louis · 1.3 mi · 60 beds
Citations0Substantiated0
Hidden Lake Health Care Center
11728 HIDDEN LAKE DRIVE, Saint Louis, MO, 63138
Nursing home67 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 26 deficiencies against Hidden Lake Health Care Center in Saint Louis, Missouri at its most recent standard inspection on 2024-08-19, 8 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $123,610. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
67certified beds
26deficiencies at the last inspection
1immediate-jeopardy findings on record
6actual-harm findings on record
2federal fines, $123,610
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.6
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.70
Potential for minimal harmThe least serious band.6
Most recentGDDDDEEDGDGGFFFEEEEE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-05-21 · from a complaint · Actual harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-04-22 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-06-30 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-02-25 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-02-25 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · F0567 · 2024-12-11 · from a complaint · No actual harm, potential for more than minimal harm
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · F0570 · 2024-12-11 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2024-10-08 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-08-30 · from a complaint · Actual harm to a resident
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-08-19 · from a complaint · Actual harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-08-19 · from a complaint · Actual harm to a resident
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.
Nutrition and Dietary Deficiencies · F0803 · 2024-08-19 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-08-19 · from a complaint · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2024-08-19 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2024-08-19 · from a complaint · No actual harm, potential for more than minimal harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · F0640 · 2024-08-19 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2024-08-19 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0700 · 2024-08-19 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0727 · 2024-08-19 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS2.51654
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$123,610
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Hidden Lake Health Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| RELIANT CARE GROUP LLC | Organization | NOT APPLICABLE | since 08/01/2025 |
| RCG INC | Organization | NOT APPLICABLE | since 08/01/2025 |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | Organization | NOT APPLICABLE | since 08/01/2025 |
| DESTEFANE, RICHARD | Individual | NOT APPLICABLE | since 08/01/2025 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | NOT APPLICABLE | since 08/01/2025 |
| ARSHAD, ABDULLAH | Individual | NOT APPLICABLE | since 08/01/2025 |
| DESTEFANE, RICHARD | Individual | NOT APPLICABLE | since 08/01/2025 |
| LUTZ, HAROLD | Individual | NOT APPLICABLE | since 10/20/2025 |
| HL PROPERTY, LLC | Organization | NOT APPLICABLE | since 08/01/2025 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | NOT APPLICABLE | since 08/06/2025 |
| ARSHAD, ABDULLAH | Individual | NOT APPLICABLE | since 08/01/2025 |
| LUTZ, HAROLD | Individual | NOT APPLICABLE | since 10/20/2025 |
Part of the RELIANT CARE MANAGEMENT group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
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Contact
Ask Hidden Lake Health Care Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 265735.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction