The Estates of Hidden Lake

    11728 Hidden Lake Dr, St. Louis, MO 63138
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Professional staff and comfortable apartment

    I'm very pleased with my experience here - the staff are professional, attentive and caring, the building is clean and bright, and security/safety features give me peace of mind. My apartment is roomy with a large bathroom, lots of closet space, private entrances and in-unit laundry; utilities and light housekeeping are included. On-site nurses, excellent rehab/therapy, varied activities, nice dining, garden/lake access and pet-friendly policies make it a comfortable, well-rounded choice. Overall I feel safe, well cared for, and would recommend it for its staff, amenities and value.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.35·(43)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.5
    • Meals

      3.0
    • Amenities

      3.4
    • Value

      3.6

    Pros

    • On-site nursing and continuum of care
    • Multiple care levels including memory care and skilled nursing
    • Spacious apartments with large bathrooms and ample closet space
    • Private entrances, patios, and deck options
    • In-unit washers and dryers in some units
    • All utilities included in rent
    • Light housekeeping and included laundry services (where applicable)
    • Pet-friendly policy for small animals
    • Garden, courtyard, and lake access
    • Shuttle transportation and scheduled outings
    • Three daily meals with dietary accommodations
    • Homey common areas with fireplace and piano
    • Regular activity programming (crafts, games, church services, themed events)
    • Rehab and physical-therapy amenities
    • Friendly and personable staff in many departments
    • Knowledgeable nursing staff and thorough medication management in some settings
    • Move-in and move-out assistance
    • Security features in some areas (check-in/passcode)
    • Reasonable pricing and perceived value for money
    • Private rooms available in memory-care units
    • Amenities such as chapel, library, salon, and hair services
    • Clean, updated apartments and well-kept outdoor landscaping
    • Quiet independent-living environment with convivial dining spaces

    Cons

    • Inconsistent facility maintenance and preventive upkeep
    • Sanitation concerns in common areas and select units
    • Pest-control concerns in some units
    • Inconsistent or limited housekeeping services
    • High staff turnover and understaffing
    • Inconsistent medication administration and near-miss occurrences
    • Weaknesses in staff conduct oversight and time-keeping
    • Allegations of staff substance misuse and time theft
    • Poor management responsiveness and communication
    • Frequent ownership and management changes creating policy instability
    • Security and access-control vulnerabilities in common areas
    • Inadequate grounds and parking-lot maintenance
    • Inconsistent dining quality and meal-service continuity
    • Weak admissions screening and resident-fit processes
    • Inconsistent clinical documentation and charting practices
    • Infrastructure reliability issues (heating, cooling, electrical)
    • Uneven activity engagement and participation levels
    • Non-refundable move-in and pet-deposit policies
    • Inconsistent infection-control and visitation practices

    Summary of reviews

    The Estates of Hidden Lake presents a mixed profile: it offers a clear continuum of care with on-site nursing, memory-care programming, skilled nursing options, and independent-living apartments. Many residents and families praise spacious, well-appointed apartments (large bathrooms, ample closet space, private entrances and patios), a pleasant campus with garden and lake access, and on-site amenities such as a chapel, library, salon, and therapy/rehab spaces. Activity programming — including crafts, games, music, church services, themed holiday events, and memory-care activities — is available, and transportation/shuttle services and scheduled outings are part of the lifestyle offerings. Several accounts highlight friendly, personable staff, knowledgeable nursing in parts of the building, and value-for-money pricing in the independent- and assisted-living segments.

    Care and staff experience appear uneven across the facility. Positive notes include attentive aides, strong one-on-one nursing in some units, thorough medication management in certain wings, and staff who keep families informed. However, multiple accounts indicate staffing instability and periods of understaffing that have led to delayed responses and longer wait times. Clinical documentation and charting practices were described as inconsistent, and there are examples of medication-administration inconsistencies and near-misses; these suggest gaps in process reliability rather than uniformly unsafe practice. Oversight of staff conduct and time-keeping is another operational weakness cited in multiple accounts.

    Dining and activities likewise vary by unit and time. Many reviewers described appetizing meals, accommodations for dietary restrictions, and three daily meals served on a regular schedule; others described uneven food quality and occasional service disruptions. Activity offerings and the social program are present and appreciated by engaged residents, but there are also descriptions of limited visible engagement in certain areas and slower activity schedules in others, producing an uneven resident experience depending on placement and staffing levels.

    Facility condition and safety present a mixed picture. Numerous units and common areas are described as clean, bright, and well-kept with attractive landscaping. Contrasting descriptions point to inconsistent preventive maintenance, infrastructure reliability issues (heating, cooling, and electrical), sanitation concerns in some common areas and units, and pest-control issues. Security and access-control procedures appear strong in some parts of the campus (check-in/passcode) but weak in others, with unlocked access and perimeter-control gaps noted. Grounds and parking-lot maintenance have also been described as uneven.

    Management and operational patterns emerge as a consistent theme. Reviewers cite frequent ownership or management changes, slow or unresponsive communication by phone or email, and policy decisions (for example, non-refundable move-in and pet deposits) that families should review carefully. Serious operational allegations — including staff substance misuse and time theft — have been raised in some accounts; these are significant and should be evaluated through direct inquiry and verification. Conversely, other accounts describe helpful, professional management and positive tours, indicating variability in leadership and day-to-day execution.

    Bottom line: The Estates of Hidden Lake offers substantive strengths — a full continuum of care, attractive living spaces, active programming, and staffed clinical resources — that make it appropriate for many prospective residents, particularly those seeking on-site clinical continuity and social programming. At the same time, persistent themes around inconsistent maintenance, variable housekeeping and dining experiences, staffing turnover, documentation and medication-administration reliability, and uneven management responsiveness warrant careful investigation. Prospective residents and families should arrange multiple visits at different times of day, request recent inspection or staffing records, clarify deposits and admission policies, and meet clinical and administrative leaders to assess current conditions and remediation plans before making a placement decision.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Estates of Hidden Lake

    The Estates of Hidden Lake is located at 11728 Hidden Lake Dr, St. Louis, MO, 63138.

    About The Estates of Hidden Lake

    The Estates of Hidden Lake in Saint Louis sits on Hidden Lake Drive and stands out with its care options all under one roof, so folks can get skilled nursing, assisted living, memory care, independent living, and respite stays as needed, and the place has structured programs helping residents stay active and keeping up good spirits. Residents have support for daily needs, including grooming and health therapies like physical, occupational, and speech therapy, while the staff, who speak English, keep a close watch for safety and well-being and connect with families openly. The building's set up for wheelchairs and walkers, with wheelchair-accessible showers and no smoking allowed in any private or public indoor space, and there's easy access if someone has mobility needs. People can bring their pets or live with their cats and dogs, which is nice, and the pet-friendly policy makes sure furry friends can visit or stay with their owners. The grounds and all common areas, both inside and outside, are open to everyone, and there's an outdoor patio where folks can sit out and enjoy the fresh air.

    Residents have choices of private rooms, studio apartments, one- and two-bedroom apartments, or cottages, and all the spaces come spacious and comfortable, and the whole campus is purpose-built so seniors can keep their freedom. Meals come prepared by a chef and the dining room works restaurant-style, even offering private spaces for parties or special visits, and they can handle dietary restrictions or special diets, while snacks and meals happen throughout the day. Folks get help getting out and about too, since transportation's provided at no cost, and the place is close to public transportation, which makes visits or trips into town easy. Every week, there are devotional services onsite and offsite for anyone who wants spiritual support, and a mix of social and educational activities like bingo, field trips, movie nights, sing-alongs, wellness classes, and game nights helps everyone stay engaged and meet new friends. They welcome families and guests, with happy hours, entertainment, and even spaces set aside for gatherings.

    Hospice and respite services are there if people need short-term support, which helps caregivers get a break, and the staff're trained to handle memory care for Alzheimer's or dementia, including tailored activities and a secure building. For long-term needs, there's full-time nursing, rehabilitation, help with daily activities, and support plans made for every person. Nutritious meal plans, free parking and Wi-Fi, supervised outings, amenities for pets, activities for all seasons, and weekly onsite church services add to the community feel. The Estates of Hidden Lake holds a couple awards, including Best of Senior Living and Best Activities, and its approach centers on each resident's unique needs so people can thrive and feel at home, even if they need more help as time goes on. The facility doesn't take new patients right now, but anyone interested can read or share its profile and learn more about what daily life's like.

    People often ask...

    The Estates of Hidden Lake offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 30 photos of The Estates of Hidden Lake on Mirador.

    Yes, The Estates of Hidden Lake allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 11728 Hidden Lake Dr, St. Louis, MO 63138.

    No, The Estates of Hidden Lake does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Missouri, the Department of Health & Senior Services licenses assisted living and long-term care facilities through state licensure surveys, complaint investigations, and fire-safety reviews.

    License numbersaint-louis-saint-louis-hidden-lake-health-care-center
    Facility typeAssisted Living Facility Option 2
    Capacity38 residents
    LicenseeHIDDEN LAKE OPCO LLC

    Inspection Reports

    11

    Reports

    63

    Citations

    3

    Complaints

    7

    Years

    08 Dec 2025Licensure
    Cited multiple deficiencies in regulatory compliance across fire reporting, safety systems, TB screening, personnel records, admission screening, assessments, ISP development, resident records, and dementia-related training.
    • 19 CSR 20-20.100
    21 Jul 2025Complaint
    Found deficiencies related to home-like construction standards. Found deficiencies related to call system requirements.
    08 Apr 2025Complaint
    Identified multiple regulatory deficiencies related to admission assessments, service plans, medication management, dementia-care training, environmental controls, and records of resident personal items.
    25 Apr 2024Complaint
    Found multiple deficiencies related to construction, safety, medications, staffing, dementia training, resident rights, records, and electronic monitoring.
    • 19 CSR 20-20.100
    07 Dec 2023Licensure
    Found deficiencies related to fire safety systems testing and emergency lighting.
    16 Nov 2022Licensure
    Found fire safety deficiencies related to fire drills and complete fire alarm testing.
    19 Oct 2021Licensure
    Identified multiple deficiencies related to fire drills, recordkeeping, fire safety training, alarm testing, and trash disposal.
    10 Mar 2020Licensure
    Found no state licensure deficiencies cited on the second inspection.
    06 Nov 2019Licensure
    Identified deficiencies in fire safety and emergency preparedness, including inadequate fire drill frequency, missing drill records, incomplete fire alarm testing, and insufficient emergency lighting.
    24 Sept 2019Licensure
    Identified deficiencies related to health screening, personnel records, admissions, assessments, evacuation readiness, resident records, and staff orientation.
    • 19 CSR 20-20.100
    • 19 CSR 30-86.045
    21 Jun 2019Licensure
    Found no deficiencies.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Estates of Hidden Lake. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Estates of Hidden Lake directly. There is no cost for this service. We are compensated by the community you select.

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