St. Charles County, Missouri · Nursing home
Cottages of Lake St Louis
4 of 5 overall from CMS
2885 Technology Drive, Lake Saint Louis, MO 63367
At a glance
- Overall rating 4 of 5 Above the state average of 2.5
- Nurse time per resident, per day 6.03 hours Above the state average of 3.43
- Nursing staff who left in a year 57.5% Above the state average of 56.0%
- Health citations, last 3 inspection cycles 8 1 at the harm level or above
- Fines in 3 years $17,696 1 fine
- Certified beds in use 93.2% of 60 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Cottages of Lake St Louis is a 60-bed nursing home in Lake Saint Louis, Missouri (St. Charles County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 6.03 nurse staffing hours per resident per day, above the Missouri average of 3.43. CMS lists 1 fine totaling $17,696 in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 55.9
- Certified since
- 2017 (9 yrs)
For profit - Limited Liability company Participates in Medicare
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Cottages of Lake St Louis
Chosen from this home's public data.
- CMS lists 1 fine totaling $17,696 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 57.5%, above the Missouri average of 56.0%. How often would the same aides care for my relative?Turnover in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Missouri average 2.5
- Health inspections 4 of 5 Missouri average 2.8
- Staffing 4 of 5 Missouri average 2.2
- Quality measures 4 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 6.03 h Missouri average 3.43
- Nurse aides 3.92 h Missouri average 2.29
- Licensed practical nurses 1.40 h Missouri average 0.68
- Registered nurses 0.71 h Missouri average 0.46
- All staff, weekends 5.46 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover57.5%
- Missouri average56.0%
- Registered nurse turnover40.0%
- Missouri average47.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 11.4% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.7% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.9% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 12.2% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 25.7% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 11.1% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.5% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.2% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.79 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.01 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.3% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.1% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 8 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 4 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 12, 2023: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 24, 2025 | 5 | 5 |
| Oct 12, 2023 | 2 | 4 |
| Dec 13, 2019 | 1 | 1 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (8)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 13, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 5, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 5, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 5, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 5, 2025)
Show 3 more
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 11, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Nov 11, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 12, 2020)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 12, 2023 | Fine | $17,696 |
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size434 of 487 by certified beds
- Missouri average residents per day73.0
- ChainNone listed
- Resident or family councilResident
- Homes in St. Charles County15
Common questions
What is the CMS star rating for Cottages of Lake St Louis?
Cottages of Lake St Louis has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 4.
How many beds does Cottages of Lake St Louis have?
Cottages of Lake St Louis has 60 certified beds. It averages 55.9 residents per day, about 93.2% of its certified beds.
How much nursing care do residents get at Cottages of Lake St Louis?
The home reports 6.03 hours of nurse staffing per resident per day, including 0.71 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Cottages of Lake St Louis been fined?
Yes. CMS lists 1 fine totaling $17,696 in the past three years.
Does Cottages of Lake St Louis accept Medicare or Medicaid?
CMS lists its participation as "Medicare". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Sunterra Springs Dardenne Prairie 38beds 84.7%in use 4.46nurse hours a day
- 3 of 5 Delmar Gardens of O'Fallon 198beds 81.1%in use 4.20nurse hours a day
- 3 of 5 Abbey Senior Health 55beds 91.6%in use 4.74nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Charles County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265860. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.