Cottages of Lake St LouisCMS ratings, inspections and fines
- Address
- 2885 Technology Drive, Lake Saint Louis, MO 63367
- CCN
- 265860
- Ownership type
- For-profit, limited liability company
- Certified beds
- 60
- Chain
- None in the CMS record
- Residents per day
- 56
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Cottages of Lake St Louis an overall rating of 4 of 5 stars. The last standard survey was on 24 Jul 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Missouri is 9. CMS lists 1 fine of $17,696 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | St. Charles County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 15 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Jul 2025 | 5 | 9 |
| Cycle 2 | 12 Oct 2023 | 2 | 10 |
| Cycle 3 | No date | 1 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Mar 2026 |
| 24 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Sep 2025 |
| 24 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 Sep 2025 |
| 24 Jul 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 5 Sep 2025 |
| 24 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 Sep 2025 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 11 Nov 2023 |
| 12 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 11 Nov 2023 |
Survey cycle 3: 1 citation
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Dec 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Mar 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Oct 2023 | Fine | $17,696 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 6.03 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.71 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 1.40 | 0.68 | |
| Nurse aides | 3.92 | 2.29 | |
| All nurse staff, weekends | 5.46 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 57.5%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 40.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.5% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.2% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- FSC of Lake St Louis LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cottages Master LLC | 5% or greater direct ownership interest | 100% | 16 Jun 2016 |
| Future Focus Community LLC | 5% or greater indirect ownership interest | 16 Jun 2016 | |
| Ironrock Real Estate Investment Fund, LP | 5% or greater indirect ownership interest | 16 Jun 2016 | |
| St. Louis Bank | 5% or greater mortgage interest | 16 Jun 2016 | |
| Cottages of LSL Management LLC | Operational/managerial control | 16 Jun 2016 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Charles County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Sunterra Springs Dardenne Prairie | Dardenne Prairie | 2 of 5 | 7 | $49,722 | 15 Jan 2026 | |
| Delmar Gardens of O'Fallon | O Fallon | 3 of 5 | 18 | $0 | 14 May 2024 | |
| Abbey Senior Health | O Fallon | 3 of 5 | 11 | $0 | 25 Oct 2024 | |
| Garden View Care Center | O Fallon | 1 of 5 | 14 | $0 | 16 Jan 2025 | |
| Lutheran Senior Services at Breeze Park | Saint Charles | 4 of 5 | 5 | $41,347 | 2 Apr 2026 | |
| Ignite Medical Resort St Peters | Saint Peters | Not rated | 23 | $0 | 17 Oct 2025 | |
| St Peters Post Acute | Saint Peters | 1 of 5 | 24 | $69,999 | 19 Dec 2024 | |
| St Peters Rehab and Healthcare CenterSpecial Focus candidate | Saint Peters | 1 of 5 | 41 | $168,026 | 12 Apr 2024 | |
| McClay Senior Care | Saint Peters | 3 of 5 | 3 | $0 | 4 Apr 2024 | |
| Aspen Point Health and Rehabilitation | Saint Charles | 1 of 5 | 3 | $340,683 | 11 Feb 2026 | |
| NHC Healthcare, St Charles | Saint Charles | 4 of 5 | 3 | $0 | 20 Jun 2024 | |
| Lewis & Clark Gardens | Saint Charles | 1 of 5 | 18 | $139,916 | 8 Aug 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Cottages of Lake St Louis (CCN 265860). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/cottages-of-lake-st-louis-lake-saint-louis-mo-265860/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Cottages of Lake St Louis last inspected?
- The latest inspection with a citation in the CMS record was on 4 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 12 Oct 2023.
- Who operates Cottages of Lake St Louis?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names Cottages of LSL Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Cottages of Lake St Louis a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.