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Nursing Home in St. Louis

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Cottages of Lake St. Louis

Nursing Home in St. Louis

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Cottages of Lake St. Louis

2885 Technology Dr, Lake St Louis, MO 63367 View map
Overview of Cottages of Lake St. Louis

Experience unparalleled care and assistance with the outstanding senior living community of Cottages of Lake St. Louis in Technology Drive, Lake St. Lous, MO, focusing on skilled nursing. The community features a variety of cozy and welcoming residences that can accommodate up to 60 residents, ensuring their safety and comfort. With a compassionate and highly qualified team lending extra hands around the clock, seniors let go of their woes and live to their potential.

The community fosters a bright and friendly environment, providing opportunities for seniors to meet new friends and create lasting moments. Therapy services are also provided to ensure residents perform their daily routines smoothly. Cottages of Lake St. Louis is ideal for seniors who require extra care and support while aiming to keep their independence.

(636) 614-3510

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5
Missouri average: 2.6/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Missouri average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
Missouri average: 2.2/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
2/5
Missouri average: 2.8/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
6h 2m per day

This home provides 59% more nursing time per resident than the Missouri average.

Missouri average: 3h 48m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 38m per day 28m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 4h 11m per day 2h 20m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 5h 52m per day 3h 3m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 3m per day 2m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 37m per day 20m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 60

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 81.7%
Residents per day (avg) 56
Occupancy rate
81.7%
Residents per day (avg)
56

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

70% of new residents, often for short stays.

Typical stay 1 - 2 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$9.9M
Profit
$1.0M
Privately-owned community Operated by a business corporation.
Home revenue
$9,908,748.00
Profit
$1,030,165.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
44.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
Total costs $8.9M
Bed community size
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
10 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 13 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
82%
In line with Missouri average
Occupied beds
49 / 60
Average residents 72 per day

License Details

Facility TypeSnf
CountySAINT CHARLES

Additional Licensing Details

CMS Certification Number265860

Ownership & Operating Entity

Cottages of Lake St. Louis is legally operated by Fsc Of Lake St Louis Llc, and administrated by Smith.

Corporate EntityFSC OF LAKE ST LOUIS LLC

What does this home offer?

Total residents icon
Total residents icon

Total Residents: 60

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Cottages of Lake St. Louis

Skilled Nursing Nursing Home

Type of Rooms Available

Private Rooms
Private Rooms
1 / 4
Private Rooms
Contact Cottages of Lake St. Louis

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

4 visits/inspections

2 visits/inspections triggered by complaints

3 routine inspections

Results

4 with issues

0 without issues

Latest inspection

Date July 24, 2025
Complaint Investigation

17 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Missouri average: 35 deficiencies

Health Inspection History

Inspections
Total health inspections 4

Missouri average 6.6


Last Health inspection on Jul 2025

Total health citations 11

Missouri average 36.5

Citations per inspection
2.75

Missouri average 5.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 11 citations resulted from standard inspections; 1 of 11 resulted from complaint investigations; and 2 of 11 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
43% worse than Missouri average

Missouri average: 0.7


Serious Health citations More info 1
In line with Missouri average

Missouri average: 1

1 critical citation More info Missouri average: 0.7

1 serious citation More info Missouri average: 1

9 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Jul 24, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Oct 12, 2023
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 12, 2023
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Dec 13, 2019
Corrected

Compare Nursing Homes around St Louis The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

1 facility compared · CMS & MO Dept. of Health data · Updated Apr 2026

Filter by care type
Cottages of Lake St. Louis
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Lake St Louis
60
91.6%
+37%
6.04
-53%
+62%
1
11
2.8
2
56
A+
13
Cottages Master Llc
$8.9M
$4.4M
49.4%
265860
Private Rooms

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Places of interest near Cottages of Lake St. Louis

Address 1.3 miles from city center — 1.99 miles to nearest hospital (SSM Health St. Joseph Hospital - Lake Saint Louis)

Address 2885 Technology Dr, Lake St Louis, MO 63367

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 161
Employees 134
Contractors 27
Staff to resident ratio 3.29:1
92% better than Missouri average

Missouri average ratio: 1.71:1

Avg staff/day 52
Average shift 7.3 hours
10% worse than Missouri average

Missouri average: 8.1 hours

Total staff hours (quarter) 34,483
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 98
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

9%

3,114 contractor hours this quarter

Speech Language Pathologist: 6 Physical Therapy Assistant: 6 Physical Therapy Aide: 5 Respiratory Therapy Technician: 5 Qualified Social Worker: 2 Medical Director: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant9809819,13591100%7
Licensed Practical Nurse200206,17691100%9.4
Registered Nurse6062,24591100%9.7
Physical Therapy Aide0551,2768492%6.5
RN Director of Nursing2029636571%7.9
Speech Language Pathologist0667487481%5.8
Clinical Nurse Specialist2026956673%7.6
Nurse Practitioner1015136571%7.9
Mental Health Service Worker1014806066%8
Dietitian1014405560%8
Administrator1014325459%8
Qualified Social Worker0224136066%6.9
Physical Therapy Assistant0663277785%4
Other Dietary Services Staff2022926167%4.7
Respiratory Therapy Technician0551625864%2.5
Occupational Therapy Aide0111221719%7.1
Occupational Therapy Assistant0113567%5.8
Medical Director011311921%1.6
98 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
6 Registered Nurse
% of Days 100%
5 Physical Therapy Aide
% of Days 92%
2 RN Director of Nursing
% of Days 71%
6 Speech Language Pathologist
% of Days 81%
2 Clinical Nurse Specialist
% of Days 73%
1 Nurse Practitioner
% of Days 71%
1 Mental Health Service Worker
% of Days 66%
1 Dietitian
% of Days 60%
1 Administrator
% of Days 59%
2 Qualified Social Worker
% of Days 66%
6 Physical Therapy Assistant
% of Days 85%
2 Other Dietary Services Staff
% of Days 67%
5 Respiratory Therapy Technician
% of Days 64%
1 Occupational Therapy Aide
% of Days 19%
1 Occupational Therapy Assistant
% of Days 7%
1 Medical Director
% of Days 21%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
49 residents
Residents by payment source
Medicare
14 residents (28.6%)
Private pay or other
35 residents (71.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.8
35% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.4
30% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Below average Missouri avg: 3.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.1%
In line with Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.3%
37% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.8%
59% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.7%
115% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.8%
96% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 10.7%
293% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.2%
48% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.5%
49% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.1%
31% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
13% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.20
6% worse than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.96
59% better than Missouri average

Missouri average: 2.35

Short-stay resident measures
Above average Missouri avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.4%
43% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
33% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.3%
50% better than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 14.7%
42% better than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 12.8%
In line with Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.7%
14% better than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 43.8%
18% worse than Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 62.2%
23% better than Missouri average

Missouri average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $18K
76% lower than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $18K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 12, 2023
$18K

Last updated: Jan 2026

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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