Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
153
129 employees · 24 contractors · 49 on an average day Cottages of Lake St. Louis
Nursing Home & Skilled Nursing · Lake St Louis, MO
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 5 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 5 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Cottages of Lake St. Louis
Nursing Home & Skilled Nursing · Lake St Louis, MO
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 5 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 5 points above the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Cottages of Lake St. Louis accepts Medicare and private pay.
Overview of Cottages of Lake St. Louis
Cottages of Lake St. Louis provides nursing home and skilled nursing care in Lake St. Louis, Missouri. Skilled nursing means licensed nursing care is available on site around the clock, which can suit a resident who needs ongoing clinical support.
The community has 60 beds and private rooms. Each resident has a private room rather than shared accommodations. Medicare and private pay are accepted: Medicare can cover short-term skilled care after a hospital stay, while private pay means paying directly for care. Total nurse staffing is 6 hours and 35 minutes per resident each day, representing the daily nurse time counted for each resident. Brandi Smith serves as administrator, and Fsc Of Lake St. Louis operates the community.
Quality ratings
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.
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.
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.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Total nursing care per resident / day
This nursing home is ranked 3rd out of 267 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 35m
This nursing home is ranked 3rd out of 267 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 35mStandout metric: LPN / LVN is +108% above Missouri average
0 of 6 metrics below Missouri average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 10-hour shifts
52m
↑ 87% · MO 28mThis facility: 52m per resident per day, 87% above the Missouri average of 28m (among Missouri facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 10-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 23 are the facility's own employees; no agency contractors work in this role.
23 staff · 9.3-hour shifts
1h 25m
↑ 108% · MO 41mThis facility: 1h 25m per resident per day, 108% above the Missouri average of 41m (among Missouri facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 23 are the facility's own employees; no agency contractors work in this role.
23 staff · 9.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 88 are the facility's own employees; no agency contractors work in this role.
88 staff · 7.4-hour shifts
4h 18m
↑ 84% · MO 2h 20mThis facility: 4h 18m per resident per day, 84% above the Missouri average of 2h 20m (among Missouri facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 88 are the facility's own employees; no agency contractors work in this role.
88 staff · 7.4-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m
↑ 60% · MO 2mThis facility: 3m per resident per day, 60% above the Missouri average of 2m (among Missouri facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
6h 10m
↑ 102% · MO 3h 3mThis facility: 6h 10m per resident per day, 102% above the Missouri average of 3h 3m (among Missouri facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
36m
↑ 81% · MO 20mThis facility: 36m per resident per day, 81% above the Missouri average of 20m (among Missouri facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
153
129 employees · 24 contractors · 49 on an average day
Average hours one staff member works on a day they are on shift, across every role.
7.6 h
↓ 6% · MO 8.1 hThis facility: 7.6 h, 6% below the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
34,137 staff hours this quarter
See full Missouri ranking →90.9% of staff hours were worked by the facility's own employees
Missouri average: 92.5% · Contractors this quarter: Physical Therapy Assistant (6), Physical Therapy Aide (5), Speech Language Pathologist (5), Respiratory Therapy Technician (2), Qualified Social Worker (2), Occupational Therapy Assistant (2), Occupational Therapy Aide (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #243 / 288Bed count — State benchmarked This nursing home is ranked 243rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #243 / 288Bed count — State benchmarked This nursing home is ranked 243rd out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management.
Rank #36 / 167Years in operation — State benchmarked This nursing home is ranked 36th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management.
Rank #36 / 167Years in operation — State benchmarked This nursing home is ranked 36th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
11
years
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #275 / 296Walk Score — State benchmarked This nursing home is ranked 275th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #275 / 296Walk Score — State benchmarked This nursing home is ranked 275th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
13
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #67 / 272Occupancy rate — State benchmarked This nursing home is ranked 67th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #67 / 272Occupancy rate — State benchmarked This nursing home is ranked 67th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
81.7%
This home usually has availability
Based on 49 residents and 60 beds. Source: state inspection report (Oct 2023)
Higher than the Missouri average: 67.8%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
36
days
About This Community
Facility TypeSkilled Nursing Facility
CountySaint Charles
CMS Certification Number265860
Green House Project model community — Green House ProjectA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.
Cottages of Lake St. Louis is legally operated by Fsc Of Lake St Louis, LLC, and administered by Brandi Smith.
Corporate EntityFSC OF LAKE ST LOUIS LLC
Short-Term Rehabilitation
Social Work & Case Management
Transportation
Pets not allowed
Fireplace
Community Kitchen
Walking Paths
Spas
Private and Secure Patios and Gardens
Den
Building TypeSingle-story
Room Types
Private Rooms
In-Room Features
Private Bedrooms With En-Suite Full Bathrooms
CMS Health Inspection History
ALM Inspection Grade
88 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
5 points above the Missouri average for CMS-certified facilities (83/100)
Category breakdown
Citations
Strong
40 severity-weighted points (8 deficiencies) · 2× lower than the typical CMS-certified MO facility (median: 89)
Enforcement
Typical
$17,696 in fines · 1 enforcement action
Persistence
Concern
45 days to fix issues · slower than the typical CMS-certified MO facility (median: 42)
Total health inspections
4
↓ 39% · MO 6.6This facility: 4, 39% below the Missouri average of 6.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
8
Rank #5 / 274Health citations — State benchmarked This nursing home is ranked 5th out of 274 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 78% · MO 36.1This facility: 8, 78% below the Missouri average of 36.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2
Rank #5 / 274Citations per inspection — State benchmarked This nursing home is ranked 5th out of 274 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 64% · MO 5.6This facility: 2, 64% below the Missouri average of 5.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
8 of 8 citations corrected
Critical
J–L
0
↓ 100% · MO 0.6This facility: 0, 100% below the Missouri average of 0.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↓ 9% · MO 1.1This facility: 1, 9% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
7
↓ 79% · MO 33.3This facility: 7, 79% below the Missouri average of 33.3 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · MO 1.1This facility: 0, 100% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Feb 04, 2026 · 1 citation (Care Planning, moderate), corrected
Most cited category: Resident Assessment & Care Planning, 2 of 8 citations · 5 categories in total
Citations history
Most recent first
Feb 04, 2026
1 citation
Care Planning moderate citation
Corrected
Corrected
Jul 24, 2025
4 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Oct 12, 2023
2 citations
Nutrition moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Dec 13, 2019
1 citation
Nutrition moderate citation
Corrected
Corrected
Top deficiency categories
Share of 8 citations
Resident Assessment & Care Planning
2 deficiencies (25%)
Quality of Life & Care
2 deficiencies (25%)
Nutrition & Dietary
2 deficiencies (25%)
Infection Control
1 deficiency (13%)
Resident Rights
1 deficiency (13%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 8 citations resulted from standard inspections; 1 of 8 resulted from complaint investigations; and 3 of 8 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
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 Aug 2026
1 penalty in the past 3 years
Latest: Oct 12, 2023 · $17,696 civil money penalty
Oct 12, 2023 · $17,696 civil money penalty
Total fines
$17,696
↓ 78% · MO $81KThis facility: $17,696, 78% below the Missouri average of $81,235. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #192 / 275Federal fines — State benchmarked This nursing home is ranked 192nd out of 275 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 275 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 48% · MO 1.93This facility: 1, 48% below the Missouri average of 1.93. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MO avg 0.7Missouri average: 0.7. Average among the 220 Missouri facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 12, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$17,696
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$17,696Fine amount comparison
This facility
$17,696
Missouri average
$81,235
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Missouri and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 47% · MO 2.7This facility: 4.0, 47% above the MO average of 2.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 137% · MO 2.1This facility: 5.0, 137% above the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
12.7
Score · lower is better
↑ 30% · MO 9.8This facility: 12.7, 30% above the MO average of 9.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
22.2
Score · lower is better
↑ 25% · MO 17.8This facility: 22.2, 25% above the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 6 worse
8 short-stay measures: 4 better, 1 near MO average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
↓ 20% · MO 18.1This facility: 14.5, 20% below the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
↓ 20% · MO 18.1This facility: 14.5, 20% below the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
25.7%
↑ 48% · MO 17.4This facility: 25.7, 48% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
25.7%
↑ 48% · MO 17.4This facility: 25.7, 48% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
↑ 49% · MO 17.8This facility: 26.5, 49% above the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
↑ 49% · MO 17.8This facility: 26.5, 49% above the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
3.9%
↑ 67% · MO 2.3This facility: 3.9, 67% above the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.9%
↑ 67% · MO 2.3This facility: 3.9, 67% above the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
↓ 76% · MO 4.1This facility: 1.0, 76% below the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
↓ 76% · MO 4.1This facility: 1.0, 76% below the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
11.1%
↑ 145% · MO 4.5This facility: 11.1, 145% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
11.1%
↑ 145% · MO 4.5This facility: 11.1, 145% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
11.4%
↑ 116% · MO 5.3This facility: 11.4, 116% above the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
11.4%
↑ 116% · MO 5.3This facility: 11.4, 116% above the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
12.2%
↓ 34% · MO 18.5This facility: 12.2, 34% below the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
12.2%
↓ 34% · MO 18.5This facility: 12.2, 34% below the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
3.2%
↓ 86% · MO 23.5This facility: 3.2, 86% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
3.2%
↓ 86% · MO 23.5This facility: 3.2, 86% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
↑ 18% · MO 84.1This facility: 99.0, 18% above the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
↑ 18% · MO 84.1This facility: 99.0, 18% above the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 10% · MO 90.9This facility: 100.0, 10% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 10% · MO 90.9This facility: 100.0, 10% above the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.20
↑ 6% · MO 2.08This facility: 2.20, 6% above the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.20
↑ 6% · MO 2.08This facility: 2.20, 6% above the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.96
↓ 59% · MO 2.35This facility: 0.96, 59% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.96
↓ 59% · MO 2.35This facility: 0.96, 59% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
43.8%
↓ 18% · US 53.7This facility: 43.8, 18% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
43.8%
↓ 18% · US 53.7This facility: 43.8, 18% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
62.2%
↑ 23% · US 50.6This facility: 62.2, 23% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
62.2%
↑ 23% · US 50.6This facility: 62.2, 23% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
↓ 14% · US 0.8This facility: 0.7, 14% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
↓ 14% · US 0.8This facility: 0.7, 14% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 61% · MO 2.2This facility: 0.9, 61% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 61% · MO 2.2This facility: 0.9, 61% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
↑ 45% · MO 65.7This facility: 95.6, 45% above the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
↑ 45% · MO 65.7This facility: 95.6, 45% above the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
↑ 50% · MO 63.5This facility: 95.3, 50% above the MO average of 63.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
↑ 50% · MO 63.5This facility: 95.3, 50% above the MO average of 63.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.7%
↓ 42% · MO 25.3This facility: 14.7, 42% below the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.7%
↓ 42% · MO 25.3This facility: 14.7, 42% below the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.8%
↓ 4% · MO 13.4This facility: 12.8, 4% below the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
12.8%
↓ 4% · MO 13.4This facility: 12.8, 4% below the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Cottages of Lake St. Louis’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 267 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
8.4% operating margin
+8.3 pts vs prior year
Positive margin in 6 of the last 7 reported years. Net income $0.8M after other income.
Does it invest in staff?
Spends less on payroll than most Missouri homes
51.5% payroll share of revenue
MO average 54.9%Rank #145 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 145th out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.1M while revenue rose $0.4M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2018 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.3M | +$0.4M | Trend 20182024 | MO median $6.2M | Rank in MO Rank #73 / 267Net patient revenue — State benchmarked This nursing home is ranked 73rd out of 267 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 73% of homes | Above MO median Higher net patient revenue than 73% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.6M | −$0.3M | Trend 20182024 | MO median — | Rank in MO Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.8M | +$0.8M | Trend 20182024 | MO median — | Rank in MO Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 8.4% | +8.3 pts | Trend 20182024 | MO median — | Rank in MO Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MO median — | Rank in MO Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.8M | −$0.2M | Trend — | MO median — | Rank in MO Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Missouri homes
| Metric | FY 2024 | vs prior year | Trend 2018 → 2024Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.8M | −$0.1M | Trend 20182024 | MO median $3.5M | Rank in MO Rank #75 / 267Payroll costs — State benchmarked This nursing home is ranked 75th out of 267 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 72% of homes | Above MO median Higher payroll than 72% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 51.5% | −3.9 pts | Trend 20182024 | MO median 52.9% | Rank in MO Rank #145 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 145th out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 46% of homes | 3.4 pts under MO average The MO average is 54.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2024 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average
Year-by-year data, 2018–2024 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|
| Net patient revenue | $6.7M | $7.6M | $7.9M | $7.9M | $8.4M | $8.9M | $9.3M |
| Operating expenses | $6.5M | $7.5M | $7.6M | $7.4M | $8.4M | $8.9M | $8.6M |
| Net patient income | $0.2M | $0.1M | $0.2M | $0.4M | −$0.1M | $0.0M | $0.8M |
| Operating margin | 2.3% | 1.3% | 3.2% | 5.5% | −0.6% | 0.1% | 8.4% |
| Net income | $0.2M | $0.1M | $1.7M | $0.8M | $0.5M | $1.0M | $0.8M |
| Payroll costs | $3.1M | $3.3M | $3.9M | $4.0M | $4.6M | $4.9M | $4.8M |
| Payroll share of revenue | 46.7% | 43.8% | 49.2% | 50.3% | 54.6% | 55.4% | 51.5% |
| Beds | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Gross revenue | $6.7M | $7.6M | $7.8M | $7.9M | $8.3M | $8.9M | $9.3M |
| Salaries | $3.0M | $3.2M | $3.4M | $3.5M | $4.1M | $4.4M | $4.3M |
| Wage-related costs | $0.1M | $0.1M | $0.4M | $0.5M | $0.5M | $0.5M | $0.5M |
| Contract labor | — | $0.9M | $0.6M | $0.6M | $0.6M | $0.6M | $0.5M |
| Other operating costs | $3.4M | $4.2M | $3.7M | $3.5M | $3.8M | $4.0M | $3.8M |
| Net patient revenue per day | $397 | $393 | $398 | $419 | $427 | $444 | $468 |
| Cost per day | $388 | $388 | $386 | $396 | $430 | $443 | $429 |
| Average length of stay | 51.0 days | 34.7 days | 60.2 days | 46.7 days | 64.8 days | 49.2 days | 35.7 days |
Showing 2024–2022 · scroll sideways for 4 earlier years
Type of Rooms Available
1 / 4
Private Rooms
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
623 admissions · FY2024
Residents admitted during the year.
Medicare
146 · 23%
Medicaid
0 · 0%
Private pay & other
477 · 77%
Leaving
560 discharges · FY2024
Residents discharged during the year.
Medicare
121 · 22%
Medicaid
0 · 0%
Private pay & other
439 · 78%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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1.3 miles from city center
Estimated distance in miles from Lake St Louis's city center to Cottages of Lake St. Louis's address, calculated via Google Maps.
— 1.99 miles to nearest hospital (SSM Health St. Joseph Hospital - Lake Saint Louis)
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Compare Nursing Homes around St Louis
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cottages of Lake St. Louis | NH SNF | Lake St Louis (Lake Saint Louis) | 60
Facility
60
MO AVG
110
Rank
#243 / 288 | B+ |
81.7%
Facility
81.7%
MO AVG
67.8%
Rank
#67 / 272 | +20% | 6.59
Facility
6.59
MO AVG
3.63
Rank
#3 / 267 | -32% | +81% | $17.7k
Facility
$17.7k
MO AVG
$86.2k
Rank
#192 / 275 | 8
Facility
8
MO AVG
36.1
Rank
#5 / 274 | 2.0
Facility
2.0
MO AVG
5.6
Rank
#5 / 274 | 1 | 49 | - |
13
Facility
13
MO AVG
50
Rank
#275 / 296 | Fsc Of Lake St Louis, LLC | $9.3MFiscal year ending 12/2024
Facility
$9.3MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#73 / 267 | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#75 / 267 | 51.5%Fiscal year ending 12/2024
Facility
51.5%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#145 / 267 | 265860 | ||||
| Laclede Groves | NH AL IL MC SNF | St. Louis | 251
Facility
251
MO AVG
110
Rank
#3 / 288 | ? |
39.6%
Facility
39.6%
MO AVG
67.8%
Rank
#249 / 272 | -42% | 1.19
Facility
1.19
MO AVG
3.63
Rank
#19 / 267 | +48% | -67% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 9
Facility
9
MO AVG
36.1
Rank
#8 / 274 | 4.5
Facility
4.5
MO AVG
5.6
Rank
#97 / 274 | - | 100 | - |
35
Facility
35
MO AVG
50
Rank
#217 / 296 | John Komlos | $23.5MFiscal year ending 12/2024
Facility
$23.5MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#4 / 267 | $29.3MFiscal year ending 12/2024
Facility
$29.3MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#2 / 267 | 124.8%Fiscal year ending 12/2024
Facility
124.8%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#3 / 267 | 265600 | ||||
| Ascension Living Sherbrooke Village | NH ADC AL HC IL MC SNF | St. Louis | 149
Facility
149
MO AVG
110
Rank
#48 / 288 | C+ |
84.3%
Facility
84.3%
MO AVG
67.8%
Rank
#172 / 272 | +24% | 3.94
Facility
3.94
MO AVG
3.63
Rank
#59 / 267 | -34% | +9% | $38.5k
Facility
$38.5k
MO AVG
$86.2k
Rank
#216 / 275 | 48
Facility
48
MO AVG
36.1
Rank
#213 / 274 | 6.0
Facility
6.0
MO AVG
5.6
Rank
#182 / 274 | 2 | 126 | - |
29
Facility
29
MO AVG
50
Rank
#239 / 296 | - | $14.4MFiscal year ending 06/2025
Facility
$14.4MFiscal year ending 06/2025
MO AVG
$8.0M
Rank
#18 / 267 | $8.2MFiscal year ending 06/2025
Facility
$8.2MFiscal year ending 06/2025
MO AVG
$4.2M
Rank
#12 / 267 | 57%Fiscal year ending 06/2025
Facility
57%Fiscal year ending 06/2025
MO AVG
54.9%
Rank
#103 / 267 | 265417 | ||||
| Creve Coeur Manor | NH | St. Louis | 149
Facility
149
MO AVG
110
Rank
#48 / 288 | C+ |
52.3%
Facility
52.3%
MO AVG
67.8%
Rank
#221 / 272 | -23% | 2.43
Facility
2.43
MO AVG
3.63
Rank
#246 / 267 | -34% | -33% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 69
Facility
69
MO AVG
36.1
Rank
#258 / 274 | 7.7
Facility
7.7
MO AVG
5.6
Rank
#238 / 274 | 3 | 78 | - |
30
Facility
30
MO AVG
50
Rank
#234 / 296 | Jeanne Dirschuweit | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#165 / 267 | $3.5MFiscal year ending 12/2024
Facility
$3.5MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#134 / 267 | 63.7%Fiscal year ending 12/2024
Facility
63.7%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#54 / 267 | 265720 | ||||
| Estates of Hidden Lake | NH AL HOS RC | St. Louis (Spanish Lake) | 67
Facility
67
MO AVG
110
Rank
#233 / 288 | ? |
79.1%
Facility
79.1%
MO AVG
67.8%
Rank
#85 / 272 | +17% | 2.60
Facility
2.60
MO AVG
3.63
Rank
#246 / 267 | -57% | -29% | $123.6k
Facility
$123.6k
MO AVG
$86.2k
Rank
#254 / 275 | 83
Facility
83
MO AVG
36.1
Rank
#268 / 274 | 6.9
Facility
6.9
MO AVG
5.6
Rank
#222 / 274 | 7 | 53 | - |
29
Facility
29
MO AVG
50
Rank
#239 / 296 | Estates Of Hidden Lake, LLC | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#197 / 267 | $3.1MFiscal year ending 12/2024
Facility
$3.1MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#153 / 267 | 66.4%Fiscal year ending 12/2024
Facility
66.4%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#41 / 267 | 265735 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Missouri
Cottages of Lake St. Louis is located in Lake St Louis, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Frequently Asked Questions about Cottages of Lake St. Louis
What neighborhood is Cottages of Lake St. Louis in?
Cottages of Lake St. Louis is in the Lake Saint Louis neighborhood of Lake St Louis.
Who is the owner of Cottages of Lake St. Louis?
Cottages of Lake St. Louis is legally operated by Fsc Of Lake St Louis, LLC, and administered by Brandi Smith.
Is Cottages of Lake St. Louis in a walkable area?
Cottages of Lake St. Louis has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at Cottages of Lake St. Louis?
Cottages of Lake St. Louis's occupancy is 81.7%.
How long has Cottages of Lake St. Louis been in business?
Cottages of Lake St. Louis has been operating for approximately 11 years, based on available licensing and registration records.
Are pets allowed at Cottages of Lake St. Louis?
No, Cottages of Lake St. Louis has a no-pet policy.
What is the best email address for Cottages of Lake St. Louis?
The team at Cottages of Lake St. Louis can be reached at info@cottageslsl.com.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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