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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 6th out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
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38m per day | ▲ 36% State avg: 28m per day · National avg: 41m per day |
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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.
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1h 29m per day | ▲ 117% State avg: 41m per day · National avg: 52m per day |
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Nurse Aide
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.
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4h 11m per day | ▲ 79% State avg: 2h 20m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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5h 19m per day | ▲ 74% State avg: 3h 3m per day · National avg: 3h 26m per day |
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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.
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3m per day | ▲ 50% State avg: 2m per day · National avg: 4m per day |
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RN (Weekend)
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.
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37m per day | ▲ 85% State avg: 20m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
30% of new residents, usually for short-term rehab.
70% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #52 / 245Payroll — state benchmarkedThis home is ranked 52nd out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Missouri average: 66.6%
Cottages of Lake St. Louis is legally operated by Fsc Of Lake St Louis, Llc, and administrated by Brandi Smith.
Total Residents: 60
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicare services.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
The most recent inspection on July 24, 2025, identified deficiencies related to the facility’s failure to ensure residents were treated with dignity and respect. Earlier inspections showed a pattern of issues including pressure ulcer care, food safety, staffing, and resident rights, with some citations involving actual harm and multiple areas of noncompliance. Inspectors cited concerns such as delayed treatment of pressure ulcers, improper food labeling and temperature monitoring, insufficient staffing, and inadequate resident oversight. Complaint investigations included substantiated findings of disrespectful treatment of residents, while most other complaints were not noted as substantiated. The facility’s inspection history shows ongoing challenges with resident care and food safety, with no clear pattern of consistent improvement.
Missouri average 6.6
Last Health inspection on Jul 2025
Missouri average 36.5
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).
43% worse than Missouri average
Missouri average: 0.7
1
In line with Missouri average
Missouri average: 1
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 24, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 12, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 12, 2023
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 13, 2019
Corrected
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.
Cottages of Lake St. Louis is located in Lake St Louis, Missouri.
Here are the financial assistance programs available to residents in Missouri.
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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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
92% better than Missouri average
Missouri average ratio: 1.71:1
10% worse than Missouri average
Missouri average: 8.1 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
No contractors work on this role.
Total hours from contractors
3,114 contractor hours this quarter
| Certified Nursing Assistant | 98 | 0 | 98 | 19,135 | 91 | 100% | 7 |
| Licensed Practical Nurse | 20 | 0 | 20 | 6,176 | 91 | 100% | 9.4 |
| Registered Nurse | 6 | 0 | 6 | 2,245 | 91 | 100% | 9.7 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,276 | 84 | 92% | 6.5 |
| RN Director of Nursing | 2 | 0 | 2 | 963 | 65 | 71% | 7.9 |
| Speech Language Pathologist | 0 | 6 | 6 | 748 | 74 | 81% | 5.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 695 | 66 | 73% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 513 | 65 | 71% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 413 | 60 | 66% | 6.9 |
| Physical Therapy Assistant | 0 | 6 | 6 | 327 | 77 | 85% | 4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 292 | 61 | 67% | 4.7 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 162 | 58 | 64% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 122 | 17 | 19% | 7.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 6 | 7% | 5.8 |
| Medical Director | 0 | 1 | 1 | 31 | 19 | 21% | 1.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
28.3%
37% worse than Missouri average
Missouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
115% worse than Missouri average
Missouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
9.8%
96% worse than Missouri average
Missouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
10.7%
293% worse than Missouri average
Missouri average: 2.7%
Percent of long-stay residents who lose too much weight
8.2%
48% worse than Missouri average
Missouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
6.5%
49% better than Missouri average
Missouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
15.1%
31% better than Missouri average
Missouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
13% better than Missouri average
Missouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri average
Missouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.20
6% worse than Missouri average
Missouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.96
59% better than Missouri average
Missouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
43% better than Missouri average
Missouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
33% better than Missouri average
Missouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
50% better than Missouri average
Missouri average: 63.5%
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%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.8%
In line with Missouri average
Missouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
14% better than Missouri average
Missouri average: 0.8%
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%
Rate of successful return to home or community from a skilled nursing facility.
62.2%
23% better than Missouri average
Missouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
76% lower than Missouri average
Missouri average: $73K
59% fewer fines than Missouri average
Missouri average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 12, 2023 · $18K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 12, 2023
Last updated: Jan 2026
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| 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 (Lake Saint Louis) | 60 | 91.6% | +37% | 6.04 | -53% | +62% | 1 | 11 | 2.8 | 2 | 56 | A+ | 13 | Cottages Master Llc | $9.9M | $4.4M | 44.3% | 265860 |
Historical financial and operational data for Cottages of Lake St. Louis based on CMS SNF Cost Reports.
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