Inspection Reports for Cottages of Lake St. Louis
2885 Technology Dr, Lake St Louis, MO 63367, United States, MO, 63367
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
49 residents
Based on a July 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 1
Date: Jul 24, 2025
Visit Reason
The inspection was conducted due to complaints regarding the treatment of residents, specifically concerns about dignity and respect during care.
Complaint Details
The complaint investigation found substantiated issues regarding disrespectful treatment of residents. Resident #75 reported being abruptly awakened and treated discourteously by staff during night care. Resident #100 reported a caretaker throwing off his/her sheet without asking and touching a private area, though the resident did not feel scared or that the incident was sexual. Interviews with the Director of Nursing and Administrator confirmed expectations for respectful and dignified treatment of residents.
Findings
The facility failed to ensure that two residents were treated with dignity and respect. Residents reported feeling disrespected and discouraged by staff behavior during care, including abrupt awakenings, loud announcements, and inappropriate handling during bed checks.
Deficiencies (1)
Failure to honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Report Facts
Residents sampled: 18
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding expectations for staff behavior and resident care |
| Administrator | Administrator | Interviewed regarding expectations for staff behavior and resident care |
Inspection Report
Routine
Census: 48
Deficiencies: 4
Date: Oct 12, 2023
Visit Reason
The inspection was conducted to assess compliance with regulations related to pressure ulcer care and food safety in a nursing home facility.
Findings
The facility failed to provide timely identification, assessment, and treatment of pressure ulcers for two residents, resulting in actual harm. Additionally, the facility failed to ensure proper labeling and dating of thawed foods, adequate monitoring of dishwasher temperatures, and proper food temperature monitoring during meal preparation and service.
Deficiencies (4)
Failure to conduct timely identification, assessment, and treatment of pressure ulcers for residents resulting in progression to advanced stages.
Failure to ensure thawed foods were properly labeled and/or dated as required.
Failure to ensure the high-temperature dishwasher was monitored for effective sanitation.
Failure to ensure food temperatures were properly monitored during meal preparation and service.
Report Facts
Resident sample size: 21
Resident census: 48
Pressure ulcer measurements: 11.5
Pressure ulcer measurements: 20.9
Pressure ulcer measurements: 3
Pressure ulcer measurements: 5
Missed meal temperature documentation: 41
Missed meal temperature documentation: 22
Missed meal temperature documentation: 31
Missed meal temperature documentation: 42
Missed meal temperature documentation: 25
Missed meal temperature documentation: 44
Dishwasher wash cycle temperature: 137
Dishwasher rinse cycle temperature: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 2 | LPN | Provided wound measurements and treatment details for Resident 47 |
| Director of Nursing | DON | Reviewed wound care documentation and facility policies, provided insights on care deficiencies |
| In-House Physician | Physician | Provided medical oversight and comments on Resident 47's pressure ulcers |
| Care Partner 11 | Care Partner | Provided information on Resident 47's mobility and wound observations |
| Nurse Practitioner | NP | Monitored Resident 43's wound care and antibiotic treatment |
| Licensed Practical Nurse 1 | LPN | Performed wound care and communicated with nurse practitioner for Resident 43 |
| Care Partner 1 | Care Partner | Provided care details and wound care observations for Resident 43 |
| Infection Preventionist | IP | Oversaw wound care performance improvement plan and staff education |
| Medical Director | Medical Director | Oversight of wound care prior to Nurse Practitioner assuming responsibility |
| Dietary Manager | DM | Provided information on food service, training, and dishwasher temperature monitoring |
| Care Partner 8 | Care Partner | Observed food temperature monitoring and dishwasher use |
| Care Partner 9 | Care Partner | Observed food temperature monitoring |
| Care Partner 10 | Care Partner | Observed food temperature monitoring and documentation |
| Administrator | Administrator | Provided facility oversight and comments on food service processes |
| MDS Coordinator 1 | MDS Coordinator | Provided information on wound care documentation and antibiotic treatment for Resident 43 |
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 4
Date: Oct 12, 2023
Visit Reason
The inspection was conducted due to complaints regarding inadequate pressure ulcer care and food safety concerns at the facility.
Complaint Details
The complaint investigation focused on pressure ulcer care failures for residents R43 and R47, including delayed wound assessment and treatment leading to advanced stage ulcers. It also included food safety concerns such as improper thawing, labeling, temperature monitoring, and dishwasher sanitation affecting 48 residents.
Findings
The facility failed to provide timely identification, assessment, and treatment of pressure ulcers for two residents, resulting in progression to advanced stage IV wounds causing actual harm. Additionally, the facility failed to ensure proper thawing, labeling, and temperature monitoring of foods, as well as effective sanitation of dishwashers, posing potential food-borne illness risks.
Deficiencies (4)
Failed to conduct timely identification, assessment, and treatment of pressure ulcers for residents R43 and R47, resulting in progression to stage IV pressure ulcers.
Failed to ensure thawed foods were properly labeled and/or dated as required.
Failed to ensure the high-temperature dishwasher was monitored for effective sanitation.
Failed to ensure food temperatures were properly monitored during meal preparation and service.
Report Facts
Resident sample size: 21
Pressure ulcer measurements: 11.5
Pressure ulcer measurements: 20.9
Pressure ulcer measurements: 3
Pressure ulcer measurements: 5
Missed meal temperature logs: 41
Missed meal temperature logs: 22
Missed meal temperature logs: 31
Missed meal temperature logs: 42
Missed meal temperature logs: 25
Missed meal temperature logs: 44
Food temperature: 145
Food temperature: 196
Food temperature: 128
Food temperature: 150
Food temperature: 205
Food temperature: 133
Food temperature: 98
Food temperature: 115
Dishwasher wash cycle temperature: 137
Dishwasher rinse cycle temperature: 110
Dishwasher wash cycle temperature: 158
Dishwasher rinse cycle temperature: 141
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 2 | LPN | Provided wound measurements and treatment details for resident R47 |
| Director of Nursing | DON | Reviewed wound care documentation and facility policies, provided expectations for skin assessments |
| In-House Physician | Physician | Discussed resident R47's pressure ulcers and treatment |
| Care Partner 11 | CP | Provided information on resident R47's mobility and wound observations |
| Care Partner 1 | CP | Discussed wound care and showering practices for resident R43 |
| Licensed Practical Nurse 1 | LPN | Performed wound care and communicated with nurse practitioner for resident R43 |
| Nurse Practitioner | NP | Monitored wound care and antibiotic treatment for resident R43 |
| Medical Director | MD | Oversaw wound care prior to NP involvement |
| Infection Preventionist | IP | Managed wound tracking and staff education |
| MDS Coordinator 1 | MDSC | Confirmed wound care treatments and antibiotic use for resident R43 |
| Dietary Manager | DM | Discussed food safety practices, dishwasher monitoring, and temperature logs |
| Care Partner 8 | CP | Observed food temperature monitoring and dishwasher use |
| Care Partner 9 | CP | Discussed food temperature monitoring and recipe knowledge |
| Care Partner 10 | CP | Discussed food temperature documentation practices |
| Administrator | Administrator | Confirmed wound tracking program and food service concerns |
Inspection Report
Routine
Census: 57
Deficiencies: 1
Date: Dec 11, 2019
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food safety standards, specifically focusing on the procurement, storage, preparation, distribution, and serving of food in accordance with professional standards.
Findings
The facility failed to ensure expired food items were discarded and scoops were stored properly outside of food containers. Additionally, the bottoms of freezers and refrigerators were found to be dirty and covered with food debris across multiple kitchen areas.
Deficiencies (1)
Failed to discard expired food items and store scoops outside food containers; freezers and refrigerators were dirty and covered with food debris.
Report Facts
Facility census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding cleaning responsibilities and food safety practices | |
| Administrator | Interviewed regarding expectations for food discard and cleaning procedures |
Inspection Report
Routine
Census: 39
Deficiencies: 7
Date: Oct 30, 2018
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulatory requirements including resident rights, staffing, discharge planning, activities, safety, and food service.
Findings
The facility failed to provide timely resolution of resident council grievances, failed to screen new employees for abuse or neglect history, failed to complete discharge summaries, failed to provide adequate activities, failed to prevent resident elopement and wandering, failed to ensure sufficient nursing staff to meet resident needs, and failed to maintain food safety and sanitation standards.
Deficiencies (7)
Failed to provide resolution regarding residents' grievances filed in resident council related to missing items, activities, dietary, and staffing.
Failed to screen three new employees for Federal Nurse Aide Registry indicators prohibiting employment.
Failed to complete a comprehensive discharge summary and recapitulation of stay for one resident.
Failed to provide an ongoing program of meaningful activities on a daily basis to meet residents' interests and well-being for four residents.
Failed to provide protective oversight to prevent elopement of one resident and wandering and intrusion into other residents' rooms and kitchen area by another resident.
Failed to ensure sufficient nursing staff to meet resident needs and answer call lights in a timely manner for three residents.
Failed to ensure food items were labeled, dated, covered or discarded when expired; failed to maintain ice machines, range hoods, fan shrouds, and ceiling vents; failed to ensure sanitary food preparation practices.
Report Facts
Facility census: 39
Call light wait times: 77
Call light wait times: 65
Call light wait times: 38
Call light wait times: 53
Call light wait times: 44
Call light wait times: 87
Call light wait times: 372
Call light wait times: 14
Call light wait times: 42
Call light wait times: 56
Call light wait times: 15
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