Home / Missouri / Lake Saint Louis
Cottages of Lake St. Louis
2885 Technology Drive, Lake Saint Louis, MO 63367 · St. Charles County · (636) 614-3510
60 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare since 2017
Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265860 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 24, 2025, inspectors cited 4 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 8 health citations since December 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $17,696 in the last three years; the largest was $17,696, and the latest is dated October 12, 2023.
Nurses and nurse aides worked 6.03 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
57.5% of nursing staff left within the year CMS measured (Missouri average 56.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
112/19
210/23
407/25
102/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
3D
1E
3F
Potential for minimal harm
0A
0B
0C
February 4, 2026Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to follow professional standards of practice for one resident (Resident #6) in a review of six sampled residents. The facility failed to follow physician orders and administer medications (including medications for heart failure, pain, blood pressure, and to prevent blood clots) as ordered, failed to follow their facility policy for obtaining medications and notification of the physician when medications were not available. The facility census was 56. [...]
July 24, 2025Standard inspection, Complaint inspection · 4 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow current infection control standards for seven residents (Residents #3, #28, #31, #49, #76, #81, and #84), in a review of 18 sampled residents. The facility failed to follow infection control practices while performing blood glucose monitoring (a procedure where a drop of blood is obtained to test the amount of sugar in the blood) for three residents (Residents #81, #76 and #49) and one additional resident (Resident #84), when staff failed to appropriately sanitize the glucometer (a machine that tests a drop of blood for the amount of sugar it contains) after use and use a barrier to protect against contamination. [...]
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide incontinent care consistent with acceptable standards of practice to prevent urinary tract infections (UTI) and failed to follow proper infection control procedures for one sampled resident (Resident #48), of 18 sampled residents. The resident has a history of UTI's with a multi drug resistant organism (MDRO) that required the resident be on Enhanced Barrier Precautions (EBP- infection control measures designed to reduce the transmission of multidrug-resistant organisms (MDROs) in healthcare settings, particularly in nursing homes). The facility census was 49. [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure one resident (Resident #75) of 18 sampled residents and one additional resident (Resident #100), were treated in a manner to maintain dignity and respect. Resident #75 said the way staff treated him/her during cares made him/her feel disrespected and discouraged. The facility census was 49. Review of the facility's undated policy, Resident Rights, showed the following: [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow acceptable standards of practice for two sampled residents (Resident #10 and Resident #72) out of 18 sampled residents, when staff failed to ensure only current ordered medications were available for administration and medications were kept secured in each resident's individual medication storage cabinet. The facility census was 49. 1. Review of Resident #10's face sheet showed the resident was admitted to the facility on [DATE] with diagnoses of amyotrophic lateral sclerosis (ALS - a progressive neurodegenerative disease that affects nerve cells controlling muscle movement) and major depressive disorder. Review of the resident's care plans dated 6/24/25 showed no care plan for the resident to self-medicate. [...]
October 12, 2023Standard inspection, Complaint inspection · 2 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to conduct timely identification, assessment, and treatment of a wound for two of five residents (Residents (R) 47 and 43) reviewed for pressure sores out of a total sample of 21 residents resulting in the progression of the wound to advanced stages (stage IV - a deep wound reaching the muscles, ligaments, or bones which can cause pain, infection, invasive surgeries, or even death; or unstageable - a term that refers to an ulcer that has full thickness tissue loss but is covered by extensive necrotic (dead) tissue). This failure resulted in harm to R43 and R47 for the development and worsening of stage IV pressure ulcers to the heels.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review, staff interviews, and policy review, the facility 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, and failed to ensure food temperatures were properly monitored during meal preparation and service for 48 census residents who received meals from the individual kitchens in six of six cottages. These failures had the potential to lead to food-borne illness among all facility residents.
December 13, 2019Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items were discarded when expired and failed to store scoops outside the containers. The facility also failed to ensure the bottoms of the freezers were clean and free of debris. The facility census was 57. 1. Observation on 12/11/19 at 9:09 A.M. in Grace's Cottage kitchen, showed a gallon container of mayonnaise with a use by date of 11/23 (no year); a quart bag with a white powdery substance dated 10/20/19; a quart bag of round meat product dated 12/05/19; and a 32-ounce carton of plain yogurt with use by date of 11/5/19 in the refrigerator in the kitchen area. The bottom of the freezer in the kitchen area was covered with dirt and food debris. Observation on 12/11/19 at 9:21 A.M. [...]
Fire safety inspections
10 fire safety citations on file: 5 on July 24, 2025, 4 on October 12, 2023, 1 on December 13, 2019.
Every fire safety citation10 citations
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Have proper medical gas storage and administration areas.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Install corridor and hallway doors that block smoke.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 12, 2023 | Fine | $17,696 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 6.03 | 3.43 | 3.86 |
| Registered nurses | 0.71 | 0.46 | 0.69 |
| All nursing staff on weekends | 5.46 | 3.01 | 3.42 |
| Nurse aides | 3.92 | ||
| Licensed practical nurses | 1.40 | ||
| Nursing staff turnover (share who left in a year) | 57.5% | 56.0% | 45.8% |
| Registered nurse turnover | 40.0% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 6.26 on weekdays and 5.46 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.81 in April to June 2025 to 6.03 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 6.03 | 0.71 | 6.26 | 5.46 | 0.0% | 0 of 90 | 56 |
| Oct to Dec 2025 | 5.81 | 0.72 | 5.96 | 5.43 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 6.30 | 0.63 | 6.47 | 5.87 | 0.0% | 0 of 92 | 54 |
| Apr to Jun 2025 | 5.81 | 0.67 | 6.01 | 5.31 | 0.0% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Missouri
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.5 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.7 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.9 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.7 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.1 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.2 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.3 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.3 | 1.8 |
Owners and operators
Legal business name: FSC OF LAKE ST LOUIS LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cottages Master LLC | 5% or greater direct ownership interest | Organization | 100% | 06/16/2016 |
| Future Focus Community LLC | 5% or greater indirect ownership interest | Organization | 06/16/2016 | |
| Ironrock Real Estate Investment Fund, LP | 5% or greater indirect ownership interest | Organization | 06/16/2016 | |
| Joseph P Gira Revocable Trust | 5% or greater indirect ownership interest | Organization | 06/16/2016 | |
| Kathleen E Beamer Trust Dated 4/18/2003 | 5% or greater indirect ownership interest | Organization | 01/01/2018 | |
| Beamer, Kathleen | 5% or greater indirect ownership interest | Individual | 07/07/2021 | |
| Beamer, Matthew | 5% or greater indirect ownership interest | Individual | 07/07/2021 | |
| Beamer, Robert | 5% or greater indirect ownership interest | Individual | 07/07/2021 | |
| Gira, Joseph | 5% or greater indirect ownership interest | Individual | 06/16/2016 | |
| Hillman, Thomas | 5% or greater indirect ownership interest | Individual | 06/16/2016 | |
| St. Louis Bank | 5% or greater mortgage interest | Organization | 06/16/2016 | |
| Beamer, Matthew | Corporate director | Individual | 06/16/2016 | |
| Beamer, Kathleen | Corporate officer | Individual | 06/16/2016 | |
| Beamer, Robert | Corporate officer | Individual | 06/16/2016 | |
| Cottages of Lsl Management LLC | Operational/managerial control | Organization | 06/16/2016 | |
| Beamer, Matthew | Operational/managerial control | Individual | 06/16/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 4, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 24, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on October 12, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 24, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Sunterra Springs Dardenne Prairie Dardenne Prairie, 1.4 mi · 2 of 5 stars · 31 citations
- Delmar Gardens of O'Fallon O Fallon, 3.4 mi · 3 of 5 stars · 40 citations
- Abbey Senior Health O Fallon, 4.9 mi · 3 of 5 stars · 27 citations
- Garden View Care Center O Fallon, 5 mi · 1 of 5 stars · 45 citations
- Lutheran Senior Services at Breeze Park Saint Charles, 7.5 mi · 4 of 5 stars · 15 citations
- St. Peters Post Acute Saint Peters, 9.1 mi · 1 of 5 stars · 66 citations
- Ignite Medical Resort St. Peters Saint Peters, 9.1 mi · not rated · 23 citations
- St. Peters Rehab and Healthcare Center Saint Peters, 9.3 mi · 1 of 5 stars · 99 citations
Missouri contacts for a concern about a nursing home
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Missouri Long-Term Care Ombudsman Program, 800-309-3282. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Show Me Long Term Care in Missouri, where Missouri publishes its own records on licensed homes.
Common questions
- What is Cottages of Lake St. Louis's Medicare star rating?
- CMS rates Cottages of Lake St. Louis 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cottages of Lake St. Louis get at its last inspection?
- 4 health deficiencies at the standard inspection on July 24, 2025. The Missouri average is 11.4.
- Has Cottages of Lake St. Louis been fined?
- Yes. CMS lists 1 fine totaling $17,696 in the last three years.
- Does Cottages of Lake St. Louis accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Cottages of Lake St. Louis?
- CMS lists 16 owners and managers. Legal business name: FSC OF LAKE ST LOUIS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.