Cycle 1
Health 2025-07-24 · Fire 2025-07-24
4 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Lake Saint Louis, MO
Cottages Of Lake St Louis
4-star overall rating with 4-star inspections with $17,696 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2885 Technology Drive, Lake Saint Louis, MO
(636) 614-3510
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2017-01-31
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.63
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.48
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
4.19
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
6.30
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
2.11
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
5.87
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
6.54
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,273
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.16
Composite VBP score used to determine payment impact.
Payment multiplier
1.0134
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.28
Baseline 19.47% · Performance 18.52% · Measure score 6.28 · Achievement 6.28 · Improvement 3.40
Healthcare-associated infections
3.4
Baseline 8.34% · Performance 7.03% · Measure score 3.4 · Achievement 2.68 · Improvement 3.4
Total nurse turnover
3.58
Baseline 53.76% · Performance 49.04% · Measure score 3.58 · Achievement 3.58 · Improvement 1.13
Adjusted total nurse staffing
10
Baseline 5.85 hours · Performance 5.93 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.18% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 216 · Observed rate 10.19% · Lower 95% interval 8.82% |
| Discharge to community | 62.15% |
50.57%
11.6 pts better
|
Better than the National Rate · Eligible stays 223 · Observed rate 56.95% · Lower 95% interval 54.3% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 88.74% |
95.27%
6.5 pts worse
|
Numerator 134 · Denominator 151 |
| Falls with major injury | 0.66% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 151 |
| Discharge self-care score | 43.8% |
53.69%
9.9 pts worse
|
Numerator 53 · Denominator 121 |
| Discharge mobility score | 40.5% |
50.94%
10.4 pts worse
|
Numerator 49 · Denominator 121 |
| Pressure ulcers or injuries, new or worsened | 5.3% |
2.29%
3 pts worse
|
Numerator 8 · Denominator 151 · Adjusted rate 5.91% |
| Healthcare-associated infections requiring hospitalization | 7.03% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 144 · Observed rate 6.25% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 137 |
| Staff flu vaccination coverage | 38.41% |
42%
3.6 pts worse
|
Numerator 53 · Denominator 138 |
| Discharge function score | 42.98% |
56.45%
13.5 pts worse
|
Numerator 52 · Denominator 121 |
| Transfer of health information to provider | 71.93% |
95.95%
24 pts worse
|
Numerator 82 · Denominator 114 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 16.22% |
25.2%
9 pts worse
|
Numerator 12 · Denominator 74 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.1
0.1 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.3
1.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
84.8%
12.5 pts better
|
93.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 96.4% · Q3 96.6% · Q4 100.0% · 4Q avg 97.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.4% |
4.1%
1.3 pts worse
|
3.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 7.1% · Q3 3.4% · Q4 0.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.3% |
14.7%
4.4 pts better
|
11.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 10.0% · Q3 5.0% · 4Q avg 10.3% |
| Percentage of long-stay residents who lose too much weight | 10.8% |
5.5%
5.3 pts worse
|
5.4%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 14.3% · Q3 20.0% · Q4 9.5% · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.3% |
25.3%
About the same
|
19.6%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 28.6% · Q3 25.0% · Q4 23.8% · 4Q avg 25.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.8% |
25.0%
20.2 pts better
|
16.7%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.0% |
20.3%
1.7 pts worse
|
16.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.9% |
19.8%
1.9 pts better
|
14.9%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q4 20.0% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 10.0% |
1.4%
8.6 pts worse
|
1.0%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 14.6% · Q3 11.3% · Q4 3.3% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.9% |
2.6%
7.3 pts worse
|
1.7%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 10.7% · Q3 0.0% · Q4 8.0% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% |
18.1%
11.4 pts worse
|
19.8%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 39.4% · Q3 30.4% · Q4 17.1% · 4Q avg 29.5% |
| Percentage of long-stay residents with pressure ulcers | 9.2% |
5.0%
4.2 pts worse
|
5.1%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 8.3% · Q3 12.4% · Q4 7.1% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
66.4%
28.8 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 96.0% · Q3 95.3% · Q4 93.0% · 4Q avg 95.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.8% |
13.4%
0.6 pts better
|
12.0%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 11.9% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.2%
1.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.7% · Q3 1.3% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.3% |
63.5%
31.8 pts better
|
79.7%
15.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.7% |
25.3%
10.6 pts better
|
23.9%
9.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 11.9% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-12 · Fire 2023-10-12
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-12-13 · Fire 2019-12-13
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-07-24
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2025-09-05
E · Potential for more than minimal harm
2025-07-24
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-05
E · Potential for more than minimal harm
2025-07-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-05
E · Potential for more than minimal harm
2025-07-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-05
E · Potential for more than minimal harm
2025-07-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-05
F · Potential for more than minimal harm
2023-10-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-11
F · Potential for more than minimal harm
2023-10-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-11
F · Potential for more than minimal harm
2023-10-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-11
F · Potential for more than minimal harm
2023-10-12
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-11-11
F · Potential for more than minimal harm
2019-12-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-12
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-07-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-05
E · Potential for more than minimal harm
2025-07-24
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-05
D · Potential for more than minimal harm
2025-07-24
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-05
D · Potential for more than minimal harm
2025-07-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-05
G · Actual harm
2023-10-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-11
F · Potential for more than minimal harm
2023-10-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-11
F · Potential for more than minimal harm
2019-12-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-12
Penalties and ownership
What sits behind the stars
$17,696
2023-10-12
Fine
Fine · fine $17,696
Fine
Ownership
Cottages Master LLC
5% Or Greater Direct Ownership Interest · Organization
Beamer, Kathleen
5% Or Greater Indirect Ownership Interest · Individual
Beamer, Kathleen
Corporate Officer · Individual
Beamer, Matthew
5% Or Greater Indirect Ownership Interest · Individual
Beamer, Matthew
Operational/Managerial Control · Individual
Beamer, Matthew
Corporate Director · Individual
Beamer, Robert
5% Or Greater Indirect Ownership Interest · Individual
Beamer, Robert
Corporate Officer · Individual
Cottages Of Lsl Management LLC
Operational/Managerial Control · Organization
Future Focus Community LLC
5% Or Greater Indirect Ownership Interest · Organization
Gira, Joseph
5% Or Greater Indirect Ownership Interest · Individual
Hillman, Thomas
5% Or Greater Indirect Ownership Interest · Individual
Ironrock Real Estate Investment Fund, LP
5% Or Greater Indirect Ownership Interest · Organization
Joseph P Gira Revocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Kathleen E Beamer Trust Dated 4/18/2003
5% Or Greater Indirect Ownership Interest · Organization
St. Louis Bank
5% Or Greater Mortgage Interest · Organization
Nearby options
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1-star overall rating with 1-star inspections with $94,799 in total fines with 22 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Delmar Gardens Of O'fallon
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3-star overall rating with 2-star inspections with 18 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#3
Abbey Senior Health
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2-star overall rating with 2-star inspections with abuse icon flag with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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