All states › Missouri › Lake Saint Louis › Cottages of Lake St Louis
2885 Technology Drive Lake Saint Louis, MO 63367 · St. Charles County
CMS certification number 265860 · See this home on Medicare Care Compare
Is Cottages of Lake St Louis a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cottages of Lake St Louis as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 6.00 hours per resident per day at Cottages of Lake St Louis, above the Missouri median of 3.37 (US median: 3.72). About 0.79 of those hours are from registered nurses. On weekends it falls to 5.62 hours, 6% below its all-week average. 60.7% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Cottages of Lake St Louis: Medicare and Medicaid
Cottages of Lake St Louis is certified for Medicare but not Medicaid. It can provide short-term skilled nursing and rehab covered by Medicare Part A, but if long-term care is needed and Medicaid becomes the payer, a move to a Medicaid-certified home would be needed. Nursing homes that accept Medicaid in Missouri.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 24, 2025 and found 3 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 8 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 8 citations at Cottages of Lake St Louis across 4 inspection dates, 4 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 12, 2023. The most common areas cited were nutrition and dietary (2) and quality of life and care (2). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, October 12, 2023).
February 4, 2026 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
July 24, 2025 · 4 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
October 12, 2023 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
December 13, 2019 · 1 citation
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Cottages of Lake St Louis
- Inspectors cited the home at the actual-harm level on October 12, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 5/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 4/5 |
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Location
Hospitals near Cottages of Lake St Louis
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.9 mi
SSM St Joseph Hospital West Lake St LouisEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 35m for patients treated and sent home
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5.9 mi
Progress West Healthcare Center O'fallonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 23m for patients treated and sent home
- 7.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Cottages of Lake St Louis › All nursing homes in Lake Saint Louis ›
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.