Strong Medicare quality ratings; public reviewers often praise unique, home-like cottage environment. Still worth an in-person visit.
based on 57 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Cottages of Lake St Louis has a strong overall Medicare rating. Public reviewers frequently mention: unique, home-like cottage environment and high-quality physical therapy and rehab. Review the component ratings and current source records before deciding.
The Cottages of Lake St. Louis is widely praised for its unique, home-like cottage design and dedicated nursing staff, which many families find superior to traditional institutional facilities. While many reviewers highlight excellent rehabilitation outcomes and compassionate care, there are recurring concerns regarding administrative communication, billing transparency, and occasional lapses in staff professionalism.
Quality Themes
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Concerns
Rating Trends
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Distribution · 59 analyzed
This facility rarely responds to reviews.
Personalized based on this facility's data
Key Review Excerpts
“The setting is very much like a home environment where the 10 rooms per cottage surrounding a kitchen and common area with a fireplace and large screen TV. The staff cooks home cooked meals and then sits down and eats with the residents.”
“The Cottages don't compare to any facility in the area. They are 100% the best. I have seen many physical rehab facilities and there's no contest. The staff is friendly and knowledgeable, they keep the family in the loop, the food is great, physical therapy is top notch and the rooms are private.”
“Because of the concept, he had the same staff most of the time. The 8-10 residents that lived in his cottage were a constant (mostly), as well. From the moment he arrived, the entire staff treated him with genuine kindness, dignity and respect.”
RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
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measures
5
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Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents who lost too much weight
Residents with a long-term catheter
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed complaints leading to deficiencies in pressure ulcer care, food safety, and resident rights. The facility shows recurring issues with fire safety systems (smoke doors found deficient three times across surveys) and has persistent problems with safety systems and care quality. While all deficiencies have been corrected according to the provider, the pattern of complaints and repeated safety violations suggests ongoing operational challenges families should consider.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Egress Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Federal Penalties
Fine
Oct 12, 2023
$17,696
Cottages of Lake St Louis
for profit
Owners
Cottages Master LLC
Owner · Organization
Future Focus Community LLC
Owner (parent company) · Organization
Ironrock Real Estate Investment Fund, Lp
Owner (parent company) · Organization
Joseph P Gira Revocable Trust
Owner (parent company) · Organization
Kathleen E Beamer Trust Dated 4/18/2003
Owner (parent company) · Organization
Beamer, Kathleen
Owner (parent company)
Beamer, Matthew
Owner (parent company)
Beamer, Robert
Owner (parent company)
Gira, Joseph
Owner (parent company)
Hillman, Thomas
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
57 reviews from families & visitors
Official Website
Visit cottageslsl.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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