Cottages of Lake St Louis
Strong Medicare quality ratings; families often praise unique, home-like cottage environment. Still worth an in-person visit.
based on 56 Google reviews
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What this means for your family
The Cottages of Lake St. Louis is an excellent choice for those seeking a home-like environment and high-quality rehabilitation services. However, because multiple families have reported difficulty with administrative communication and billing, we recommend getting all financial policies in writing before admission and maintaining a direct line of contact with the facility director.
Google Reviews
Google Reviews
56 reviews on Google“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
Tap a score for detailsStrengths
- Unique, home-like cottage environment
- High-quality physical therapy and rehab
- Attentive and compassionate nursing staff
- Clean, well-maintained private rooms
Concerns
- Administrative communication and billing issues (mentioned by 3 reviewers)
- Inconsistent staff professionalism and responsiveness (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 57 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the unique cottage-style layout, how do you foster a sense of community and daily engagement among the 60 residents across the different homes?
- 2Could you walk me through your billing and administrative process to ensure families have a clear, transparent understanding of monthly costs and expectations?
- 3With your focus on high-quality physical therapy and rehab, how do you coordinate those specialized services with the daily nursing care provided in the cottages?
- 4How do you ensure consistent communication and responsiveness from your staff members throughout all shifts?
- 5In the event of a medical emergency, what is your specific protocol for stabilizing a resident and communicating with family members?
- 6Since there have been a few state violations recently, what specific steps is the leadership team taking to address those findings and improve overall compliance?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Feb 4, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 24, 2025Routine8
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 24, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Oct 12, 2023Complaint2
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.
Oct 12, 2023Routine4
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.
Dec 13, 2019Routine2
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal Penalties
Fine
Oct 12, 2023
$17,696
Ownership & Operations
Who Operates This Facility
Cottages of Lake St Louis
for profit
Ownership & Management
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
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
56 reviews from families & visitors
Official Website
Visit cottageslsl.com
Medicare data downloads
Original nursing home datasets
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