Cottages of Lake St Louis
2885 Technology Drive, Lake Saint Louis, MO 63367 · St. Charles County · 60 certified beds · avg 56 residents/day · certified since Jan 31, 2017
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 12, 2023 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 11, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 4, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jul 24, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 24, 2025 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 12, 2023 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 12, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Dec 13, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | F |
| 2023 | 2 | 1 | G ▲ |
| 2025 | 4 | 0 | F |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $17,696.
| Date | Type | Amount / length |
|---|---|---|
| Oct 12, 2023 | Fine | $17,696 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.35 | 3.66 | 3.95 | top 2% in Missouri; top 3% in the U.S. |
| Registered Nurse hours | 0.75 | 0.49 | 0.69 | top 10% in Missouri; top 32% in the U.S. |
| Weekend total nurse staffing | 5.75 | 3.22 | 3.50 | top 2% in Missouri; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.33 | 0.48 | top 12% in Missouri; top 38% in the U.S. |
| Total nursing staff turnover (%) | 57.5 | 56.0 | 45.8 | bottom 47% in Missouri; bottom 20% in the U.S. |
| RN turnover (%) | 40.0 | 47.8 | 42.9 | top 37% in Missouri; top 46% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.03, RN 0.71, weekend 5.46. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Beamer, Kathleen | Individual | 5% or Greater Indirect Ownership Interest | — | 07/07/2021 |
| Beamer, Matthew | Individual | 5% or Greater Indirect Ownership Interest | — | 07/07/2021 |
| Beamer, Robert | Individual | 5% or Greater Indirect Ownership Interest | — | 07/07/2021 |
| Cottages Master LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/16/2016 |
| Future Focus Community LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/16/2016 |
| Gira, Joseph | Individual | 5% or Greater Indirect Ownership Interest | — | 06/16/2016 |
| Hillman, Thomas | Individual | 5% or Greater Indirect Ownership Interest | — | 06/16/2016 |
| Ironrock Real Estate Investment Fund, LP | Organization | 5% or Greater Indirect Ownership Interest | — | 06/16/2016 |
| Joseph P Gira Revocable Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 06/16/2016 |
| Kathleen E Beamer Trust Dated 4/18/2003 | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2018 |
| Beamer, Kathleen | Individual | Corporate Officer | NOT APPLICABLE | 06/16/2016 |
| Beamer, Matthew | Individual | Corporate Director | NOT APPLICABLE | 06/16/2016 |
| Beamer, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/16/2016 |
| Beamer, Robert | Individual | Corporate Officer | NOT APPLICABLE | 06/16/2016 |
| Cottages of LSL Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/16/2016 |
| St. Louis Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/16/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sunterra Springs Dardenne Prairie | 1.4 mi | Dardenne Prairie, MO | ★★☆☆☆ | 2/5 | |
| Delmar Gardens of O'Fallon | 3.4 mi | O Fallon, MO | ★★★☆☆ | 2/5 | |
| Abbey Senior Health | 4.9 mi | O Fallon, MO | ★★★☆☆ | 2/5 | abuse |
| Garden View Care Center | 5.0 mi | O Fallon, MO | ★☆☆☆☆ | 1/5 | abuse |
| Lutheran Senior Services at Breeze Park | 7.5 mi | Saint Charles, MO | ★★★★☆ | 3/5 | |
| St Peters Post Acute | 9.1 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort St Peters | 9.1 mi | Saint Peters, MO | —/5 | ||
| St Peters Rehab and Healthcare Center | 9.3 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| McClay Senior Care | 10.4 mi | Saint Peters, MO | ★★★☆☆ | 3/5 | |
| Aspen Point Health and Rehabilitation | 13.5 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265860.