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HomeMissouriLewis & Clark Gardens

Lewis & Clark Gardens

1221 Boones Lick Road, Saint Charles, MO 633016369466140WebsiteGoogle Maps
2.5on Google(33 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
4/5
Quality
2/5
Beds
142
certified
3 fine(s) totaling $139,916

How Lewis & Clark Gardens Compares in Missouri

Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
MO average
2.5/5
Below state average
Health inspection rating
1/5
MO average
2.8/5
Below state average
Staffing rating
4/5
MO average
2.2/5
Above state average
Nursing hours per resident
3.48 hrs/day
MO average
3.43 hrs/day
Close to state average
RN hours per resident
0.32 hrs/day
MO average
0.46 hrs/day
Below state average
Staff turnover
53.4%
MO average
56.1%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Missouri average of 2.5/5.
Its 1/5 health inspection rating is below the Missouri average of 2.8/5.
Reported RN time is 0.32 hours per resident per day, below the state average of 0.46.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
26
deficiency citations
Inspected Dec 2, 2022
Most recent cycle
18
deficiency citations
Inspected Aug 8, 2024
The most recent cycle recorded 8 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,540/mo
Missouri median
Private Room
$6,236/mo
Missouri median
St. Charles County 65+
65,171
16.0% of county
County Population
406,262
St. Charles County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Lewis & Clark Gardens is a 1-star Medicare and Medicaid certified nursing home in Saint Charles, Missouri with 142 certified beds. It has been operating since 1982. Its overall CMS rating is 1 out of 5.

Beds
142
Avg Residents/Day
86.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 17, 1982
Sprinklers
Yes
Council
Resident
County
St. Charles
Last Inspection
Aug 8, 2024
Deficiencies (Cycle 1)
18
Weighted Score
221.3
Infection Citations
0

Deficiency Citations (63)

F0727Potential for Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 15, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0809Potential for Harm

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Aug 8, 2024Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jun 23, 2025Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Jun 23, 2025Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 23, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 23, 2025Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 13, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 24, 2025Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Apr 11, 2025Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 9, 2024Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Oct 9, 2024Corrected: NoCycle: 2
F0578Immediate Jeopardy

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Dec 2, 2022Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Dec 2, 2022Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Dec 2, 2022Corrected: NoCycle: 2

+ 33 more deficiencies

Total Fines
$139,916
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineApr 24, 2025
$17,300
FineMay 15, 2024
$59,189
FineJun 23, 2025
$63,427
Payment DenialMay 15, 2024
33 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.68 hrs
National avg: 2.32 hrs
LPN0.47 hrs
National avg: 0.86 hrs
RN0.32 hrs
National avg: 0.69 hrs
Total Nursing3.48 hrs
National avg: 3.86 hrs
Weekend Total3.01 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
53.4%
RN Turnover
40.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
LINCOLN, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Nov 14, 2012
LINCOLN, JUDY5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/ANov 14, 2012
YATES, MELISSAW-2 MANAGING EMPLOYEEIndividualN/AFeb 6, 2013
LTC MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 6, 2013

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Lewis & Clark Gardens and nearby alternatives.

All Missouri facilities
Lewis & Clark Gardens
Saint Charles, MOCurrent facility
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $139,916
Laurel Meadows Wellness & Rehabilitation
Saint Charles, MO4,224 ft
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $11,536
Aspen Point Health and Rehabilitation
Saint Charles, MO1.6 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $464,634
Nhc Healthcare, St Charles
Saint Charles, MO1.7 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Windsor Estates of St Charles
Saint Charles, MO1.9 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $229,906
Ssm Health Depaul Hospital - Anna House
Bridgeton, MO4.1 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
Avenir at Mark Twain
Bridgeton, MO4.2 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $195,310
FacilityDistanceCMSHealthStaffingRecorded fines
Lewis & Clark Gardens
Saint Charles, MO · Current facility
—1/51/54/5$139,916
Laurel Meadows Wellness & Rehabilitation
Saint Charles, MO
4,224 ft2/52/53/5$11,536
Aspen Point Health and Rehabilitation
Saint Charles, MO
1.6 mi1/51/52/5$464,634
Nhc Healthcare, St Charles
Saint Charles, MO
1.7 mi4/54/54/5None recorded
Windsor Estates of St Charles
Saint Charles, MO
1.9 mi1/51/51/5$229,906
Ssm Health Depaul Hospital - Anna House
Bridgeton, MO
4.1 mi3/53/53/5None recorded
Avenir at Mark Twain
Bridgeton, MO
4.2 mi1/51/52/5$195,310

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Lewis & Clark Gardens?▾
Lewis & Clark Gardens has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Lewis & Clark Gardens cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Missouri is $5,540/month for a semi-private room and $6,236/month for a private room (Genworth/CareScout 2024). Lewis & Clark Gardens participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Lewis & Clark Gardens had any health inspection violations?▾
Lewis & Clark Gardens had 18 deficiency citations in its most recent health inspection (Aug 8, 2024). The current CMS dataset records 3 fine(s) totaling $139,916.
What are the staffing levels at Lewis & Clark Gardens?▾
Lewis & Clark Gardens provides 3.48 total nursing staff hours per resident per day, including 0.32 RN hours, 0.47 LPN hours, and 2.68 nurse aide hours. The total staff turnover rate is 53.4%.
How many beds does Lewis & Clark Gardens have?▾
Lewis & Clark Gardens has 142 certified beds with an average of 86.6 residents per day, resulting in approximately 61% occupancy. The facility is For profit - Limited Liability company owned and is part of the James & Judy Lincoln chain.
Are there other nursing homes near Lewis & Clark Gardens?▾
Yes. This page lists 6 nearby nursing homes in Missouri, including 4 in Saint Charles. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Lewis & Clark Gardens?▾
On Google Maps, Lewis & Clark Gardens has a rating of 2.5 out of 5 based on 33 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of James & Judy Lincoln

This chain operates 56 facilities. View all →