Nursing Homes · Saint Charles, MO
Nursing Homes · Medicare certified
Lewis & Clark Gardens
1221 Boones Lick Road · Saint Charles, MO 63301 · 142 certified beds
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About Lewis & Clark Gardens
Lewis & Clark Gardens is a nursing home in Saint Charles, Missouri. Its capacity is 142 beds, above the St. Charles County median of 81 for nursing homes. It is run by a for-profit operator and is part of James & Judy Lincoln. It is Medicare certified. Its public inspection record shows 63 citations, the most recent on April 1, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.88 hours per resident per day. It is one of 6 nursing homes listed in Saint Charles. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
3.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (63)
Records from June 2019 to April 2026.
April 1, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2026.
April 1, 2026
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 16, 2026.
April 1, 2026
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 16, 2026.
January 15, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2026.
January 15, 2026
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2026.
November 18, 2025
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.
September 15, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
June 23, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 20, 2025.
June 23, 2025
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 20, 2025.
June 23, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 20, 2025.
June 23, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected August 20, 2025.
May 13, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 5, 2025.
April 24, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected April 18, 2025.
April 11, 2025
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 4, 2025.
October 9, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 7, 2024.
October 9, 2024
Tag F0679Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 7, 2024.
August 8, 2024
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 19, 2024.
August 8, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 7, 2024.
August 8, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 7, 2024.
August 8, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 7, 2024.
Penalties (4)
Total fines: $139,916
June 23, 2025 · Fine
CMS recorded a civil money penalty of $63,427 against this nursing home on June 23, 2025.
April 24, 2025 · Fine
CMS recorded a civil money penalty of $17,300 against this nursing home on April 24, 2025.
May 15, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting June 14, 2024, lasting 33 days (triggered by inspection on May 15, 2024).
May 15, 2024 · Fine
CMS recorded a civil money penalty of $59,189 against this nursing home on May 15, 2024.
Staffing
3.88 nurse hours per resident per day in Q2 2026, up from 3.55 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of James & Judy Lincoln, a chain of 55 nursing homes.
Average CMS star ratings across the chain: 2.6 overall, 2.7 for health inspections, 2.3 for staffing, 2.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Saint Charles.
Nursing Homes · Saint Charles, MO
Laurel Meadows Wellness & Rehabilitation
Assisted Living · Saint Charles, MO
Lutheran Senior Services at Breeze Park
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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