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.
August 8, 2024
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 19, 2024.
August 8, 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 F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 19, 2024.
August 8, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 19, 2024.
August 8, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 7, 2024.
August 8, 2024
Tag F0809Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 19, 2024.
August 8, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 19, 2024.
June 26, 2024
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 17, 2024.
June 26, 2024
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 July 17, 2024.
May 15, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J: isolated, immediate jeopardy. Corrected May 31, 2024.
May 15, 2024
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 17, 2024.
May 15, 2024
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 July 17, 2024.
December 27, 2023
Tag F0565Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 5, 2024.
December 27, 2023
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 5, 2024.
December 27, 2023
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 February 5, 2024.
December 27, 2023
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 February 5, 2024.
December 27, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 5, 2024.
December 27, 2023
Tag F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 5, 2024.
December 27, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 5, 2024.
December 2, 2022
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
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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