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 91 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.
December 2, 2022
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 January 6, 2023.
December 2, 2022
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 2, 2022
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 2, 2022
Tag F0578Honor 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.
Severity J: isolated, immediate jeopardy. Corrected January 6, 2023.
June 18, 2019
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
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 July 31, 2019.
June 18, 2019
Tag F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0567Honor the resident's right to manage his or her financial affairs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
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 C: widespread, no actual harm, potential for minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
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 July 31, 2019.
June 18, 2019
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
June 18, 2019
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 31, 2019.
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 - Limited Liability company
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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