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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Lewis & Clark Gardens

1221 Boones Lick Road · Saint Charles, MO 63301 · 142 certified beds

6369466140

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1780923318. Look this up in the CMS NPPES registry (opens in a new tab)

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About Lewis & Clark Gardens

Lewis & Clark Gardens is a nursing home in Saint Charles, Missouri, in St. Charles County. Public records list 142 beds. Ownership records list a for-profit operator and tie the listing to James & Judy Lincoln. It is Medicare certified. We hold 63 inspection citations for this listing, the most recent dated 1 April 2026. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 3.48 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

44

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

4.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

44

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

4.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

44

Inspection history (63)

Records from June 2019 to April 2026.

  • June 18, 2019 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2019-06-18 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2019-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-06-18.GOV

  • June 18, 2019 · F

    Citation F0880

    Federal surveyors cited this nursing home on 2019-06-18 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2019-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-06-18.GOV

  • June 18, 2019 · E

    Citation F0690

    Federal surveyors cited this nursing home on 2019-06-18 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2019-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-06-18.GOV

Penalties (4)

Total fines on file: $139,916

  • June 23, 2025 · Fine

    Citation FINE-134840

    CMS recorded a civil money penalty of $63,427 against this nursing home on 2025-06-23 (Fine ID: 134840). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-23.GOV

  • April 24, 2025 · Fine

    Citation FINE-134591

    CMS recorded a civil money penalty of $17,300 against this nursing home on 2025-04-24 (Fine ID: 134591). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOV

  • May 15, 2024 · Payment Denial

    Citation PAYDEN-2024-06-14

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-06-14, lasting 33 days (triggered by inspection on 2024-05-15). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

  • May 15, 2024 · Fine

    Citation FINE-90580

    CMS recorded a civil money penalty of $59,189 against this nursing home on 2024-05-15 (Fine ID: 90580). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

Staffing

Latest: 3.48 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.55 hrs/resident/day
  2. 2026-06-013.55 hrs/resident/day
  3. 2026-07-013.48 hrs/resident/day
  4. 2026-08-013.48 hrs/resident/day
  5. 2026Q13.48 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.07 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: James & Judy Lincoln

Chain ID 290 · 56 facilities in chain (CMS)

  • Chain average overall rating: 2.4
  • Chain average health inspection rating: 2.8
  • Chain average staffing rating: 2.2
  • Chain average quality measure rating: 2.4

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · MO$6,741/mo
See full MO cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Saint Charles, with their own public records.

Compare side by side
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A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Check availability and pricing at Lewis & Clark Gardens

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.