Nursing home · St. Charles, MO
Lewis & Clark Gardens
1221 Boones Lick Road, St. Charles, MO 63301 · 142 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Apr 1, 2026, when they cited 3 problems from complaint investigations. The most common area was nursing and physician services (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Aug 8, 2024) it had 18 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.48 hours per resident per day here, about the same as the Missouri average (3.43) and 10% less than the U.S. average (3.86). Registered nurses account for 0.32 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 53% over the past year, 3 points lower than Missouri (56%) and 8 points higher than the U.S. (46%).
How Lewis & Clark Gardens compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.48 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.32 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.01 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 53% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 40% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 18 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 63 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Apr 1, 2026 | 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. Nursing and physician services · complaint | F | Deficient, Provider has date of correction |
| Apr 1, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Apr 1, 2026 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jan 15, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 15, 2026 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Nov 18, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Sep 15, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jun 23, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Deficient, Provider has date of correction |
| Jun 23, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jun 23, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jun 23, 2025 | 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. Resident rights · complaint | D | Deficient, Provider has date of correction |
| May 13, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Apr 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Past Non-Compliance |
| Apr 11, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Oct 9, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Oct 9, 2024 | Provide activities to meet all resident's needs. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Aug 8, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Aug 8, 2024 | Reasonably accommodate the needs and preferences of each resident. Resident rights | D | Deficient, Provider has date of correction |
| Aug 8, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 8, 2024 | Ensure meals and snacks are served at times in accordance with residentâs 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. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jun 26, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jun 26, 2024 | Provide 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. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| May 15, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| May 15, 2024 | Provide 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. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| May 15, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 27, 2023 | Honor 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Dec 27, 2023 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Dec 27, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Dec 27, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Dec 27, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 27, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 27, 2023 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Dec 2, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jun 23, 2025 | Fine | $63,427 |
| Apr 24, 2025 | Fine | $17,300 |
| May 15, 2024 | Fine | $59,189 |
| May 15, 2024 | Payment Denial | 33 days |
Location
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Reviews
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Questions about Lewis & Clark Gardens
Answers computed from CMS data for this facility.
What is Lewis & Clark Gardens's Medicare rating?
Medicare rates Lewis & Clark Gardens 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Lewis & Clark Gardens do on its last inspection?
Inspectors' most recent visit in the CMS data was on Apr 1, 2026, when they cited 3 problems from complaint investigations. The most common area was nursing and physician services (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Aug 8, 2024) it had 18 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Lewis & Clark Gardens been fined?
Yes. CMS reports 3 fines totaling $139,916 in the past three years.
Does Lewis & Clark Gardens accept Medicaid?
Lewis & Clark Gardens is certified for both Medicare and Medicaid. Call (636) 946-6140 to ask whether a Medicaid bed is open.
Other nursing homes near St. Charles
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- 2/5Laurel Meadows Wellness & RehabilitationSt. Charles · 103 beds
- 1/5Aspen Point Health and RehabilitationSt. Charles · 180 beds
- 1/5Windsor Estates of St CharlesSt. Charles · 81 beds
- 5/5Aberdeen HeightsKirkwood · 38 beds
Compare all 97 St. Louis-area nursing homes · Homes that take Medicaid · Rehab and skilled nursing · St. Louis guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.