nursing home in Saint Charles, MO
Lewis & Clark Gardens
1221 Boones Lick Road, Saint Charles, MO 63301 · (636) 946-6140
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lewis & Clark Gardens at a glance
Lewis & Clark Gardens is a 142-bed for-profit nursing home in Saint Charles, Missouri (St. Charles County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 3.5 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (August 8, 2024) found 18 health citations. The Missouri average is 11.4.
Federal regulators fined it 3 times in the past three years, totaling $139,916.
Nursing staff turnover is 53.4% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 142
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- James & Judy Lincoln
- Medicare-certified since
- February 17, 1982
- Resident/family council
- Resident
- County
- St. Charles County
- CMS Certification Number
- 265160
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.48 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.68 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.01 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.4% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 47.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 18 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 221.3 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $139,916 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 142 | 103 | 107 | |
| Average residents per day | 87 | 73 | 86 | |
| Occupancy | 61% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8.8% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 10.4% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13% | 23.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4.2% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.9% | 18.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.8% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.1% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.4% | 25.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.5% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.6% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 84.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 8.3% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 32.6% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 63 health deficiencies and 32 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 1, 2026 Complaint | 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 Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected May 16, 2026 |
| April 1, 2026 Complaint | 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 Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 16, 2026 |
| April 1, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 16, 2026 |
| January 15, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 6, 2026 |
| January 15, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 6, 2026 |
| November 18, 2025 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected December 19, 2025 |
| September 15, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 15, 2025 |
| June 23, 2025 Complaint | 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 Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected August 20, 2025 |
| June 23, 2025 Complaint | 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 Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 20, 2025 |
| June 23, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 20, 2025 |
| June 23, 2025 Complaint | 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 20, 2025 |
| May 13, 2025 Complaint | 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 Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 5, 2025 |
| April 24, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 18, 2025 |
| April 11, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected April 4, 2025 |
| October 9, 2024 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected November 7, 2024 |
| October 9, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected November 7, 2024 |
| August 8, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 19, 2024 |
| August 8, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected November 7, 2024 |
| August 8, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 7, 2024 |
| August 8, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected November 7, 2024 |
| August 8, 2024 Standard | Ensure 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected November 7, 2024 |
| August 8, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 7, 2024 |
| August 8, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected September 19, 2024 |
| August 8, 2024 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected September 19, 2024 |
| August 8, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 19, 2024 |
| June 26, 2024 Complaint | 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 Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected July 17, 2024 |
| June 26, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 17, 2024 |
| May 15, 2024 Complaint | 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 Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected May 31, 2024 |
| May 15, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 17, 2024 |
| May 15, 2024 Complaint | 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 Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected July 17, 2024 |
| December 27, 2023 Complaint | 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 Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 5, 2024 |
| December 27, 2023 Complaint | 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 Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected February 5, 2024 |
| December 27, 2023 Complaint | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected February 5, 2024 |
| December 27, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 5, 2024 |
| December 27, 2023 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected February 5, 2024 |
| December 27, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected February 5, 2024 |
| December 27, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected February 5, 2024 |
| December 2, 2022 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected January 6, 2023 |
| December 2, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 6, 2023 |
| December 2, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected January 6, 2023 |
| December 2, 2022 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected January 6, 2023 |
| December 2, 2022 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 6, 2023 |
| December 2, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected January 6, 2023 |
| December 2, 2022 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected January 6, 2023 |
| December 2, 2022 Standard | Honor 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. Resident Rights Deficiencies · Tag F0578 | J Immediate jeopardy, isolated | Corrected January 6, 2023 |
| December 2, 2022 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected January 6, 2023 |
| December 2, 2022 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 6, 2023 |
| December 2, 2022 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected January 6, 2023 |
| December 2, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 6, 2023 |
| June 18, 2019 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | C No harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | C No harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | C No harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Standard | Ensure 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. Nutrition and Dietary Deficiencies · Tag F0803 | F Potential harm, widespread | Corrected July 31, 2019 |
| June 18, 2019 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Standard | Ensure 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 31, 2019 |
| June 18, 2019 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Ensure 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Implement 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 limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 31, 2019 |
| June 18, 2019 Standard | 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 Deficiencies · Tag F0584 | C No harm, widespread | Corrected July 31, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $139,916 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 23, 2025 | Fine | $63,427 |
| April 24, 2025 | Fine | $17,300 |
| May 15, 2024 | Payment Denial | 33 days from June 14, 2024 |
| May 15, 2024 | Fine | $59,189 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LINCOLN, JAMES Individual | 5% or greater direct ownership interest | 50% | 11/14/2012 |
| LINCOLN, JUDY Individual | 5% or greater direct ownership interest | — | 11/14/2012 |
| LTC MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 02/06/2013 |
| YATES, MELISSA Individual | w-2 managing employee | NOT APPLICABLE | 02/06/2013 |
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Frequently asked questions
What is Lewis & Clark Gardens's rating?
Lewis & Clark Gardens has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Lewis & Clark Gardens receive?
Its most recent standard health inspection found 18 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Lewis & Clark Gardens accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lewis & Clark Gardens?
It is for profit - limited liability company and part of James & Judy Lincoln. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lewis & Clark Gardens and how do I contact it?
Lewis & Clark Gardens is at 1221 Boones Lick Road, Saint Charles, MO 63301. Phone: (636) 946-6140.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.