Lewis & Clark Gardens

Public-record details

Address

1221 Boones Lick Road, Saint Charles, MO 63301

Phone

(636) 946-6140

Listed under

For-profit

Medicare CCN

265160

Overall star rating

1 of 5 ★☆☆☆☆

Health inspection rating

1 of 5

Staffing rating

4 of 5

Quality measures rating

2 of 5

Certified beds

142

Average residents per day

87

Ownership

For-profit, limited Liability company

Legal business name

N & R of St Charles LLC

Chain

James & Judy Lincoln (56 facilities)

Certified for

Medicare and Medicaid

First approved by Medicare/Medicaid

Feb 17, 1982

Changed ownership in last 12 months

No

Continuing care retirement community

No

Located inside a hospital

No

Resident or family council

Resident council

Sprinklers in all required areas

Yes

CMS certification number 265160. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 8, 2024. CMS lists 63 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 18, 2019 to Apr 1, 2026): 28 from complaint inspections, 4 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Showing the 12 most recent of 63. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $139,916 and 1 denial of Medicare payment for new admissions in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day

3.48 hours

Registered nurse (RN) time per resident per day

0.32 hours

Nurse aide time per resident per day

2.68 hours

Total nurse staffing on weekends

3.01 hours

Nursing staff turnover (yearly)

53%

RN turnover (yearly)

40%

Administrators who left in the past year

1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.