Lewis & Clark Gardens
Nursing home in Saint Charles, MO
Medicare & Medicaid certified1★ overall (CMS)
We send it to Lewis & Clark Gardens if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (636) 946-6140.
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
- 3 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 142
- Average residents per day
- 81
- Ownership
- For-profit, limited Liability company
- Legal business name
- N & R of St Charles LLC
- Chain
- James & Judy Lincoln (55 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
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”.
| Inspection | Citation | Severity |
|---|---|---|
| Apr 1, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 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. | E |
| 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. | F |
| Jan 15, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Jan 15, 2026 | Respond appropriately to all alleged violations. | D |
| Nov 18, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| Sep 15, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 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. | D |
| Jun 23, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 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. | D |
| Jun 23, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| May 13, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
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.
| Jun 23, 2025 | Fine: $63,427 |
| Apr 24, 2025 | Fine: $17,300 |
| May 15, 2024 | Fine: $59,189 |
| May 15, 2024 | Payment denial for 33 days from Jun 14, 2024 |
Staffing
- Total nurse staffing per resident per day
- 3.88 hours
- Registered nurse (RN) time per resident per day
- 0.31 hours
- Nurse aide time per resident per day
- 3.01 hours
- Total nurse staffing on weekends
- 3.39 hours
- Nursing staff turnover (yearly)
- 59%
- RN turnover (yearly)
- 40%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
Other nursing homes in Saint Charles
Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error