Nursing home
Lewis & Clark Gardens
1221 Boones Lick Road, Saint Charles, MO 63301 · Map
For profit - Limited Liability company · Part of James & Judy Lincoln (58 facilities) · 142 certified beds
Lewis & Clark Gardens is a Medicare-certified nursing home in Saint Charles, Missouri. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.55 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Aug 8, 2024 cited 22 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 3 fines totaling $139,916In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Lewis & Clark Gardens compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.55 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.80 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 48.0% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 22.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $139,916, 4 total penalties, 1 Medicare payment denial.
What inspectors found at Lewis & Clark Gardens
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Sep 15, 2025 · Full report (PDF) - Actual harm
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 · Jun 23, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Jun 23, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 23, 2025 · Full report (PDF) - Potential for harm
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 · Jun 23, 2025 · Full report (PDF) - Potential for harm
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 · May 13, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 11, 2025 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Oct 9, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1221 Boones Lick Road
Saint Charles, MO 63301 - CMS certification #
- 265160
- Ownership
- For profit - Limited Liability company
- Certified beds
- 142
- Avg residents/day
- 85.6
- Provider type
- Medicare and Medicaid
- First certified
- 1982-02-17
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Urban
Part of James & Judy Lincoln
James & Judy Lincoln operates 58 nursing facilities across the United States. View all James & Judy Lincoln facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Lewis & Clark Gardens using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, secured outdoor area
Full public records, with dates and sources
Care and services
From the community’s website
What Lewis & Clark Gardens says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
24 Hour Professional Nursing Services
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 15, 2026) - Has a secured outdoor area.
Fenced Courtyard
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Semi-Private or Private Rooms
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Ssm St Joseph Health Center, Saint Charles. 1.0 mile away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Laurel Meadows Wellness & Rehabilitation, Saint Charles. 0.8 miles away, straight line.
- Nearest home health agency office
- Premiere Home Health, Saint Charles. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63301 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc St Charles Dialysis, Saint Charles, 3.3 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Bridgeton, Bridgeton, 4.3 miles away, straight line (CMS rating 2 of 5 stars)
Davita St. Peters Dialysis, Saint Peters, 4.7 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 33 Medicare hospices tell CMS they serve ZIP code 63301.
Nineveh Hospice, office in St Charles, 0.8 miles away, straight line
St Croix Hospice, office in Saint Peters, 5.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Vitas Healthcare Corporation Midwest, office in Saint Louis, 5.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Ssm Health Care Group, Saint Charles. 1.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, tornado relatively high, heat wave relatively high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Lewis & Clark Gardens a good nursing home?
CMS gives Lewis & Clark Gardens an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Lewis & Clark Gardens staffed?
Lewis & Clark Gardens reports 3.55 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Lewis & Clark Gardens had inspection problems?
Its most recent CMS inspection cited 22 deficiencies.
How many beds does Lewis & Clark Gardens have?
Lewis & Clark Gardens is certified for 142 beds.