All states › Missouri › Saint Charles › Lewis & Clark Gardens
1221 Boones Lick Road Saint Charles, MO 63301 · St. Charles County
All 6 nursing homes in Saint Charles, MO (6 take Medicaid)
CMS certification number 265160 · See this home on Medicare Care Compare
Is Lewis & Clark Gardens a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lewis & Clark Gardens as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.88 hours per resident per day at Lewis & Clark Gardens, above the Missouri median of 3.37 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 3.39 hours, 13% below its all-week average. 59.1% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Lewis & Clark Gardens: Medicare and Medicaid
Lewis & Clark Gardens is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 8, 2024 and found 11 deficiencies, plus 6 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 63 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 63 citations at Lewis & Clark Gardens across 15 inspection dates, 28 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 24, 2025 (complaint inspection). The most common areas cited were quality of life and care (20) and resident rights (13). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, April 24, 2025). 9 citations were under CMS's abuse, neglect and exploitation rules.
April 1, 2026 · 3 citations · includes complaint inspection
FHave 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.
EHonor 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 15, 2026 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
November 18, 2025 · 1 citation · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
September 15, 2025 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
June 23, 2025 · 4 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 13, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 24, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 11, 2025 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
October 9, 2024 · 2 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide activities to meet all resident's needs.
August 8, 2024 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide activities to meet all resident's needs.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure 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.
EProvide and implement an infection prevention and control program.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
June 26, 2024 · 2 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
May 15, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
December 27, 2023 · 7 citations · includes complaint inspection
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EHonor 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.
EHonor 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.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
December 2, 2022 · 5 citations, includes immediate jeopardy
JHonor 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.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DRespond appropriately to all alleged violations.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
June 18, 2019 · 19 citations
FEnsure 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.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
EHonor the resident's right to manage his or her financial affairs.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DRespond appropriately to all alleged violations.
DAssess the resident when there is a significant change in condition
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DEnsure 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.
DProvide safe, appropriate pain management for a resident who requires such services.
DImplement 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.
CHonor 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.
Questions to ask on a tour of Lewis & Clark Gardens
- Inspectors cited the home at the immediate-jeopardy level on April 24, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on January 15, 2026. How are staff trained, and how are concerns reported?
- The home averages about 57% of its beds filled. Are any units closed?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $139,916 in fines.
| Date | Type | Amount or length |
|---|---|---|
| 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 of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
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Location
Hospitals near Lewis & Clark Gardens
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.0 mi
SSM St Joseph Health Center St CharlesEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 37m for patients treated and sent home
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3.9 mi
SSM Depaul Health Center BridgetonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 33m for patients treated and sent home
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4.5 mi
Barnes-Jewish St Peters Hospital St PetersEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 13m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Lewis & Clark Gardens › All nursing homes in Saint Charles ›
Compare Lewis & Clark Gardens with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Friendship Village Chesterfield · Chesterfield · 5 stars · 7.9 mi
- Mason Pointe Care Center · Chesterfield · 5 stars · 8.9 mi
- NHC Healthcare, St Charles · Saint Charles · 4 stars · 1.7 mi
- NHC Healthcare, Maryland Heights · Maryland Heights · 4 stars · 5.6 mi
Other James & Judy Lincoln nursing homes in Missouri
- Crowley Ridge Care Center · Dexter · 5 stars
- New Madrid Living Center · New Madrid · 5 stars
- Country Meadows · Park Hills · 5 stars
- California Care Center · California · 5 stars
- Nixa Nursing & Rehab · Nixa · 5 stars
- Republic Nursing & Rehab · Republic · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 55 James & Judy Lincoln nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.