1111 Boones Lick Rd, Saint Charles, MO 63301
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Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Lewis & Clark Gardens
Saint Charles, MissouriMedicare inspection record
About Lewis & Clark Gardens
Lewis & Clark Gardens brings skilled nursing and rehabilitation to Saint Charles, Missouri with a focus on personalized recovery. Our experienced medical team supports each resident's health goals through comprehensive care designed to restore independence and improve quality of life.
Community at a glance
Capacity
142 residents
Location
Saint Charles, MO
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1221 BOONES LICK ROAD, Saint Charles, Missouri 63301
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- The most recent standard inspection is more than two years old, so these results may not reflect the home today.
At its most recent standard inspection, on August 8, 2024, state inspectors cited 18 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 3 hours 29 minutes with each resident a day, about the same as the Missouri average.
Medicare fined Lewis & Clark Gardens 3 times in the last three years, $139,916 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 29 minutes |
| Registered nurse time per resident, per day | 19 minutesBelow the Missouri average |
| Nursing staff who left in the past year | 53% |
1 administrator has left the home in the past year.
Inspections
39 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 1, 2026 · Complaint investigation · 3 citations
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected May 16, 2026Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 16, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 16, 2026
January 15, 2026 · Complaint investigation · 2 citations
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 6, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 6, 2026
November 18, 2025 · Complaint investigation · 1 citation+
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Dec 19, 2025
September 15, 2025 · Complaint investigation · 1 citation+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 15, 2025
June 23, 2025 · Complaint investigation · 4 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 20, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 20, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 20, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 20, 2025
May 13, 2025 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by May 5, 2025
April 24, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Apr 18, 2025
April 11, 2025 · Complaint investigation · 1 citation+
Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 4, 2025
October 9, 2024 · Complaint investigation · 2 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 7, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 7, 2024
August 8, 2024 · Standard inspection · 11 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Sep 19, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 19, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Nov 7, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Nov 7, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Nov 7, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Nov 7, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Nov 7, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 19, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Sep 19, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 19, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 19, 2024
June 26, 2024 · Complaint investigation · 2 citations+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 17, 2024Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 17, 2024
May 15, 2024 · Complaint investigation · 3 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 31, 2024Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 17, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 17, 2024
December 27, 2023 · Complaint investigation · 7 citations+
Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 5, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 5, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 5, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 5, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 5, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 5, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 5, 2024
Fines and payment denials
3 fines totaling $139,916 and 1 Medicare payment denial in the last three years.
- June 23, 2025Fine: $63,427
- April 24, 2025Fine: $17,300
- May 15, 2024Payment denial, 33 days
- May 15, 2024Fine: $59,189
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- N & R of St Charles LLC
- Medicare-certified beds
- 142
- Average residents per day
- 87
- Accepts
- Medicare and Medicaid
- First certified
- February 17, 1982
- Part of a chain
- James & Judy Lincoln, 56 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 265160
Location
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1221 BOONES LICK ROADSaint Charles, MO 63301
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Questions about Lewis & Clark Gardens
How did Lewis & Clark Gardens do on its last inspection?+
State inspectors visited on August 8, 2024 and cited 18 health deficiencies, 7 of them from complaint investigations. The Missouri average is 11.4.
How much nursing care does each resident get at Lewis & Clark Gardens?+
Nurses and aides spend 3 hours 29 minutes with each resident per day, including 19 minutes from registered nurses. 53% of nursing staff left over the past year.
Has Lewis & Clark Gardens been fined by Medicare?+
Yes. Medicare fined Lewis & Clark Gardens 3 times in the last three years, totaling $139,916.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.