Quick answers
- Where is Lewis & Clark Gardens?
- 1221 Boones Lick Road, Saint Charles, MO 63301, in St. Charles County, Missouri.
- What is the phone number of Lewis & Clark Gardens?
- (636) 946-6140, as listed by Medicare (CMS).
- What is the Medicare star rating of Lewis & Clark Gardens?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Lewis & Clark Gardens been fined?
- Medicare lists 3 fines totaling $139,916 and 1 payment denial.
- What did inspectors find at Lewis & Clark Gardens?
- In its last three inspection cycles (June 18, 2019 to April 1, 2026), Medicare lists 63 health citations; the most serious was level J. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 18, 2019 to April 1, 2026), Lewis & Clark Gardens had 63 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $139,916 in total (3 fines, the latest on June 23, 2025) and had 1 Medicare payment denial. Nurse staffing is 3.88 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: August 8, 2024 — 17 health citations
Inspections in this cycle: August 8, 2024 (standard health inspection); November 18, 2025 (complaint investigation); January 15, 2026 (complaint investigation); April 1, 2026 (complaint investigation).
Show 17 citations (levels A to F, no actual harm)
F0727 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0809 Level E
“Ensure 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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
Previous cycle: December 2, 2022 — 15 health citations
Inspections in this cycle: December 2, 2022 (standard health inspection); October 9, 2024 (complaint investigation); April 11, 2025 (complaint investigation); April 24, 2025 (complaint investigation); May 13, 2025 (complaint investigation); June 23, 2025 (complaint investigation); September 15, 2025 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0578 Level J
“Honor 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.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Rights Deficiencies
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 12 less serious citations (levels A to F)
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0584 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
Earlier cycle: June 18, 2019 — 31 health citations
Inspections in this cycle: June 18, 2019 (standard health inspection); December 27, 2023 (complaint investigation); May 15, 2024 (complaint investigation); June 26, 2024 (complaint investigation).
F0600 Level J
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 30 less serious citations (levels A to F)
F0803 Level F
“Ensure 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.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0565 Level E
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0584 Level E
“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.”
F0585 Level E
“Honor 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.”
F0557 Level E
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0567 Level E
“Honor the resident's right to manage his or her financial affairs.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0690 Level E
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0761 Level E
“Ensure 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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level D
“Provide 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.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level D
“Provide 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.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0691 Level D
“Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.”
F0693 Level D
“Ensure 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.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0758 Level D
“Implement 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.”
F0584 Level C
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (32)
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
E0030 Level E
“List the names and contact information of those in the facility.”
E0037 Level E
“Establish staff and initial training requirements.”
K0100 Level E
“Meet other general requirements.”
K0311 Level E
“Have an enclosure around a vertical opening shaft.”
K0347 Level E
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0711 Level F
“Provide a written emergency evacuation plan.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0161 Level E
“Use approved construction type or materials.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0932 Level D
“Meet other general requirements.”
E0004 Level C
“Develop and maintain an Emergency Preparedness Program (EP).”
E0036 Level C
“Establish emergency prep training and testing.”
E0039 Level C
“Conduct testing and exercise requirements.”
E0041 Level C
“Implement emergency and standby power systems.”
Fines and payment denials
Total fines over about the last three years: $139,916 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 23, 2025 | Fine | $63,427 |
| April 24, 2025 | Fine | $17,300 |
| May 15, 2024 | Fine | $59,189 |
| May 15, 2024 | Payment denial | from June 14, 2024, 33 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.31 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.55 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 3.01 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.88 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.39 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.21 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 59.1% | 56.9% | 45.3% |
| RN turnover (per year) | 40.0% | 50.0% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 55 nursing homes: James & Judy Lincoln.
Legal business name: N & R of St Charles LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Lincoln, James | Direct owner | 50% | November 14, 2012 |
| Lincoln, Judy | Direct owner | — | November 14, 2012 |
| LTC Management Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | February 6, 2013 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 142 |
| Average residents per day | 80.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | James & Judy Lincoln |
| Legal business name | N & R of St Charles LLC |
| First approved by Medicare/Medicaid | 1982-02-17 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1221 Boones Lick Road, Saint Charles, MO 63301 |
| County | St. Charles County |
| State | Missouri |
| Phone | (636) 946‑6140 |
| CMS Certification Number | 265160 |
| Name in Medicare records | LEWIS & CLARK GARDENS |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Laurel Meadows Wellness & Rehabilitation0.8 mi · Saint Charles, MO · 2 of 5 stars
- Aspen Point Health and Rehabilitation1.6 mi · Saint Charles, MO · 2 of 5 stars
- NHC Healthcare, St Charles1.7 mi · Saint Charles, MO · 4 of 5 stars
- Windsor Estates of St Charles1.9 mi · Saint Charles, MO · 1 of 5 stars
- SSM Health Depaul Hospital - Anna House4.1 mi · Bridgeton, MO · 3 of 5 stars
Nearest hospital emergency rooms
- SSM St Joseph Health Center1.0 mi · Saint Charles, MO · Acute Care Hospital
- SSM Health Depaul Hospital St Louis3.9 mi · Bridgeton, MO · Acute Care Hospital
- Barnes-Jewish St Peters Hospital4.4 mi · Saint Peters, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13