Lewis & Clark Gardens

Nursing Home · Saint Charles, MO

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number265160

Contact & location

1221 Boones Lick Road
Saint Charles, MO 63301
St. Charles County
Phone
(636) 946-6140
ZIP code
63301 – all care providers

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Facility details

Certified beds
142
Residents per day
86.6 (61% occupied)
Ownership
For profit - Limited Liability company
Legal name
N & R of ST Charles LLC
Chain
James & Judy Lincoln (56 facilities, avg 2.4★)
Medicare certified since
February 17, 1982
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 2.2
Quality measures★★★★★ 2/5
State avg 2.7
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.48 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.32 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.47 (state 0.68 · U.S. 0.86)
Nurse aides
2.68 (state 2.29 · U.S. 2.32)
Weekend total
3.01 (state 3.02 · U.S. 3.42)
Nursing staff turnover
53.4 (state 56.0 · U.S. 45.8)%
RN turnover
40.0 (state 47.8 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
August 8, 2024
Health deficiencies (last cycle)
18.0 (state 11.5 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
62 health · 18 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-01 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-05-16
2026-04-01 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-16
2026-04-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-16
2026-01-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-15 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2025-11-18 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-19
2025-09-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-06-23 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-08-20
2025-06-23 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-20
2025-06-23 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-20
2025-06-23 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-20
2025-05-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-05
2025-04-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-04-18
2025-04-11 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-04
2024-10-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-10-09 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-08-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2024-08-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-08-08 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-08-08 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-08-08 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2024-08-08 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-08-08 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.
F0809 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2024-08-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-08-08 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2024-08-08 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2024-08-08 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2024-06-26 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-17
2024-06-26 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-17
2024-05-15 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-05-31
2024-05-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-17
2024-05-15 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-17
2023-12-27 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-05
2023-12-27 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-05
2023-12-27 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-05
2023-12-27 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-05
2023-12-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-05
2023-12-27 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-05
2023-12-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-05
2022-12-02 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.
F0578 · Resident Rights Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-01-06
2022-12-02 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-06
2022-12-02 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-06
2022-12-02 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-06
2022-12-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-06
2019-06-18 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.
F0803 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2019-07-31
2019-06-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2019-07-31
2019-06-18 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-07-31
2019-06-18 Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-07-31
2019-06-18 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-07-31
2019-06-18 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-07-31

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $139,916 in fines.

DateTypeAmount
2025-06-23Fine$63,427
2025-04-24Fine$17,300
2024-05-15Payment Denial33 days payment denial
2024-05-15Fine$59,189

Ownership & management

NameRoleSince
Lincoln, James (individual)5%+ Direct Ownership Interest · 50%
Lincoln, Judy (individual)5%+ Direct Ownership Interest
LTC Management Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Yates, Melissa (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Lewis & Clark Gardens?

Lewis & Clark Gardens has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Lewis & Clark Gardens have?

It has 142 certified beds and cares for about 87 residents per day.

Has Lewis & Clark Gardens been fined?

Yes. CMS lists 4 penalties totaling $139,916 in the last three years.

Who owns Lewis & Clark Gardens?

It is part of James & Judy Lincoln and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Lewis & Clark Gardens?

(636) 946-6140. The facility is located at 1221 Boones Lick Road, Saint Charles, MO 63301.

Other nursing homes in Saint Charles

Compare all nursing homes in Saint Charles, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.