Missouri › St. Charles County › Saint Charles
Lewis & Clark Gardens
1221 Boones Lick Road, Saint Charles, MO 63301
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Lewis & Clark Gardens is a For-profit, limited liability company nursing home in Saint Charles, Missouri, certified for 142 beds and caring for about 87 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 63 health deficiencies across the three most recent survey cycles (18, 14, 31 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 44.4 per 100 beds, more than the state median of 32.1.
CMS lists 4 penalties in the period covered: fines totalling $140K and 1 payment denial.
Reported nurse staffing is 3.5 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 53.4%.
Compared with county, state and nation
| Measure | This facility | St. Charles Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 63 | 39 | 31 | 28.7 |
| Citations per 100 beds | 44.4 | 44.4 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 53.4% | 57.5% | 56.1% | 45.8% |
| Fines listed | $139,916 | $17,696 | $0 | — |
County and state figures are medians across facilities (15 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Aug 2024, 2 Dec 2022.
Severity mix: J ×3 G ×1 D ×33 E ×21 F ×4 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Apr 2026 | F0727 | 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. | F | Complaint investigation | 16 May 2026 |
| 1 Apr 2026 | F0584 | 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. | E | Complaint investigation | 16 May 2026 |
| 1 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 May 2026 |
| 15 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Feb 2026 |
| 15 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 Feb 2026 |
| 18 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 19 Dec 2025 |
| 15 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Oct 2025 |
| 23 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 20 Aug 2025 |
| 23 Jun 2025 | F0584 | 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. | D | Complaint investigation | 20 Aug 2025 |
| 23 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Aug 2025 |
| 23 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Aug 2025 |
| 13 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 May 2025 |
| 24 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Apr 2025 |
| 11 Apr 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 4 Apr 2025 |
| 9 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 7 Nov 2024 |
| 9 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 7 Nov 2024 |
| 8 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Sep 2024 |
| 8 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 7 Nov 2024 |
| 8 Aug 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 7 Nov 2024 |
| 8 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 7 Nov 2024 |
| 8 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 19 Sep 2024 |
| 8 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 7 Nov 2024 |
| 8 Aug 2024 | F0809 | 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. | E | Standard survey | 19 Sep 2024 |
| 8 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Nov 2024 |
| 8 Aug 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 19 Sep 2024 |
| 8 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 19 Sep 2024 |
| 8 Aug 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 19 Sep 2024 |
| 26 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Jul 2024 |
| 26 Jun 2024 | F0688 | 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. | D | Complaint investigation | 17 Jul 2024 |
| 15 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 31 May 2024 |
| 15 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Jul 2024 |
| 15 May 2024 | F0688 | 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. | D | Complaint investigation | 17 Jul 2024 |
| 27 Dec 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 5 Feb 2024 |
| 27 Dec 2023 | F0584 | 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. | E | Complaint investigation | 5 Feb 2024 |
| 27 Dec 2023 | F0585 | 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. | E | Complaint investigation | 5 Feb 2024 |
| 27 Dec 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 5 Feb 2024 |
| 27 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Feb 2024 |
| 27 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Feb 2024 |
| 27 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Feb 2024 |
| 2 Dec 2022 | F0578 | 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. | J | Standard survey | 6 Jan 2023 |
| 2 Dec 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Jan 2023 |
| 2 Dec 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 6 Jan 2023 |
| 2 Dec 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Jan 2023 |
| 2 Dec 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Jan 2023 |
| 18 Jun 2019 | F0803 | 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. | F | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0761 | 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. | E | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0693 | 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. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0758 | 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. | D | Standard survey | 31 Jul 2019 |
| 18 Jun 2019 | F0584 | 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. | C | Standard survey | 31 Jul 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Jun 2025 | Fine | $63,427 | |
| 24 Apr 2025 | Fine | $17,300 | |
| 15 May 2024 | Payment denial | — | 33 days |
| 15 May 2024 | Fine | $59,189 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 53.4%, RNs 40.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.8% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of St Charles Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LTC Management Services LLC | Operational/managerial control | NOT APPLICABLE | 02/06/2013 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Charles County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cottages of Lake St Louis | Lake Saint Louis | 60 | 4 | 4 | 4 | 8 | 13.3 | $18K | 4 Feb 2026 |
| Lutheran Senior Services At Breeze Park | Saint Charles | 50 | 4 | 3 | 5 | 15 | 30.0 | $41K | 2 Apr 2026 |
| Nhc Healthcare, St Charles | Saint Charles | 120 | 4 | 4 | 4 | 8 | 6.7 | — | 20 Jun 2024 |
| Abbey Senior Healthabuse icon | O Fallon | 55 | 3 | 2 | 5 | 29 | 52.7 | — | 11 Jun 2026 |
| Delmar Gardens of O'Fallon | O Fallon | 198 | 3 | 2 | 4 | 39 | 19.7 | — | 5 Feb 2026 |
| Mcclay Senior Care | Saint Peters | 60 | 3 | 3 | 3 | 42 | 70.0 | — | 4 Apr 2025 |
| Laurel Meadows Wellness & Rehabilitation | Saint Charles | 103 | 2 | 2 | 3 | 23 | 22.3 | $12K | 4 Jun 2025 |
| Sunterra Springs Dardenne Prairie | Dardenne Prairie | 38 | 2 | 2 | 3 | 31 | 81.6 | $50K | 20 May 2026 |
All 15 facilities in St. Charles County
Questions and answers
How many deficiencies has Lewis & Clark Gardens been cited for?
63 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Lewis & Clark Gardens been fined?
Yes. CMS lists fines totalling $140K in the period covered, plus 1 payment denial.
How does staffing at Lewis & Clark Gardens compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Lewis & Clark Gardens?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.
When was Lewis & Clark Gardens last inspected?
The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 8 Aug 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.