Lewis & Clark Gardens

Nursing Home

1221 Boones Lick Road
Saint Charles, MO 63301 · St. Charles County
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Call (636) 946-6140

Official website not yet verified

Overall Medicare rating★★★★★

Overall: state avg 2.6 · U.S. 3.0

Health inspections★★★★★

Staffing★★★★★

Staffing: state avg 2.2 · U.S. 3.0

Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Important notices from CMS:

The most recent standard health inspection was more than two years ago.

Safety at a glance

4Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles

63Total health citations, last 3 inspection cycles

$139,916Federal fines, last 3 years (3 fines)

Most recent standard inspection: April 1, 2026.

Most recent serious findings

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

June 23, 2025 · Inspectors rated this “actual harm to a resident (not immediate jeopardy).” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

April 24, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 15, 2024 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (636) 946-6140 to ask about openings and waiting lists.

E-mail Lewis & Clark Gardens about openings We help you write the message; you send it from your own e-mail.

Nurse staffing

Total nurse hours per resident per day: 3.88 hours · state avg 3.40, U.S. 3.90
Registered nurse (RN) hours per resident per day: 0.31 hours
Total nurse hours on weekends: 3.39 hours · state avg 2.96
Nursing staff turnover (yearly): 59.1% · state avg 56.9%
RN turnover (yearly): 40%
Administrators who left (yearly): 1

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In Missouri, Medicaid long-term care is provided through Aged and Disabled Waiver.

Ways to pay for care in Missouri →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Share What You Pay Estimate 3- and 5-year costs

Family Cameras & Video Access

Family-installed room cameras: Not Verified
Facility-provided room cameras: Not Verified
Authorized remote family viewing: Not Verified
Live video visitation: Not Verified

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application: Not yet checked
Online waiting-list form: Not yet checked
Online inquiry form: Not yet checked
Online tour scheduling: Not yet checked

Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type: For profit - Limited Liability company
Chain / affiliation: James & Judy Lincoln
Legal business name: N & R of St Charles LLC

Owner or manager	Role	Share
LINCOLN, JAMES	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%
LINCOLN, JUDY	5% OR GREATER DIRECT OWNERSHIP INTEREST	—
LTC MANAGEMENT SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	—
YATES, MELISSA	W-2 MANAGING EMPLOYEE	—