LEWIS & CLARK GARDENS

1221 BOONES LICK ROAD, SAINT CHARLES, MO 63301 · CCN 265160 · 142 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-06-23 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2025-04-24 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-05-15 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2022-12-02 — IMMEDIATE JEOPARDY (tag F0578, severity J)

Resident Rights Deficiencies · correction not recorded in CMS data

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.

Staffing, from payroll records

Nursing hours / resident / day

2.06

state median 2.42

Weekend staffing gap

−14%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.27

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

53%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $139,916 in fines.

Date	Type	Amount
2025-06-23	Fine	$63,427
2025-04-24	Fine	$17,300
2024-05-15	Fine	$59,189
2024-05-15	Payment Denial	payment denial

Ownership

Ownership type: For profit - Limited Liability company. Part of the JAMES & JUDY LINCOLN chain.

Other facilities under the same ownership, with their CMS overall ratings:

WOODLAND HILLS HEALTHCARE AND REHABILITATION (JACKSONVILLE, AR) — CMS overall1 of 5
Ashley Rehabilitation and Health Care Center (Rogers, AR) — CMS overallnot rated
CAMDENTON WINDSOR ESTATES (CAMDENTON, MO) — CMS overall1 of 5
LEBANON NORTH NURSING & REHAB (LEBANON, MO) — CMS overall1 of 5
WILSON'S CREEK NURSING & REHAB (SPRINGFIELD, MO) — CMS overall5 of 5
PARKSIDE MANOR (COLUMBIA, MO) — CMS overall2 of 5
WARRENTON MANOR (WRIGHT CITY, MO) — CMS overall1 of 5
NEW MADRID LIVING CENTER (NEW MADRID, MO) — CMS overall5 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 58 · Immediate jeopardy: 3

Survey date	Tag	Category	Severity	Corrected
2026-04-01	F0584	Resident Rights Deficiencies	E	not recorded
2026-04-01	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-04-01	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2026-01-15	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-01-15	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-11-18	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-09-15	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-06-23	F0584	Resident Rights Deficiencies	D	not recorded
2025-06-23	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2025-06-23	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-23	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-05-13	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-04-24	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-04-11	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-09	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-10-09	F0679	Quality of Life and Care Deficiencies	E	not recorded
2024-08-08	F0558	Resident Rights Deficiencies	D	not recorded
2024-08-08	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-08-08	F0679	Quality of Life and Care Deficiencies	E	not recorded
2024-08-08	F0689	Quality of Life and Care Deficiencies	E	not recorded
2024-08-08	F0695	Quality of Life and Care Deficiencies	E	not recorded
2024-08-08	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-08-08	F0805	Nutrition and Dietary Deficiencies	D	not recorded
2024-08-08	F0809	Nutrition and Dietary Deficiencies	E	not recorded
2024-08-08	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-08-08	F0880	Infection Control Deficiencies	E	not recorded
2024-08-08	F0883	Infection Control Deficiencies	E	not recorded
2024-06-26	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-06-26	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-05-15	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-05-15	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-05-15	F0688	Quality of Life and Care Deficiencies	D	not recorded
2023-12-27	F0561	Resident Rights Deficiencies	D	not recorded
2023-12-27	F0565	Resident Rights Deficiencies	E	not recorded
2023-12-27	F0584	Resident Rights Deficiencies	E	not recorded
2023-12-27	F0585	Resident Rights Deficiencies	E	not recorded
2023-12-27	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-27	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-12-27	F0686	Quality of Life and Care Deficiencies	D	not recorded
2022-12-02	F0578	Resident Rights Deficiencies	J	not recorded
2022-12-02	F0582	Resident Rights Deficiencies	D	not recorded
2022-12-02	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2022-12-02	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-12-02	F0677	Quality of Life and Care Deficiencies	D	not recorded
2019-06-18	F0557	Resident Rights Deficiencies	E	not recorded
2019-06-18	F0567	Resident Rights Deficiencies	E	not recorded
2019-06-18	F0580	Resident Rights Deficiencies	D	not recorded
2019-06-18	F0584	Resident Rights Deficiencies	C	not recorded
2019-06-18	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2019-06-18	F0637	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-06-18	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-06-18	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-06-18	F0677	Quality of Life and Care Deficiencies	E	not recorded
2019-06-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2019-06-18	F0690	Quality of Life and Care Deficiencies	E	not recorded
2019-06-18	F0691	Quality of Life and Care Deficiencies	D	not recorded
2019-06-18	F0693	Quality of Life and Care Deficiencies	D	not recorded
2019-06-18	F0697	Quality of Life and Care Deficiencies	D	not recorded
2019-06-18	F0758	Pharmacy Service Deficiencies	D	not recorded
2019-06-18	F0761	Pharmacy Service Deficiencies	E	not recorded
2019-06-18	F0803	Nutrition and Dietary Deficiencies	F	not recorded
2019-06-18	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2019-06-18	F0880	Infection Control Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “LEWIS & CLARK GARDENS, SAINT CHARLES” at medicare.gov/care-compare.