Lewis & Clark Gardens

1221 Boones Lick Road, Saint Charles, MO 63301 · (636) 946-6140
For profit - Limited Liability company · 142 certified beds

Lewis & Clark Gardens has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2024, found 11 citations (the Missouri average is 11.4). It was fined 3 times in the last three years, $139,916 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 8, 2024 found 11 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 8, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure services provided by the nursing facility meet professional standards of quality.August 8, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.August 8, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 8, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe and appropriate respiratory care for a resident when needed.August 8, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 8, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 8, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.August 8, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.August 8, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.August 8, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.August 8, 2024 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 28 citations.

• 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.April 1, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 1, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 1, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 15, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.January 15, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.November 18, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.September 15, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 23, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 23, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 23, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 23, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 13, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 24, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.April 11, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.October 9, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.October 9, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.June 26, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 26, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 15, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 15, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 15, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.December 27, 2023 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to organize and participate in resident/family groups in the facility.December 27, 2023 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.December 27, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.December 27, 2023 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.December 27, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.December 27, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 27, 2023 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $63,427June 23, 2025
• Fine of $17,300April 24, 2025
• Fine of $59,189May 15, 2024
• Medicare payment denial for 33 daysStarting June 14, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home