Nursing homeFAID #6989
Lewis & Clark Gardens
1221 BOONES LICK ROAD, SAINT CHARLES, MO, 63301
(636) 946-6140
142 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare
Photo via Google · Witney Martinez
Public record summary
What we can show you for free.
Bed capacity
142
State license
053842
CMS facility ID
265160
Care type
Nursing home
Facility name
Lewis & Clark Gardens
Street address
1221 BOONES LICK ROAD
City / state / ZIP
Saint Charles, MO 63301
Phone
(636) 946-6140
Website
State license #
053842
About this facility — Lewis & Clark Gardens
Lewis & Clark Gardens is a Medicare/Medicaid-certified skilled nursing facility in Saint Charles, Missouri. It is licensed for 142 beds — above the median for skilled nursing facilities in Missouri (97 beds).
It is one of 14 senior care facilities in Saint Charles and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Lewis & Clark Gardens 95 times across 18 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $139,916 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
N & R of St Charles, Llc
Parent company
James & Judy Lincoln
Ownership type
For profit - Limited Liability company
Administrator
Amanda Marsten
Registered owners & officers
Lincoln, James
Direct owner — 50% stake — since 2012
Lincoln, Judy
Direct owner — since 2012
Ltc Management Services Llc
Operational control — since 2013
Yates, Melissa
Managing employee — since 2013
Regulatory standing
Licensed / certified since
1982-02-17
License expires
2028-07-30
CMS overall rating
1 of 5 stars
Health deficiencies
18 at the last standard inspection
Federal fines
$139,916 total
Last standard inspection
2024-08-08
Nurse staffing
3.5 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$212 per day (≈ $6,440/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
86% Medicaid · 1% Medicare · 14% private/other
Occupancy
53% (fiscal year 2023)
Vs. state median
18% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
142
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-01Health inspectionComplaint-triggered3 citations
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2026-05-16
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-16
F-0727
F · No harm foundFrom a complaint
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.
Corrected 2026-05-16
2026-01-15Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-06
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-02-06
16 earlier / fire-safety inspections (90 citations)
2025-11-18Health inspectionComplaint-triggered1 citation
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-12-19
2025-09-15Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-15
2025-06-23Health inspectionComplaint-triggered4 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2025-08-20
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-20
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-20
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-20
2025-05-13Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-05
2025-04-24Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-18
2025-04-11Health inspectionComplaint-triggered1 citation
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-04-04
2024-10-09Health inspectionComplaint-triggered2 citations
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-07
F-0679
E · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-11-07
2024-08-08Health inspection11 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-19
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-07
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-11-07
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-07
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-19
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-07
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-09-19
F-0809
E · No harm foundFood safety
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.
Corrected 2024-09-19
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-19
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-11-07
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-19
2024-06-26Health inspectionComplaint-triggered2 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-17
F-0688
D · No harm foundFrom a complaint
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.
Corrected 2024-07-17
2024-05-15Health inspectionComplaint-triggered3 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-31
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-17
F-0688
D · No harm foundFrom a complaint
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.
Corrected 2024-07-17
2023-12-27Health inspectionComplaint-triggered7 citations
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-02-05
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-02-05
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2024-02-05
F-0585
E · No harm foundFrom a complaint
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.
Corrected 2024-02-05
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-05
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-05
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-05
2022-12-02Health inspection5 citations
F-0578
J · Immediate jeopardy
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.
Corrected 2023-01-06
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-01-06
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-01-06
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-01-06
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-06
2019-06-18Health inspection19 citations
F-0557
E · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2019-07-31
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2019-07-31
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-07-31
F-0584
C · No harm found
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.
Corrected 2019-07-31
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2019-07-31
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2019-07-31
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-07-31
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-07-31
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-07-31
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-07-31
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-07-31
F-0691
D · No harm found
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2019-07-31
F-0693
D · No harm found
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.
Corrected 2019-07-31
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-07-31
F-0758
D · No harm found
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.
Corrected 2019-07-31
F-0761
E · No harm found
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.
Corrected 2019-07-31
F-0803
F · No harm foundFood safety
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.
Corrected 2019-07-31
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-07-31
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-07-31
2024-08-08Fire-safety inspection11 citations
E-0030
E · No harm found
List the names and contact information of those in the facility.
Corrected 2024-09-19
E-0037
E · No harm found
Establish staff and initial training requirements.
Corrected 2024-09-19
K-0100
E · No harm found
Meet other general requirements.
Corrected 2024-09-19
K-0311
E · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2024-09-19
K-0347
E · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-09-19
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-19
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-09-19
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-19
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2024-09-19
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-19
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-09-19
2022-12-02Fire-safety inspection7 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-01-06
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-01-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-06
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-06
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-06
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-01-06
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-06
2019-06-18Fire-safety inspection14 citations
E-0004
C · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-07-31
E-0036
C · No harm found
Establish emergency prep training and testing.
Corrected 2019-07-31
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2019-07-31
E-0041
C · No harm found
Implement emergency and standby power systems.
Corrected 2019-07-31
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2019-07-31
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2019-07-31
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-31
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-07-31
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-07-31
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2019-07-31
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2019-07-31
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-07-31
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-07-31
K-0932
D · No harm found
Meet other general requirements.
Corrected 2019-07-31
Federal penalties
2025-06-23Fine$63,427
2025-04-24Fine$17,300
2024-05-15Fine$59,189
2024-05-15Medicare payment denial — 33 days
Total fines$139,916
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265160.
Visitor reviews
What people say on Google.
2.5★★★★★34 ratings on Google
★Sandy · 2026-01-22 · via Google“They have no hot water no linen. The residents don’t get showers. The bathrooms are disgusting. The housekeeping is run by someone who is never there and always smells like marijuana. All the residents and staff complain to the Administrator and she does nothing. Some staff are abusive to the residents and nothing happens. The food is barely edible. This place needs to be shut down. Residents have…”
★Rob · 2025-10-30 · via Google“Lewis and Clark Gardens Nursing Facility is what gives Nursing homes a bad name. 90 % of the staff was good but the food was normally served cold! I was sent there for Rehab. The contracted Physical Therapists was great but the OT therapy was 50/50. As for safety, the OT therapist allowed me to fall after I told her I was getting weak. Not able to get out of bed alone, bed changing was scary, bein…”
★Delanie Bradbury · 2024-11-27 · via Google“My husband was there for a little over 5 years. In the beginning it was a typical nursing home, with a very good director. He was friendly, he talked to all residents, knew them by name, and he helped out when needed. I tried to move my husband a couple of times, but he was nervous to leave as he had amazing nurses, aides, therapists that absolutely treated him like family. He was worried that…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 95 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered