Lewis & Clark Gardens
Nursing home in St. Charles, Missouri, CMS certification number 265160
1221 Boones Lick Road, St. Charles, MO 63301 · St. Charles County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 142
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 8, 2024
- Deficiencies at that inspection
- 17
- Fines in 3 years
- $139,916 (3)
Does Lewis & Clark Gardens take Medicare and Medicaid?
Yes to both. Lewis & Clark Gardens is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Lewis & Clark Gardens reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.88
- Registered nurse hours
- 0.31
- Licensed practical nurse hours
- 0.55
- Nurse aide hours
- 3.01
- Weekend total hours
- 3.39
- Nursing staff turnover
- 59.1%
- Registered nurse turnover
- 40%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 8, 2024 and cited 17 deficiencies, plus 6 from complaint visits.
The visit before, on December 2, 2022, found 5.
The last standard inspection was more than two years ago.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Lewis & Clark Gardens 3 times in the past 3 years, for $139,916 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 80.7 residents live here, about 57% of its 142 certified beds.
- Certified beds
- 142
- Average residents per day
- 80.7
- Certified since
- February 17, 1982
- Resident or family council
- Resident
Who owns Lewis & Clark Gardens
- Legal business name
- N & R of St Charles LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 55 homes nationally under James & Judy Lincoln, 2.6-star chain average
Other nursing homes near Lewis & Clark Gardens
- Laurel Meadows Wellness & Rehabilitation723 1st CAPITOL DRIVE, St. Charles 63301
- Aspen Point Health and Rehabilitation2840 West Clay St, St. Charles 63301
- NHC Healthcare, St Charles35 Sugar Maple Lane, St. Charles 63303
- Windsor Estates of St Charles2150 West Randolph Street, St. Charles 63301
- SSM Health Depaul Hospital - Anna House12284 Depaul Drive, Bridgeton 63044
See also all nursing homes in St. Charles.
Who inspects nursing homes in Missouri
Missouri's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Missouri, the 6 in St. Charles, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Lewis & Clark Gardens, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Lewis & Clark Gardens
What is the CMS star rating of Lewis & Clark Gardens?
1 out of 5 stars overall.
Does Lewis & Clark Gardens accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Lewis & Clark Gardens?
17 cited at the last standard visit.
Who owns Lewis & Clark Gardens?
N & R of St Charles LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.