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    Nursing home · SAINT CHARLES, MO

    LEWIS & CLARK GARDENS

    1221 BOONES LICK ROAD, SAINT CHARLES, MO 63301

    CMS certification number: 265160 · Updated October 1, 2026

    Request care assistance6369466140Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    142

    Residents / day

    80.7

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    St. Charles
    Certified beds
    142
    Average residents per day
    80.7
    First certified
    February 17, 1982

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    3 / 5
    Quality measures
    2 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in St. Charles, Missouri. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    2.62
    n=13
    State peers
    2.62

    Nurse hours / resident / day

    This home
    3.88
    County peers
    4.16
    n=14
    State peers
    3.40
    n=475

    Weekend nurse hours / resident / day

    This home
    3.39
    County peers
    3.68
    n=14
    State peers
    2.96
    n=475

    Nursing staff turnover (%)

    This home
    59.10
    County peers
    59.09
    n=12
    State peers
    56.94
    n=425

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 12.6% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 59.1% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    32
    Health citations
    63
    Resident measures
    17
    Ownership records
    4
    Penalties
    4
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.87780
    Reported RN Staffing Hours per Resident per Day
    0.31060
    Reported LPN Staffing Hours per Resident per Day
    0.55470
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.01250
    Total number of nurse staff hours per resident per day on the weekend
    3.38899
    Registered Nurse hours per resident per day on the weekend
    0.20919
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00445
    Total nursing staff turnover
    59.1
    Registered Nurse turnover
    40.0
    Number of administrators who have left the nursing home
    1
    Chain Name
    JAMES & JUDY LINCOLN
    Number of Facilities in Chain
    55
    Chain Average Overall 5-star Rating
    2.6
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    MO
    Urban
    Y
    Chain ID
    290
    Latitude
    38.7735
    Location
    1221 BOONES LICK ROAD,SAINT CHARLES,MO,63301
    ZIP Code
    63301
    City/Town
    SAINT CHARLES
    Longitude
    -90.501
    QM Rating
    2
    Abuse Icon
    N
    Chain Name
    JAMES & JUDY LINCOLN
    County/Parish
    St. Charles
    Provider Name
    LEWIS & CLARK GARDENS
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    3
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    1221 BOONES LICK ROAD
    Telephone Number
    6369466140
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    N & R OF ST CHARLES LLC
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.08327
    Chain Average QM Rating
    2.7
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    142
    Provider SSA County Code
    910
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    40.0
    Total Number of Penalties
    4
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.76814
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    59.1
    Chain Average Staffing Rating
    2.3
    Number of Facilities in Chain
    55
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    265160
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    139916.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    198
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    217.750
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    80.7
    Chain Average Overall 5-star Rating
    2.6
    Rating Cycle 1 Health Revisit Score
    66
    Rating Cycle 2/3 Total Health Score
    277
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.7
    Rating Cycle 1 Health Deficiency Score
    132
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    2
    Rating Cycle 2/3 Health Deficiency Score
    277
    Rating Cycle 1 Standard Survey Health Date
    2024-08-08
    Rating Cycle 2 Standard Health Survey Date
    2022-12-02
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.40118
    Case-Mix RN Staffing Hours per Resident per Day
    0.53127
    Reported RN Staffing Hours per Resident per Day
    0.31060
    Adjusted LPN Staffing Hours per Resident per Day
    0.71647
    Case-Mix LPN Staffing Hours per Resident per Day
    0.66203
    Reported LPN Staffing Hours per Resident per Day
    0.55470
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    17
    Most Recent Health Inspection More Than 2 Years Ago
    Y
    Rating Cycle 2/3 Total Number of Health Deficiencies
    27
    Rating Cycle 1 Number of Standard Health Deficiencies
    11
    Rating Cycle 2 Number of Standard Health Deficiencies
    5
    Reported Licensed Staffing Hours per Resident per Day
    0.86530
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    6
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    3.89106
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.80309
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.01250
    Adjusted Total Nurse Staffing Hours per Resident per Day
    5.00870
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    2.99639
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    22
    Reported Total Nurse Staffing Hours per Resident per Day
    3.87780
    Registered Nurse hours per resident per day on the weekend
    0.20919
    Date First Approved to Provide Medicare and Medicaid Services
    1982-02-17
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00445
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    4.37734
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.63704
    Total number of nurse staff hours per resident per day on the weekend
    3.38899

    COMMUNITY EXPERIENCE

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    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026