LEWIS & CLARK GARDENS
1221 BOONES LICK ROAD, SAINT CHARLES, MO 63301 · CCN 265160
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 142
- Avg residents/day
- 85.6
- Phone
- 6369466140
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-08-08 | 22 | 11.9 | 9.5 | +10.1 worse |
| 2 | 2022-12-02 | 12 | 13.0 | 9.8 | -1.0 better |
| 3 | 2019-06-18 | 26 | 11.0 | 9.3 | +15.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 6 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 5 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.55 | 48.0% |
| RN staffing (reported) | 0.28 | 62.5% |
| Total nurse staffing (adjusted) | 4.07 | — |
Fines & penalties
- Total fines
- $139,916
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- JAMES & JUDY LINCOLN
- Facilities in chain
- 58
- Chain avg overall
- 2.50 / 5
Inspection citations (60)3 immediate jeopardy1 actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-15 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2026-01-15 · Health · corrected 2026-02-06
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-18 · Health · corrected 2025-12-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-15 · Health · corrected 2025-10-15
Potential for more than minimal harm
- DF0584Honor 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.2025-06-23 · Health · corrected 2025-08-20
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-23 · Health · corrected 2025-08-20
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-23 · Health · corrected 2025-08-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-23 · Health · corrected 2025-08-20
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-13 · Health · corrected 2025-05-05
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-24 · Health · corrected 2025-04-18
Immediate jeopardy
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-11 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-09 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2024-10-09 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-08 · Health · corrected 2024-09-19
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-08 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2024-08-08 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-08 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-08 · Health · corrected 2024-09-19
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-08 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-08-08 · Health · corrected 2024-09-19
Potential for more than minimal harm
- EF0809Ensure 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.2024-08-08 · Health · corrected 2024-09-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-08 · Health · corrected 2024-09-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-08 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-08-08 · Health · corrected 2024-09-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-26 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0688Provide 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.2024-06-26 · Health · corrected 2024-07-17
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-15 · Health · corrected 2024-05-31
Immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-15 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0688Provide 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.2024-05-15 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-12-27 · Health · corrected 2024-02-05
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-12-27 · Health · corrected 2024-02-05
Potential for more than minimal harm
- EF0584Honor 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.2023-12-27 · Health · corrected 2024-02-05
Potential for more than minimal harm
- EF0585Honor 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.2023-12-27 · Health · corrected 2024-02-05
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-27 · Health · corrected 2024-02-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-27 · Health · corrected 2024-02-05
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-27 · Health · corrected 2024-02-05
Potential for more than minimal harm
- JF0578Honor 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.2022-12-02 · Health · corrected 2023-01-06
Immediate jeopardy
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-12-02 · Health · corrected 2023-01-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-12-02 · Health · corrected 2023-01-06
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-12-02 · Health · corrected 2023-01-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-02 · Health · corrected 2023-01-06
Potential for more than minimal harm
- EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- EF0567Honor the resident's right to manage his or her financial affairs.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- CF0584Honor 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.2019-06-18 · Health · corrected 2019-07-31
Potential for minimal harm
- DF0610Respond appropriately to all alleged violations.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0693Ensure 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.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- DF0758Implement 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.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- EF0761Ensure 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.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- FF0803Ensure 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.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-06-18 · Health · corrected 2019-07-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2012-11-14 |
| LINCOLN, JUDY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2012-11-14 |
| LTC MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-02-06 |
| YATES, MELISSA | Individual | W-2 MANAGING EMPLOYEE | — | 2013-02-06 |
Other facilities in SAINT CHARLES
| Name | Overall | Beds |
|---|---|---|
| NHC HEALTHCARE, ST CHARLES | ★★★★★ | 120 |
| LUTHERAN SENIOR SERVICES AT BREEZE PARK | ★★★★☆ | 50 |
| WINDSOR ESTATES OF ST CHARLES | ★☆☆☆☆ | 81 |
| LAUREL MEADOWS WELLNESS & REHABILITATION | ★☆☆☆☆ | 103 |
| ASPEN POINT HEALTH AND REHABILITATION | — | 180 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.