Lewis & Clark Gardens
1221 Boones Lick Road · Saint Charles, MO · 63301 · 6369466140
142 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $80,727 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$80,727 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.55 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 3 · $139,916 |
Inspection citations (63 in the current record)
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Potential for harm · E April 1, 2026 · found via 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 May 16, 2026 · Resident Rights
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Potential for harm · D April 1, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2026 · Quality of Life and Care
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Potential for harm · F April 1, 2026 · found via 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 May 16, 2026 · Nursing and Physician Services
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Potential for harm · D January 15, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 15, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 18, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 19, 2025 · Nutrition and Dietary
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Potential for harm · D September 15, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 15, 2025 · Quality of Life and Care
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Actual harm · G June 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2025 · found via 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 August 20, 2025 · Resident Rights
-
Potential for harm · D June 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 9, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 9, 2024 · found via complaint
Provide activities to meet all resident's needs.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected September 19, 2024 · Resident Rights
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Potential for harm · E August 8, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 8, 2024
Provide activities to meet all resident's needs.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · E August 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · E August 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · E August 8, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 7, 2024 · Nutrition and Dietary
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Potential for harm · D August 8, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 19, 2024 · Nutrition and Dietary
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Potential for harm · E August 8, 2024
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 September 19, 2024 · Nutrition and Dietary
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Potential for harm · F August 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 19, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 23, 2025 | Fine | $63,427 |
| April 24, 2025 | Fine | $17,300 |
| May 15, 2024 | Fine | $59,189 |
| May 15, 2024 | Payment Denial | 33 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265160 · certified since February 17, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.