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Data / Nursing homes / Missouri / Lewis & Clark Gardens

Lewis & Clark Gardens, Saint Charles, MO: 1 star rating, fined $139,916 across 3 fines and had 1 payment denial

Lewis & Clark Gardens in Saint Charles, MO is owned by 2 individuals whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $139,916 across 3 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 39 health citations from inspections in that time, the latest survey on April 1, 2026, and 3 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Missouri
Address
1221 Boones Lick Road, Saint Charles, MO 63301
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
142
Residents per day
81 on average
Ownership type
For profit, limited liability company
Legal business name
N & R of St Charles LLC
Chain
James & Judy Lincoln, 55 facilities
Fines
$139,916 across 3 fines, three years to October 1, 2026
Payment denials
1
Health citations
39, of which 3 with actual harm or immediate jeopardy
Latest survey
April 1, 2026
CMS Certification Number
265160
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
June 23, 2025Fine$63,427Not listeddata.cms.gov
April 24, 2025Fine$17,300Not listeddata.cms.gov
May 15, 2024Fine$59,189Not listeddata.cms.gov
May 15, 2024Payment denialNot listedJune 14, 202433data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 1, 2026F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
April 1, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
April 1, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
January 15, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2026data.cms.gov
January 15, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2026data.cms.gov
November 18, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2025data.cms.gov
September 15, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
June 23, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedAugust 20, 2025data.cms.gov
June 23, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2025data.cms.gov
June 23, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2025data.cms.gov
June 23, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2025data.cms.gov
May 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMay 5, 2025data.cms.gov
April 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceApril 18, 2025data.cms.gov
April 11, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 4, 2025data.cms.gov
October 9, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
October 9, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
August 8, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2024data.cms.gov
August 8, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
August 8, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2024data.cms.gov
August 8, 2024F809Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2024data.cms.gov
August 8, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2024data.cms.gov
August 8, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
August 8, 2024F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2024data.cms.gov
August 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
August 8, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
August 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
August 8, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2024data.cms.gov
June 26, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 26, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
May 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedMay 31, 2024data.cms.gov
May 15, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
May 15, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
December 27, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
December 27, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
December 27, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
December 27, 2023F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
December 27, 2023F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
December 27, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
December 27, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (2 owners, 1 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
LTC Management Services LLCOperational or managerial controlNot listedFebruary 6, 2013data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.