Lewis & Clark Gardens
1221 Boones Lick Road, Saint Charles, MO, 63301
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: James & Judy Lincoln
- Certified beds
- 142 · avg 88 residents/day
- Total nursing staff turnover
- 55.6% — near the Missouri averageMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $139,916 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 265160
- Certified beds
- 142 beds · avg 88 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- N & R Of St Charles Llc
- Chain affiliation
- James & Judy Lincoln
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the James & Judy Lincoln chain — 56 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (4 on record)
- Ltc Management Services Llc
Operational/managerial Control · 100% · since 2013
- Melissa Yates
W-2 Managing Employee · since 2013
- James c Lincoln
5% or Greater Direct Ownership Interest · 50% · since 2012
- Judy l Lincoln
5% or Greater Direct Ownership Interest · since 2012
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 63)
- F0727·Apr 1, 2026Complaint
Nursing and Physician Services Deficiencies
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.
- D0689·Apr 1, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0584·Apr 1, 2026Complaint
Resident Rights Deficiencies
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.
- D0610·Jan 15, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·Jan 15, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0804·Nov 18, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0677·Sep 15, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Jun 23, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20252 fines · $81K
- 20241 fine · $59K · 1 payment denial
Most recent events
- Jun 23, 2025Fine · $63K
- Apr 24, 2025Fine · $17K
- May 15, 2024Payment denial · 33 days · starting Jun 14, 2024
- May 15, 2024Fine · $59K
Largest single fine on record: $63K.
Fire-safety citations
32 Life-Safety-Code citations on file. Most recent: Aug 8, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Lewis & Clark Gardensinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.