LEWIS & CLARK GARDENS

St. Charles · MO · For profit - Limited Liability company · JAMES & JUDY LINCOLN chain · 142 certified beds · CCN 265160 · N & R OF ST CHARLES LLC


LEWIS & CLARK GARDENS operates 142 certified beds in SAINT CHARLES, Missouri. Its Medicare and Medicaid certification dates to 1982-02-17. It averages 86.6 residents a day.

What harm was found in the violations cited at LEWIS & CLARK GARDENS?

CMS lists 63 health-inspection deficiencies for LEWIS & CLARK GARDENS since 2019-06-18, 39 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-01.

Survey dateTagDeficiencySeverity
2026-04-01F0727Have 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
2026-04-01F0584Honor 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
2026-04-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-01-15F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2025-11-18F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-09-15F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-06-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-06-23F0584, F0609, F0656Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-05-13F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-04-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-04-11F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2024-10-09F0658, F0679Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs.E
2024-08-08F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-08-08F0658, F0679, F0689, F0695, F0804, F0809, F0880, F0883Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2024-08-08F0558, F0805Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2024-06-26F0677, F0688Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide 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
2024-05-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2024-05-15F0677, F0688Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide 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
2023-12-27F0565, F0584, F0585Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Honor 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
2023-12-27F0561, F0658, F0677, F0686Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2022-12-02F0578Honor 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.J
2022-12-02F0582, F0610, F0645, F0677Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2019-06-18F0803, F0880Ensure 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. / Provide and implement an infection prevention and control program.F
2019-06-18F0557, F0567, F0677, F0690, F0761, F0804Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Honor the resident's right to manage his or her financial affairs. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2019-06-18F0580, F0610, F0637, F0657, F0658, F0689, F0691, F0693, F0697, F0758Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. / Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Ensure 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. / Provide safe, appropriate pain management for a resident who requires such services. / Implement 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.D
2019-06-18F0584Honor 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.C

Why was LEWIS & CLARK GARDENS fined 3 times?

DateTypeAmount
2025-06-23Fine$63,427
2025-04-24Fine$17,300
2024-05-15Fine$59,189

Has LEWIS & CLARK GARDENS had payment denied by Medicare?

Payment denial startLength in days
2024-06-1433

How is LEWIS & CLARK GARDENS staffed?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.475283.43324
Total nursing staff turnover (%)53.456.0
Average number of residents per day86.673.0

Who owns LEWIS & CLARK GARDENS, and what chain is it in?

LEWIS & CLARK GARDENS is registered with CMS as For profit - Limited Liability company, operates under the legal business name N & R OF ST CHARLES LLC and belongs to the JAMES & JUDY LINCOLN chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLINCOLN, JAMES, LINCOLN, JUDYsince 11/14/2012
W-2 MANAGING EMPLOYEEYATES, MELISSAsince 02/06/2013
OPERATIONAL/MANAGERIAL CONTROLLTC MANAGEMENT SERVICES LLCsince 02/06/2013

Were you or a family member harmed at LEWIS & CLARK GARDENS?