Nursing homes › Missouri › Lewis & Clark Gardens
1221 Boones Lick Road, Saint Charles, MO 63301 · 6369466140 · 142 certified beds
Per CMS filings, this facility is affiliated with James & Judy Lincoln, a group operating 56 facilities in 2 states. Group record: average rating 2.4/5, 10 abuse citation icons, 2 facilities on the Special Focus list, $1,455,239 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.48 (Missouri median: 3.36). RN hours: 0.32. Weekend total: 3.01. Nursing staff turnover: 53%.
All-time on record: 63 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-01 | 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. | F | complaint | corrected 2026-05-16 |
| 2026-04-01 | 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. | E | complaint | corrected 2026-05-16 |
| 2026-04-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-16 |
| 2026-01-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-02-06 |
| 2026-01-15 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-02-06 |
| 2025-11-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-12-19 |
| 2025-09-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-10-15 |
| 2025-06-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-08-20 |
| 2025-06-23 | 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. | D | complaint | corrected 2025-08-20 |
| 2025-06-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-08-20 |
| 2025-06-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-08-20 |
| 2025-05-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-05-05 |
| 2025-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-04-18 |
| 2025-04-11 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-04-04 |
| 2024-10-09 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2024-11-07 |
| 2024-10-09 | Provide activities to meet all resident's needs. | E | complaint | corrected 2024-11-07 |
| 2024-08-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-09-19 |
| 2024-08-08 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-11-07 |
| 2024-08-08 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-11-07 |
| 2024-08-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-11-07 |
| 2024-08-08 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-09-19 |
| 2024-08-08 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-11-07 |
| 2024-08-08 | 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. | E | Health | corrected 2024-09-19 |
| 2024-08-08 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-07 |
| 2024-08-08 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2024-09-19 |
| 2024-08-08 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-09-19 |
| 2024-08-08 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2024-09-19 |
| 2024-06-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-07-17 |
| 2024-06-26 | 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 | complaint | corrected 2024-07-17 |
| 2024-05-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-05-31 |
| 2024-05-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-07-17 |
| 2024-05-15 | 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 | complaint | corrected 2024-07-17 |
| 2023-12-27 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | complaint | corrected 2024-02-05 |
| 2023-12-27 | 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. | E | complaint | corrected 2024-02-05 |
| 2023-12-27 | 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 | complaint | corrected 2024-02-05 |
| 2023-12-27 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2024-02-05 |
| 2023-12-27 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-02-05 |
| 2023-12-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-02-05 |
| 2023-12-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-02-05 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-23 | Fine | $63,427 |
| 2025-04-24 | Fine | $17,300 |
| 2024-05-15 | Fine | $59,189 |
| 2024-05-15 | Payment Denial | 33 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 11/14/2012 |
| LINCOLN, JUDY | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 11/14/2012 |
| LTC MANAGEMENT SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/06/2013 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265160. Corrections: data@carerecords.org.