NURSING HOME PUBLIC RECORD
CMS lists this provider in Saint Charles, MO, with 142 certified beds, an overall rating of 1/5, and 95 citation rows in the current August 2026 release.
1221 Boones Lick Road · Saint Charles, MO 63301 · St. Charles County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Lewis & Clark Gardens in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-08-08 | 18 | 2024-08-08 | 11 |
| Cycle 2 | 2022-12-02 | 14 | 2022-12-02 | 7 |
| Cycle 3 | 2019-06-18 | 31 | 2019-06-18 | 14 |
CMS reports 95 citation rows, including 4 with G–L codes and 3 with J–L codes.
4 rows carry G–L scope/severity codes; 3 carry J–L. 17 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
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.
Correction field: Deficient, Provider has date of correction · 2026-05-16 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-05-16 · complaintHave 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.
Correction field: Deficient, Provider has date of correction · 2026-05-16 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaintRespond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaintEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-12-19 · complaintProvide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-10-15 · complaintHonor 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.
Correction field: Deficient, Provider has date of correction · 2025-08-20 · complaintProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-08-20 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-08-20 · complaintDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-08-20 · complaintProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2025-05-05 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-04-18 · complaintProtect each resident from the wrongful use of the resident's belongings or money.
Correction field: Past Non-Compliance · 2025-04-04 · complaintEnsure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-11-07 · complaintProvide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2024-11-07 · complaintList the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2024-09-19Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2024-09-19Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-09-19Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-11-07Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2024-11-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-07Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-09-19Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2024-11-07The August 2026 file contains 4 penalty rows and $139,916 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-06-23 | Fine | $63,427 | 0 |
| 2025-04-24 | Fine | $17,300 | 0 |
| 2024-05-15 | Fine | $59,189 | 0 |
| 2024-05-15 | Payment Denial | $0 | 33 |
CMS matched 4 ownership disclosure rows to Lewis & Clark Gardens; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.48 total nurse hours and 0.32 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 5 other published facility records near Saint Charles, MO, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
