1221 Boones Lick Road, Saint Charles, MO 63301 · St. Charles County
Photos via google places, facility website.
Typically 62% full — availability is generally good.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
Lewis & Clark Gardens is a for-profit skilled nursing facility in Saint Charles, MO, with 142 certified beds and an average of about 88 residents per day. It operates as part of the James & Judy Lincoln network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 3/5 on staffing, 2/5 on quality measures.
Staff provide about 3.55 total nurse hours per resident each day (0.31 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 55.6%, higher than the ~52% national average. On the safety record, CMS notes 22 health deficiencies at its most recent standard survey, and 3 federal fines totaling $139,916 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour.
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $6,330–$8,230/mo (median $7,070) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local St. Louis prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
More nursing time per resident — and lower turnover — generally means more attentive care.
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
The most recent findings from federal health inspections (63 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Federal fines and Medicare/Medicaid payment denials on record.
| 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 | — |
1221 Boones Lick Road, Saint Charles, MO
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Talk to an advisor about this communityLewis & Clark Gardens does not publish exact rates. Comparable skilled nursing in the Saint Charles, MO area typically runs $6,330–$8,230 per month (median $7,070, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
Medicare (CMS) rates Lewis & Clark Gardens 1 out of 5 stars overall, including 1/5 for health inspections, 3/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.
Staff provide about 3.55 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 55.6% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
Lewis & Clark Gardens has 63 health citations on its recent federal inspection record (last standard survey: 2024-08-08). The full citation-by-citation detail, with severity levels, is published on this page.
Typically 62% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
Lewis & Clark Gardens in Saint Charles, MO offers skilled nursing and is licensed for 142 beds.
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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