Skilled Nursing

LEWIS & CLARK GARDENS

1221 BOONES LICK ROAD, SAINT CHARLES, MO 63301

142beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

2.8h

Hrs/resident · weekday

Expected: 4.5h

3.6h

Hrs/resident · weekend

vs 2.8h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
60%
LPNs
CNAs
56%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity JApr 24, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Apr 18, 2025

SeriousImmediate Jeopardy0600Severity JMay 15, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: May 31, 2024

37 standard deficiencies in the last 3 years

View all
0727Severity FApr 1, 2026

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.

0689Severity DApr 1, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0584Severity EApr 1, 2026

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.

0610Severity DJan 15, 2026

Respond appropriately to all alleged violations.

0609Severity DJan 15, 2026

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0804Severity ENov 18, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0677Severity DSep 15, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0656Severity DJun 23, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0609Severity DJun 23, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0600Severity GJun 23, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0584Severity DJun 23, 2025

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.

0600Severity DMay 13, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0602Severity DApr 11, 2025

Protect each resident from the wrongful use of the resident's belongings or money.

0679Severity EOct 9, 2024

Provide activities to meet all resident's needs.

0658Severity EOct 9, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0883Severity EAug 8, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity EAug 8, 2024

Provide and implement an infection prevention and control program.

0812Severity FAug 8, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0809Severity EAug 8, 2024

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.

0805Severity DAug 8, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0804Severity EAug 8, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0695Severity EAug 8, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0689Severity EAug 8, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0679Severity EAug 8, 2024

Provide activities to meet all resident's needs.

0658Severity EAug 8, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0558Severity DAug 8, 2024

Reasonably accommodate the needs and preferences of each resident.

0688Severity DJun 26, 2024

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.

0677Severity DJun 26, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0688Severity DMay 15, 2024

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.

0677Severity DMay 15, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Severity DDec 27, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0677Severity DDec 27, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DDec 27, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0585Severity EDec 27, 2023

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.

0584Severity EDec 27, 2023

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.

0565Severity EDec 27, 2023

Honor the resident's right to organize and participate in resident/family groups in the facility.

0561Severity DDec 27, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

N & R OF ST CHARLES LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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