Skilled nursing · Saint Charles, MO

Lewis & Clark Gardens

1221 BOONES LICK ROAD, Saint Charles, MO 63301

1 / 5CMS 142 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Lewis & Clark Gardens carries a Palmelle Clarity Score of 0 out of 100, derived from federal CMS Care Compare data plus Missouri state records. Health inspection rating sits at 1-star, staffing at 3-star, quality measures at 2-star. Long-stay antipsychotic prescribing is at 20.6 percent versus a 14 percent national median. RN coverage is 0.31 hours per resident per day. Nurse turnover 55 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Missouri DPH

In their own words

No operator description yet.

Claim this listing →

Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.31

National

0.78

Annual nurse turnover

This

55%

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

20.6%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Missouri state data

The full record.

Federal CMS ratings

Overall★★★★★1 / 5

Health inspection★★★★★1 / 5

Staffing★★★★★3 / 5

Quality measures★★★★★2 / 5

Staffing

RN hours per resident, daily

This

0.31

Nat

0.78

Total nurse hours / resident, daily

This

3.55

Nat

3.62

Annual nurse turnover

This

55%

Nat

53%

Annual RN turnover

This

60%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

20.6%

Nat

14%

Sedative / sleep med

This

4.8%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

9.9%

Nat

1.6%

Penalties & status

Abuse finding on recordNot special focusInspection current$139,916 in fines (3)

Identity & licensing

CMS ID265160

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds142

Avg residents88

Citations · last 36 months

Flagged by CMS data
CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. This is one of the most serious flags CMS assigns.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Registered nurse hours are 0.31 per resident per day — below the recommended minimum of 0.75 hours. RNs are responsible for clinical assessments and oversight. Low RN coverage is associated with higher rates of hospitalization and missed diagnoses.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Missouri DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Lewis & Clark Gardens?

Lewis & Clark Gardens has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 3 of 5 on staffing, and 2 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Lewis & Clark Gardens been cited for resident harm?

CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. It has $139,916 in federal fines across 3 penalties on record in the last 36 months. The full record for Lewis & Clark Gardens appears in the record section above.

Does Lewis & Clark Gardens use antipsychotic medications?

20.6 percent of long-stay residents at Lewis & Clark Gardens are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 4.8 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Lewis & Clark Gardens's Palmelle Clarity Score?

Lewis & Clark Gardens has a Palmelle Clarity Score of 0 out of 100, putting it below the national median. The score is a composite of federal CMS and Missouri state inspection data. Higher is better.

How can I tour or contact Lewis & Clark Gardens?

Lewis & Clark Gardens is located at 1221 BOONES LICK ROAD, Saint Charles, MO 63301. Phone: (636) 946-6140. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Lewis & Clark Gardens a special focus facility?

Lewis & Clark Gardens is not on the federal Special Focus Facility list, but it does have an abuse icon and $139,916 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Lewis & Clark Gardens's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Lewis & Clark Gardens has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Lewis & Clark Gardens compare to other Saint Charles skilled nursing facilities?

Lewis & Clark Gardens holds a Palmelle Clarity Score of 0. The full Saint Charles directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Saint Charles directory to compare more facilities by score, staffing, and inspection record.

Not sure if this is the one?

We do the calling. You do the choosing.

A real human compares this facility to two others. Phone calls, pricing, availability, the questions you would not think to ask.

$199 · 3-business-day money-back promise

Get your answer →