Nursing home report
SAINT CHARLES, MO · Medicare-certified · 142 beds
LEWIS & CLARK GARDENS (Saint Charles, MO) has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty; it was fined $80,727 in the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.48 hours per resident per day, below the 4.1-hour federal benchmark.
Health inspections
Staffing
3.4753 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4753.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited December 2022 — isolated incident, immediate jeopardy to residents.
F-Tag 578 — 42 CFR §483.10 — S/S: J
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2026 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $63,427 was recorded.
A federal fine of $17,300 was recorded.
A federal payment denial was recorded.
A federal fine of $59,189 was recorded.
On record with Medicare: 3 fines · $139,916 in total fines · 1 payment denial.
Federal fine
Jun 23, 2025
Federal fine
Apr 24, 2025
Medicare/Medicaid payment denial
May 15, 2024
Federal fine
May 15, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
