Lewis & Clark Gardens: Staffing, Turnover, and Inspection Record
Lewis & Clark Gardens is a 142-bed for-profit nursing home in Saint Charles, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 2.68 nurse aide hours per resident per day, 17% above the Missouri average of 2.29, and 53.4% nursing staff turnover (Missouri average 56.0%).
Lewis & Clark Gardens
1221 Boones Lick RoadSaint Charles, MO 63301
St. Charles County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Lewis & Clark Gardens, nurse aides logged 2.68 hours per resident per day, 17% above the Missouri average. With about 87 residents a day, that works out to roughly 232 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.68 | 2.29 | 2.32 |
| Licensed practical nurses | 0.47 | 0.68 | 0.86 |
| Registered nurses | 0.32 | 0.46 | 0.69 |
| All nursing staff | 3.48 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.01 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
53.4% of nursing staff at Lewis & Clark Gardens left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 40.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 8, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Missouri average 11.5). CMS lists 3 fines totaling $139,916 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 23, 2025 | Fine | $63,427 |
| Apr 24, 2025 | Fine | $17,300 |
| May 15, 2024 | Fine | $59,189 |
| May 15, 2024 | Payment Denial | 33 days from Jun 14, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Lewis & Clark Gardens holds 1 of 5 overall; the Missouri average is 2.5.
About Lewis & Clark Gardens
- Ownership: For profit - Limited Liability company
- Chain: James & Judy Lincoln, 56 homes
- Legal name: N & R of St Charles LLC
- Medicare and Medicaid certified since: Feb 17, 1982
- Councils: resident council
- Area: urban
Nursing homes near Lewis & Clark Gardens
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Laurel Meadows Wellness & Rehabilitation Saint Charles | 0.8 | 103 | 2.85 | 4.31 | — | 2 | $11,536 |
| Aspen Point Health and Rehabilitation Saint Charles | 1.6 | 180 | 1.70 | 3.41 | 52.1% | 1 | $340,683 |
| NHC Healthcare, St Charles Saint Charles | 1.7 | 120 | 2.03 | 3.34 | 59.0% | 4 | None |
| Windsor Estates of St Charles Saint Charles · abuse citation | 1.9 | 81 | 2.19 | 3.53 | 71.4% | 1 | $364,413 |
| SSM Health Depaul Hospital - Anna House Bridgeton | 4.1 | 105 | 3.03 | 4.62 | — | 3 | None |
| Avenir at Mark Twain Bridgeton | 4.2 | 120 | 2.51 | 3.47 | 71.4% | 1 | $183,665 |
| Parkwood Skilled Nursing and Rehabilitation Center Maryland Heights · many days without an RN | 4.4 | 130 | 2.33 | 3.18 | 51.6% | 1 | None |
| McClay Senior Care Saint Peters | 4.7 | 60 | 2.44 | 3.82 | 43.5% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.