LEWIS & CLARK GARDENS

SAINT CHARLES, MO · 142 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 3 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • $139,601 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
20
1.6x state avg
Deficiencies
$139,601
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

November 17, 2025

1 deficiency
F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

September 14, 2025

1 deficiency
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

June 22, 2025

4 deficiencyies
F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

May 12, 2025

1 deficiency
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

April 23, 2025

1 deficiency
F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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

April 10, 2025

1 deficiency
F0602 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

October 8, 2024

2 deficiencyies
F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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

F0679 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

August 7, 2024

9 deficiencyies
F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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

F0679 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0695 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0805 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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

F0809 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

See full violation history →

Staffing

0.32
RN hrs/res/day
0.54
LPN hrs/res/day
3.21
CNA hrs/res/day
3.59
Weekend hrs/res/day
48%
Total nurse turnover
63%
RN turnover

A nurse checks on each resident roughly every 5.9 hours on average.

Fines & Penalties

  • Fine Jun 22, 2025
    $63,427
  • Fine Apr 23, 2025
    $16,985
  • Fine May 14, 2024
    $59,189
  • Payment Denial May 14, 2024
    Payment Denial
Total $139,601

Ownership

For profit - Limited Liability company Chain: JAMES & JUDY LINCOLN
  • LINCOLN, JAMES

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/14/2012

    50% Individual
  • LINCOLN, JUDY

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/14/2012

    NO PERCENTAGE PROVIDED Individual
  • LTC MANAGEMENT SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/06/2013

    Organization
  • YATES, MELISSA

    W-2 MANAGING EMPLOYEE

    Since since 02/06/2013

    Individual

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