LEWIS and CLARK GARDENS

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 16, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 16, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 16, 2026

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 6, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 19, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 15, 2025

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 20, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 20, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 20, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 20, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 5, 2025

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 18, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 4, 2025

• Provide activities to meet all resident's needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 7, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 7, 2024

• Ensure proper usage of power strips and extension cords.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 19, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 19, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 7, 2024

• List the names and contact information of those in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 7, 2024

• Provide activities to meet all resident's needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 7, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 7, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 7, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Establish staff and initial training requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Have proper medical gas storage and administration areas.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Meet requirements for the use of electrical equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Properly provide smoke detection systems in areas open to corridors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Have an enclosure around a vertical opening shaft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

• Meet other general requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 19, 2024

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 19, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 31, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 17, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 5, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 5, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 5, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 5, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 5, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 5, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 5, 2024

• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  Severity J of L: immediate jeopardy, isolatedCorrected Jan 6, 2023

• Ensure proper usage of power strips and extension cords.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 6, 2023

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 6, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 6, 2023

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 6, 2023

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 6, 2023

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 6, 2023

• Provide properly protected cooking facilities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 6, 2023

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 6, 2023

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 6, 2023

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 6, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 6, 2023

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 31, 2019

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 31, 2019

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 31, 2019

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 31, 2019

• Provide a written emergency evacuation plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 31, 2019

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Honor the resident's right to manage his or her financial affairs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Use approved construction type or materials.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Provide properly protected cooking facilities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 31, 2019

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Assess the resident when there is a significant change in condition

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Meet other general requirements.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 31, 2019

• 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.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 31, 2019

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 31, 2019

• Establish emergency prep training and testing.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 31, 2019

• Implement emergency and standby power systems.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 31, 2019

• Conduct testing and exercise requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 31, 2019

LEWIS and CLARK GARDENS offers Skilled Nursing / Long Term Care.

LEWIS and CLARK GARDENS is located at 1221 Boones Lick Road in Saint Charles, Missouri.

Reviews for Lewis and Clark Gardens are sharply divided: several families describe serious neglect, unpleasant odors, and inconsistent staffing, while others—particularly rehab patients—praise the physical and occupational therapy teams and specific caregivers by name. The facility has a 2.5-star average from 34 Google reviews, with many of the most detailed accounts describing cleanliness and care concerns.

LEWIS and CLARK GARDENS had 15 government inspection visits in the last three years, with 95 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with LEWIS and CLARK GARDENS and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.