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Lewis &Amp; Clark Gardens

Lewis &Amp; Clark Gardens is a Nursing Home in Missouri

Lewis &Amp; Clark Gardens is a Nursing Home in Missouri

Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens

Lewis &Amp; Clark Gardens

SAINT CHARLES, MO 63301-2328 View Map

Lewis &Amp; Clark Gardens is a Nursing Home in Missouri

Lewis &Amp; Clark Gardens is a Nursing Home in Missouri

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Overview of Lewis &Amp; Clark Gardens
Lewis & Clark Gardens is a senior living community in St. Charles, MO. It offers a wide range of services including skilled nursing care, rehabilitation services, and various religious services. The facility provides a homelike environment with complete dining services and a commitment to resident well-being.
(636) 946-6140
(636) 946-6140

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.07/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 142

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 52.8%
Residents per day (avg) 72
Occupancy rate
52.8%
Residents per day (avg)
72

Who this home usually serves

Show admissions and discharges
TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs
How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

6% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

33% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

60% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Finances and operations

Proprietary home
Corporation
Home revenue
$5.8M
Operating loss
-$1.8M
Proprietary home Corporation
Home revenue
$5,830,292.00
Operating loss
$-1,751,417.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
50.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
Total costs $7.6M

This home is administrated by AMANDA MARSTEN.

This home is owned by Yates, Melissa

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265160

Show certification details

Bed community size
142-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265160
Certification type: Medicare/Medicaid
County: SAINT CHARLES

Ownership & operating entity

Lewis &Amp; Clark Gardens is administrated by AMANDA MARSTEN.

Owner name: N & R OF ST CHARLES, LLC

Care Services

Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing Care
Physical and Occupational Therapies
Dietitians
Behavioral and Alzheimer’s Care
Activities
Hospice

Amenities & Lifestyle

24 Hour Professional Nursing Services
Beautifully Landscaped Surroundings
Fenced Courtyard
Professional Medical Care
Admissions 7 Days/Week
Various Religious Services
Ice Cream Parlor
Semi-Private or Private Rooms
State of the Art Rehabilitation Program
Podiatry & Optical Services
Homelike Environment
Soothing Aviary
Professional Beauty/Barber Shop
Cable Television
Unlimited Visiting Hours
Hospice Care
Respite Care
IV Therapy
Seasonal Resident Garden
Pharmacy Services
Trach Care

Programs & Activities

Specific Programs
24 Hour Professional Nursing Services, Professional Medical Care, Rehab Services, Complete Dining Services, Hospice Care, Respite Care, Community Involvement & Volunteer Program
Religious Services
Various Religious Services
Volunteer Programs
Yes

Pricing & Financial Information

Semi-Private –$190.00/day
Private –$213.00/day

Dining & Nutrition

Food Description
Complete dining services with a variety of nutritious meals and snacks based on individual preferences.
Meals Included
Yes

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare Long-term care insurance

Compare Nursing Homes around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Bertrand Nursing And Rehab Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
-
Advanced Care of St Joseph
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
Amberwood Estates Nursing and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
Lewis &Amp; Clark Gardens
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63301-2328
142
No
-
YATES, MELISSA
52.8%
$5,800,313.00
$2,929,716.00
50.5%
72.30
1/5
4.0657
1/5
3/5
1/5
4
Good Shepherd Care Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
Bertrand Nursing And Rehab Center Bertrand Nursing And Rehab Center
Type of care: SNF AL
Community: Bertrand
Bed Count: 60
Pets Allowed: No
Operator: CHANCE, DON
CCN: 265678
Occupancy: 78.8%
Home Revenue: $5,145,452.00
Payroll Costs: $2,268,233.00
Payroll %: 44.1%
Avg Residents/Day: 53.70
Overall Rating: 5/5
Adj Nurse Hours: 3.6515
Health Insp Rating: 5/5
Staffing Rating: 3/5
QM Rating: 2/5
Advanced Care of St Joseph
Type of care: SNF AL
Community: MO 64505-1872
Bed Count: 180
Pets Allowed: No
Operator: NORTH 18TH STREET CONSULTING LLC
CCN: 265754
Occupancy: 57.2%
Home Revenue: $5,504,210.00
Payroll Costs: $2,303,058.00
Payroll %: 41.8%
Avg Residents/Day: 141.10
Overall Rating: 1/5
Adj Nurse Hours: 2.1152
Health Insp Rating: 2/5
Staffing Rating: 1/5
QM Rating: 4/5
Number of Fines: 1
Amberwood Estates Nursing and Rehabilitation Amberwood Estates Nursing and Rehabilitation
Type of care: SNF AL
Community: MO 63121-1407
Bed Count: 115
Pets Allowed: No
Operator: BERMUDA DRIVE CONSULTING LLC
CCN: 265719
Occupancy: 81.7%
Home Revenue: $5,482,532.00
Payroll Costs: $3,052,207.00
Payroll %: 55.7%
Avg Residents/Day: 79.70
Overall Rating: 1/5
Adj Nurse Hours: 1.7169
Health Insp Rating: 2/5
Staffing Rating: 1/5
QM Rating: 2/5
Number of Fines: 4
Lewis &Amp; Clark Gardens Lewis &Amp; Clark Gardens
Type of care: SNF AL
Community: MO 63301-2328
Bed Count: 142
Pets Allowed: No
Operator: YATES, MELISSA
CCN: 265160
Occupancy: 52.8%
Home Revenue: $5,800,313.00
Payroll Costs: $2,929,716.00
Payroll %: 50.5%
Avg Residents/Day: 72.30
Overall Rating: 1/5
Adj Nurse Hours: 4.0657
Health Insp Rating: 1/5
Staffing Rating: 3/5
QM Rating: 1/5
Number of Fines: 4
Good Shepherd Care Community Good Shepherd Care Community
Type of care: AL HC IL MC
Community: Concordia
Pets Allowed: No
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Address SAINT CHARLES, MO 63301-2328

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

104
Total Staff
87
Employees
17
Contractors
25,895
Total Hours (Quarter)
35
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
Role ⓘ Count ⓘ Avg Shift (hrs) ⓘ Uses Contractors? ⓘ
Registered Nurse 6 8.4 No
Licensed Practical Nurse 12 7.9 No
Certified Nursing Assistant 33 8.2 No
Staff by Category
Administration ⓘ
2 staff
8.1hs shift avg
Nursing Staff ⓘ
77 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
3 staff
8.3hs shift avg
Therapy Services ⓘ
13 staff
4.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
4 staff
1hs shift avg
Dietary Services ⓘ
3 staff
6.7hs shift avg
Other Services ⓘ
2 staff
7.7hs shift avg
Contractor Analysis
2.1%
of total hours from contractors
542 contractor hours this quarter
Speech Language Pathologist: 1 Qualified Social Worker: 4 Occupational Therapy Assistant: 1 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Physical Therapy Aide: 5 Physical Therapy Assistant: 3
Role ⓘ Employees ⓘ Contractors ⓘ Total Staff ⓘ Total Hours ⓘ Days Worked ⓘ % of Days ⓘ Avg Shift (hrs) ⓘ
Certified Nursing Assistant 33 0 33 9,726 91 100% 8.2
Medication Aide/Technician 15 0 15 5,581 91 100% 9.1
Licensed Practical Nurse 12 0 12 3,845 91 100% 7.9
Nurse Aide in Training 10 0 10 2,064 90 99% 7.6
Clinical Nurse Specialist 2 0 2 974 76 84% 8.3
Registered Nurse 6 0 6 913 74 81% 8.4
Dental Services Staff 2 0 2 764 73 80% 7.7
Administrator 2 0 2 451 56 62% 8.1
Dietitian 2 0 2 397 55 60% 7.2
Speech Language Pathologist 0 1 1 306 51 56% 6
RN Director of Nursing 1 0 1 277 31 34% 8.9
Other Dietary Services Staff 1 0 1 238 40 44% 6
Nurse Practitioner 1 0 1 123 15 16% 8.2
Physical Therapy Aide 0 5 5 87 22 24% 3.9
Physical Therapy Assistant 0 3 3 42 14 15% 3
Qualified Social Worker 0 4 4 38 39 43% 1
Occupational Therapy Aide 0 1 1 35 6 7% 5.9
Occupational Therapy Assistant 0 1 1 29 7 8% 4.1
Respiratory Therapy Technician 0 2 2 5 3 3% 1.8
View All Staffing Data

Health Inspection History

Total Health inspections 12
82% above Missouri average
Missouri average: 6.6

Last Health inspection on Sep 2025

Total Health citations 57
56% above Missouri average
Missouri average: 36.5

4.75 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 35 citations
Complaint investigations 25 citations
Breakdown of citations
Critical Health citations 3
329% above Missouri average
Missouri average: 0.7
Serious Health citations 1
Near Missouri average
Missouri average: 1.0
Moderate Health citations 52
Minor Health citations 1
Citations history (last 3 years)
Quality of Care moderate citation Sep 15, 2025
Corrected
Abuse/Neglect serious citation Jun 23, 2025
Corrected
Abuse/Neglect moderate citation Jun 23, 2025
Corrected
Care Planning moderate citation Jun 23, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: HEALTH SYSTEMS
Resident Census by Payment Source
82 Total Residents
Medicare 1 (1.2%) ⓘ
Medicaid 72 (87.8%) ⓘ
Private Pay/Other 9 (11%) ⓘ
Programs & Services
Residents' Group ⓘ
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source. Specialized beds indicate capacity for specific care needs.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 11.9
9% worse than Missouri average
Missouri average: 10.9
Functional decline score 19.9
Near Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased 22.0%
11% above Missouri average.
Walking Ability Worsened 17.8%
14% below Missouri average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 19.8%
9% above Missouri average.
Safety & clinical stability
Falls with Major Injury 10.1%
150% above Missouri average.
High Risk Residents with Pressure Ulcers 9.3%
85% above Missouri average.
Urinary Tract Infection 4.4%
63% above Missouri average.
Emotional & behavioral wellbeing
Depressive Symptoms 1.1%
91% below Missouri average.
Antipsychotic Use 14.7%
33% below Missouri average.
Preventive care
Pneumococcal Vaccine 83.9%
2% below Missouri average.
Influenza Vaccine 96.6%
6% above Missouri average.
Nutrition & physical health
Lost Too Much Weight 0.3%
94% below Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 46.2%
31% worse than Missouri average
Antipsychotic medication increase 0.0%
100% better than Missouri average
Influenza Vaccine 8.3%
87% worse than Missouri average

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $140K
This home paid 91% more in fines than the state average.
Missouri average: $73K
Number of Fines 3
This home received 23% more fines than the state average.
Missouri average: 2.4
Payment Denials 1
This home had 45% more payment denials than the state average.
Missouri average: 0.7
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Jun 23, 2025
$63K
Civil Money Penalty Apr 24, 2025
$17K
Civil Money Penalty May 15, 2024
$59K
Payment Denial May 15, 2024
33 days

Last updated: Jan 2026

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

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Author: Jeremy Clerc
 Updated on Feb 28, 2026
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