Total health inspections
12
Missouri average 6.6
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Lewis &Amp; Clark Gardens
Nursing Home
Lewis &Amp; Clark Gardens
Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
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
Might be optimal for
Long-term daily care
Ongoing support needs
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
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.6M
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
Amenities & Lifestyle
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.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
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
3.6515
-
10
-
+42%-2%+18%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
-
29
2
-2%+5%-67%
Lewis &Amp; Clark Gardens
-26%
+9%
-21%
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
4.0657
4
57
4
-26%+9%-21%
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
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
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:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%
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:
Adj Nurse Hours:
4.0657
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
57
Severe Citations:
4
RN share vs State Avg:
-26%
-26%
Staffing vs State Avg:
+9%
+9%
Occupancy vs State Avg:
-21%
-21%Places of interest near Lewis &Amp; Clark Gardens
0.0 miles from city center
SAINT CHARLES, MO 63301-2328
Calculate Travel Distance to Lewis &Amp; Clark Gardens
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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 |
Health Inspection History
Inspections
Total health citations
57
Citations per inspection
4.75
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
32 of 57 citations resulted from standard inspections; 22 of 57 resulted from complaint investigations; and 3 of 57 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
329% worse than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
3 critical citations
1 serious citation
52 moderate citations
1 minor citation
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.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
9% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
In line with Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.0%
Percent of long-stay residents whose need for help with daily activities has increased
22.0%
11% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.8%
Percent of long-stay residents whose ability to move independently worsened
17.8%
14% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
9% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
10.1%
Percent of long-stay residents experiencing one or more falls with major injury
10.1%
150% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.3%
Percent of long-stay high risk residents with pressure ulcers
9.3%
85% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.4%
Percent of long-stay residents with a urinary tract infection
4.4%
63% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.3%
Percent of long-stay residents who lose too much weight
0.3%
94% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.1%
Percent of long-stay residents who have depressive symptoms
1.1%
91% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.7%
Percent of long-stay residents who received an antipsychotic medication
14.7%
33% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
6% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.2%
31% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
8.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
8.3%
87% worse than Missouri averageMissouri average: 63.5%
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
91% higher than Missouri averageMissouri average: $73K
Number of fines
3
23% more fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$140K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 23, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 23, 2025
$63K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 24, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 24, 2025
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2024
$59K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 15, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 15, 2024
33 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Lewis &Amp; Clark Gardens based on CMS SNF Cost Reports.
Occupancy Rate
52.8%
↓ 0.3pp vs 2022
Net Income
-$1,751,417
↓ ~$424K vs 2022
Total Payroll
$4,377,686
↑ ~$343K vs 2022
Profit Margin
-30.2%
↓ 7.9pp vs 2022
Loading trend charts...
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