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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 77th out of 256 homes in Missouri.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 17m per day | ▼ 39% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 28m per day | ▼ 32% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 48m per day | ▲ 21% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 1m per day | ■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 40% State avg: 20m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
6% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
60% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #93 / 263Payroll — State benchmarkedThis home is ranked 93rd out of 263 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Missouri average: 66.6%Lewis &Amp; Clark Gardens is legally operated by N & R Of St Charles, Llc, and administrated by Amanda Marsten.
Key information about the people who lead and staff this community.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 60 | 35 | This facility has 71% more total deficiencies than a typical Missouri nursing home (60 vs. MO avg 35). Click this badge to view the full Missouri ranking.↑ 71% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 8.6 | 5 | This facility has 72% more deficiencies per year than a typical Missouri nursing home (8.6 vs. MO avg 5). Click this badge to view the full Missouri ranking.↑ 72% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.3 | 5 | This facility has 14% fewer deficiencies per inspection than a typical Missouri nursing home (4.3 vs. MO avg 5). Click this badge to view the full Missouri ranking.↓ 14% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 14 | 7 | This facility has 100% more total inspections than a typical Missouri nursing home (14 vs. MO avg 7). Click this badge to view the full Missouri ranking.↑ 100% worse |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Sep 2025
Missouri average 36.5
Missouri average 5.67
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).
329% worse than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
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Lewis &Amp; Clark Gardens is located in SAINT CHARLES, Missouri.
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0.0 miles from city center
Estimated distance in miles from Saint Charles's city center to Lewis &Amp; Clark Gardens's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
26% worse than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
542 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.0%
11% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
17.8%
14% better than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
10.1%
150% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
9.3%
85% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
4.4%
63% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
0.3%
94% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.1%
91% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
14.7%
33% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
In line with Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
6% better than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.2%
31% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
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.
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)
91% higher than Missouri averageMissouri average: $73K
23% more fines than Missouri averageMissouri average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Apr 24, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 15, 2024Last updated: Jan 2026
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Aberdeen Heights |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kirkwood | 38 | 92.6% | +39% | 5.18 | -32% | +39% | $0 | 9 | 2.3 | - | 34 | - | 89 | Ashfield Active Living And Wellness Communities, Inc. | $30.1M | $9.6M | 31.8% | 265841 | ||||
| Lewis &Amp; Clark Gardens |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Saint Charles | 142 | 52.8% | -21% | 4.07 | -26% | +9% | $191.1k | 57 | 4.8 | 4 | 72 | A+ | 87 | Melissa Yates | $5.8M | $4.4M | 75.1% | 265160 |
Historical financial and operational data for Lewis &Amp; Clark Gardens based on CMS SNF Cost Reports.
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The legal owner and operator of Lewis &Amp; Clark Gardens is N & R Of St Charles, Llc.
Lewis &Amp; Clark Gardens has a walk score of 87. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Lewis &Amp; Clark Gardens's occupancy is 60%.
Amanda Marsten is the administrator of Lewis &Amp; Clark Gardens.
Lewis &Amp; Clark Gardens has 142 beds.
Yes — there are 8 photos of Lewis &Amp; Clark Gardens in the photo gallery on this page.
Lewis &Amp; Clark Gardens is located at 1221 BOONES LICK RD.
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