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D
Poor

LEWIS & CLARK GARDENS

1221 BOONES LICK ROAD · SAINT CHARLES, MO 63301

6369466140 · For profit - Limited Liability company

142 beds85.6 residents104 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LEWIS & CLARK GARDENS receives an overall staffing grade of D (Poor). With 3.5464 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2783 HPRD, below the recommended 0.75. It is 0.35 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.63% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.2783 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5464hrs/resident/day▼ 0.35
CMS benchmark: 3.48
RN HPRD
0.2783hrs/resident/day▼ 0.40
Recommended: 0.75
Weekend Drop-off
15.63%
3.7103 weekday → 3.1302 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4238hrs/resident/day
Direct care aides
LPN HPRD
0.4727hrs/resident/day
Licensed practical nurses
Consistency
0.4046std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. St. Charles County Average-0.62 HPRD
4.16
03.55 HPRD
vs. Missouri State Average+0.06 HPRD
3.48
03.55 HPRD
vs. National Average-0.35 HPRD
3.90
03.55 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LEWIS & CLARK GARDENS ★
SAINT CHARLES · This facility
—
D
3.54640.2783★☆☆☆☆
ASPEN POINT HEALTH AND REHABILITATION
SAINT CHARLES
1.6 mi
C
3.13480.5432☆☆☆☆☆
NHC HEALTHCARE, ST CHARLES
SAINT CHARLES
1.7 mi
C
3.33160.5499★★★★★
AVENIR AT MARK TWAIN
BRIDGETON
4.2 mi
B
3.84950.6428★☆☆☆☆
STONEBRIDGE MARYLAND HEIGHTS
MARYLAND HEIGHTS
4.7 mi
F
3.17360.2379★☆☆☆☆
LIFE CARE CENTER OF BRIDGETON
BRIDGETON
4.8 mi
D
3.98840.3461★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

13
Inspections
58
Total Deficiencies
$139,601
Fines Assessed
Nov 18, 2025Health
1 deficiency cited
▼
Sep 15, 2025Health
1 deficiency cited
▼
Jun 23, 2025Health
4 deficiencies cited· Includes actual harm
▼
May 13, 2025Health
1 deficiency cited
▼
Apr 24, 2025Health
1 deficiency cited· Includes actual harm
▼
Apr 11, 2025Health
1 deficiency cited
▼
Oct 9, 2024Health
2 deficiencies cited
▼
Aug 8, 2024Health
11 deficiencies cited
▼
Jun 26, 2024Health
2 deficiencies cited
▼
May 15, 2024Health
3 deficiencies cited· Includes actual harm
▼
Dec 27, 2023Health
7 deficiencies cited
▼
Dec 2, 2022Health
5 deficiencies cited· Includes actual harm
▼
Jun 18, 2019Health
19 deficiencies cited
▼

Penalty History

Jun 23, 2025Fine
$63,427
Apr 24, 2025Fine
$16,985
May 15, 2024Fine
$59,189
May 15, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.