Lewis & Clark Gardens has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Saint Charles facility should carefully review its inspection history and quality metrics.
Staffing at Lewis & Clark Gardens is near the national average, with 3.55 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 60 deficiencies at Lewis & Clark Gardens, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.55 | 3.8 | Average |
| Registered Nurses (RN) | 0.28 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.80 | 2.4 | Above Average |
| Weekend Total Nursing | 3.13 | 3.8 | Below Average |
| Weekend RN Hours | 0.20 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 14, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Jan 14, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nov 17, 2025 · Nutrition and Dietary Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Sep 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jun 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.3% | 4.5% | Worse |
| Falls with major injury | 9.9% | 3.0% | Worse |
| On antipsychotic medication | 20.6% | 14.5% | Worse |
| Urinary tract infections | 4.3% | 2.5% | Worse |
| ADL decline (daily activities) | 19.2% | 14.0% | Worse |
| Excessive weight loss | 0.4% | 7.5% | Better |
| New/worsened incontinence | 17.5% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $139,916
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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