Nursing Home Alerts

Lewis & Clark Gardens

1221 Boones Lick Road, Saint Charles, MO 63301

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Lewis & Clark Gardens is a nursing home in Saint Charles, Missouri. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(636) 946-6140
Last standard health inspection
August 8, 2024 (2 years ago)
Certified beds
142
Residents per day, on average
80.7
Ownership type
For profit - Limited Liability company
Legal business name
N & R of St Charles LLC
Chain
James & Judy Lincoln
Takes part in
Medicare and Medicaid

More health citations than the Missouri average (63 vs 36).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5.

  4. 3 citations

    Health inspection on April 1, 2026

    CMS lists this as a complaint inspection.

    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

      CMS lists it as corrected on May 16, 2026.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on May 16, 2026.

      CMS has cited this home for F0584 4 times since 2019.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 16, 2026.

      CMS has cited this home for F0689 4 times since 2019.

    See this home on CMS Care Compare

  5. CMS update of March 25, 2026

    • Fine

      CMS changed the fine from April 24, 2025 from $16,985 to $17,300.

  6. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  7. 2 citations

    Health inspection on January 15, 2026

    CMS lists this as a complaint inspection.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on February 6, 2026.

      CMS has cited this home for F0609 2 times since 2025.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on February 6, 2026.

      CMS has cited this home for F0610 3 times since 2019.

    See this home on CMS Care Compare

  8. CMS update of January 14, 2026

    • Fine

      CMS changed the fine from April 24, 2025 from $26,130 to $16,985.

    • Fine

      CMS changed the fine from June 23, 2025 from $97,580 to $63,427.

  9. CMS update of November 20, 2025

    • CMS abuse icon

      CMS added its abuse icon to this home.

  10. 1 citation

    Health inspection on November 18, 2025

    CMS lists this as a complaint inspection.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on December 19, 2025.

      CMS has cited this home for F0804 3 times since 2019.

    See this home on CMS Care Compare

  11. 1 citation

    Health inspection on September 15, 2025

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on October 15, 2025.

      CMS has cited this home for F0677 6 times since 2019.

    See this home on CMS Care Compare

  12. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  13. CMS update of June 25, 2025

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  14. 4 citations

    Health inspection on June 23, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    104 of 486 Missouri homes (21%) got a citation at the actual harm level in 2025.

    • Citation F0600. Severity G: actual harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on August 20, 2025.

      CMS has cited this home for F0600 3 times since 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on August 20, 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on August 20, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on August 20, 2025.

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  15. Fine

    June 23, 2025 (1 year ago)

    CMS fine of $63,427 on June 23, 2025.

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  16. 1 citation

    Health inspection on May 13, 2025

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on May 5, 2025.

    See this home on CMS Care Compare

  17. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

    • Fine

      CMS changed the fine from May 15, 2024 from $91,060 to $59,189.

  18. 1 citation

    Health inspection on April 24, 2025

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    65 of 486 Missouri homes (13%) got a citation at the immediate jeopardy level in 2025.

    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on April 18, 2025.

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  19. Fine

    April 24, 2025 (1 year ago)

    CMS fine of $17,300 on April 24, 2025.

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  20. 1 citation

    Health inspection on April 11, 2025

    CMS lists this as a complaint inspection.

    • Citation F0602. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

      CMS lists it as corrected on April 4, 2025.

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  21. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  22. 2 citations

    Health inspection on October 9, 2024

    CMS lists this as a complaint inspection.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on November 7, 2024.

      CMS has cited this home for F0658 4 times since 2019.

    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on November 7, 2024.

      CMS has cited this home for F0679 2 times since 2024.

    See this home on CMS Care Compare

  23. CMS update of September 26, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

  24. 11 citations

    Health inspection on August 8, 2024

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on September 19, 2024.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on November 7, 2024.

    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on November 7, 2024.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on November 7, 2024.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 19, 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on November 7, 2024.

    • Citation F0809. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

      CMS lists it as corrected on September 19, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on November 7, 2024.

      CMS has cited this home for F0880 2 times since 2019.

    • Citation F0883. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on September 19, 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on September 19, 2024.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on September 19, 2024.

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  25. 11 citations

    Fire safety inspection on August 8, 2024

    CMS lists this as a standard inspection.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 19, 2024.

      CMS has cited this home for K0920 3 times since 2019.

    • Citation E0030. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: List the names and contact information of those in the facility.

      CMS lists it as corrected on September 19, 2024.

    • Citation E0037. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on September 19, 2024.

    • Citation K0100. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet other general requirements.

      CMS lists it as corrected on September 19, 2024.

    • Citation K0311. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have an enclosure around a vertical opening shaft.

      CMS lists it as corrected on September 19, 2024.

    • Citation K0347. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly provide smoke detection systems in areas open to corridors.

      CMS lists it as corrected on September 19, 2024.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 19, 2024.

      CMS has cited this home for K0353 3 times since 2019.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on September 19, 2024.

      CMS has cited this home for K0363 2 times since 2019.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on September 19, 2024.

    • Citation K0919. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on September 19, 2024.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on September 19, 2024.

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  26. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  27. 2 citations

    Health inspection on June 26, 2024

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on July 17, 2024.

      CMS has cited this home for F0688 2 times since 2024.

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  28. Payment stopped

    June 14, 2024 (2 years ago)

    CMS stopped payment for new admissions from June 14, 2024, for 33 days.

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  29. 3 citations

    Health inspection on May 15, 2024

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    70 of 486 Missouri homes (14%) got a citation at the immediate jeopardy level in 2024.

    • Citation F0600. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on July 17, 2024.

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  30. Fine

    May 15, 2024 (2 years ago)

    CMS fine of $59,189 on May 15, 2024.

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  31. CMS update of March 28, 2024

    • Ownership

      CMS lists this home under a new chain.

  32. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

    • Ownership

      CMS no longer lists a chain for this home.

    • Staffing

      Total nurse staffing reported to CMS went from 3.2 to 2.7 hours per resident per day.

  33. 7 citations

    Health inspection on December 27, 2023

    CMS lists this as a complaint inspection.

    • Citation F0565. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0585. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0561. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on February 5, 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on February 5, 2024.

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  34. 5 citations

    Health inspection on December 2, 2022

    CMS lists this as a standard inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    12 of 486 Missouri homes (2%) got a citation at the immediate jeopardy level in 2022.

    • Citation F0578. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

      CMS lists it as corrected on January 6, 2023.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on January 6, 2023.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on January 6, 2023.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on January 6, 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on January 6, 2023.

    See this home on CMS Care Compare

  35. 7 citations

    Fire safety inspection on December 2, 2022

    CMS lists this as a standard inspection.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on January 6, 2023.

    • Citation K0521. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on January 6, 2023.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on January 6, 2023.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on January 6, 2023.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on January 6, 2023.

      CMS has cited this home for K0324 2 times since 2019.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on January 6, 2023.

      CMS has cited this home for K0372 2 times since 2019.

    • Citation K0741. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on January 6, 2023.

      CMS has cited this home for K0741 2 times since 2019.

    See this home on CMS Care Compare

  36. 19 citations

    Health inspection on June 18, 2019

    CMS lists this as a standard inspection.

    • Citation F0803. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0557. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0567. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to manage his or her financial affairs.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0690. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0637. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident when there is a significant change in condition

      CMS lists it as corrected on July 31, 2019.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0691. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on July 31, 2019.

    • Citation F0584. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on July 31, 2019.

    See this home on CMS Care Compare

  37. 14 citations

    Fire safety inspection on June 18, 2019

    CMS lists this as a standard inspection.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0711. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide a written emergency evacuation plan.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0161. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0741. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on July 31, 2019.

    • Citation K0932. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Meet other general requirements.

      CMS lists it as corrected on July 31, 2019.

    • Citation E0004. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on July 31, 2019.

    • Citation E0036. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Establish emergency prep training and testing.

      CMS lists it as corrected on July 31, 2019.

    • Citation E0039. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on July 31, 2019.

    • Citation E0041. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Implement emergency and standby power systems.

      CMS lists it as corrected on July 31, 2019.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Lewis & Clark Gardens last inspected?

CMS lists August 8, 2024 as the date of its most recent standard health inspection.

How many citations (violations) does Lewis & Clark Gardens have?

CMS lists 63 health citations since June 18, 2019. CMS also calls these deficiencies.

Has Lewis & Clark Gardens been fined?

CMS lists 3 fines in the past three years, $139,916 in total.

What is the CMS star rating of Lewis & Clark Gardens?

Its CMS overall star rating is 1 of 5.

Is Lewis & Clark Gardens a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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