Lewis & Clark Gardens
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 32 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (22 vs median 10)
- High RN turnover (62%)
Bottom 25% in MO · Critically understaffed (RN) · Above average staffing · Worst in JAMES & JUDY LINCOLN chain · $139,916 in fines · Abuse citation
What this means for your family
This facility has received numerous, severe reports regarding hygiene and resident neglect in recent years. While some individual staff members are noted for their dedication, the recurring themes of poor cleanliness and lack of supervision are significant red flags. We strongly recommend looking at other options or conducting an unannounced visit during a weekend or evening shift to verify current conditions.
Google Reviews
Google Reviews
32 reviews on Google“Lewis & Clark Gardens faces severe and consistent criticism regarding hygiene, staffing levels, and quality of care. While some reviewers mention individual staff members who are compassionate, the facility is frequently described as having an overpowering odor, poor food quality, and a lack of resident engagement. Families should be aware of recurring reports of neglect, including residents being left in bed for extended periods and safety concerns regarding falls.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated individual nursing staff
- Effective physical therapy team
- Goal-oriented rehabilitation plans
Concerns
- Unsanitary conditions and persistent foul odors (mentioned by 6 reviewers)
- Understaffing and lack of resident supervision (mentioned by 5 reviewers)
- Poor food quality and cold meals (mentioned by 4 reviewers)
- Inadequate physical therapy and lack of mobility support (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 33 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed some wonderful praise for your physical therapy team's goal-oriented approach; could you tell me more about how they customize rehab plans for new residents?
- 2With the dedicated nursing staff mentioned in some feedback, how do you ensure residents receive consistent attention during busy shifts?
- 3What steps are currently being taken to ensure the dining areas and resident rooms are kept fresh and clean for everyone's comfort?
- 4Could you describe what a typical day of activities and social events looks like for the residents here?
- 5How does the nursing team manage medical emergencies or changes in health status during the overnight hours?
- 6What is your process for communicating important updates or daily changes to family members?
Personalized based on this facility's data
Key Review Excerpts
“The Therapy Staff are AWESOME! LOVE THE LICENSE PLATES ON THE 🔙 back of THEIR WHEELCHAIRS, THAT READS THEIR NAMES!!!”
“I go to visit my family member, and they’re still in bed at 2:00 in the afternoon, not fed, not dressed. I’m shocked this place is still open.”
“The OT therapist allowed me to fall after I told her I was getting weak. Not able to get out of bed alone, bed changing was scary, being a small bed and a big guy the aids understood the dilemma of being rolled towards the floor side”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
5
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents who fell and were seriously hurt
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Lewis & Clark Gardens has significant ongoing issues with families filing 25 complaint-triggered reports across multiple areas. The most concerning pattern involves repeated problems with preventing abuse and neglect, maintaining safe living conditions, and providing adequate daily care assistance. While the facility appears to make corrections when cited, the persistent complaints about safety hazards, quality of care, and protection from harm suggest families should carefully investigate current conditions before visiting.
Jan 15, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 18, 2025Complaint1
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Sep 15, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 23, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 13, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 24, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Jun 23, 2025
$63,427
Fine
Apr 24, 2025
$17,300
Fine
May 15, 2024
$59,189
Payment Denial
May 15, 2024
33-day denial
Ownership & Operations
Who Operates This Facility
Lewis & Clark Gardens
for profit
Chain Affiliation
James & Judy Lincoln
56 facilities nationwide
Chain avg rating: 2.5/5 · Rank 47 of 56 (Worst)
Ownership & Management
Owners
Lincoln, James
Owner
Lincoln, Judy
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
32 reviews from families & visitors
Official Website
Visit lewisandclarkgardens.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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