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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 34 Google reviews
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This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 43% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 18 findings, above the MO average of 12.0. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 35 analyzed
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”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
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
Detailed Medicare record · up to 3-year lookback
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.
Nursing and Physician Services Deficiencies
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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
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.
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
Lewis & Clark Gardens
for profit
James & Judy Lincoln
56 facilities nationwide
Chain avg rating: 2.5/5 · Rank 47 of 56 (Lowest rating)
Owners
Lincoln, James
Owner
Lincoln, Judy
Owner
Key personnel
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Medicare Care Compare
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Google Reviews
34 reviews from families & visitors
Official Website
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Medicare data downloads
Original nursing home datasets
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