Lewis and Clark Gardens

    1221 Boonslick Rd, St. Charles, Missouri 63301
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.44·(39)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.1
    • Staff

      2.4
    • Meals

      1.8
    • Amenities

      1.8
    • Value

      1.4

    Pros

    • Compassionate individual nurses and aides
    • Dedicated, stand-out caregivers (example: Nurse Judy)
    • Comprehensive rehabilitation program (PT/OT/SLP)
    • Effective outpatient/therapy coordination
    • Supportive, family-like relationships with select staff
    • Prompt therapy and rehabilitation outcomes
    • Helpful and engaged therapy teams
    • Personalized assistance with laundry and medications
    • Some consistent night-shift caregivers
    • Improved conditions reported under new management
    • Comfortable communal spaces for shared activities
    • Staff who facilitate sports/television viewing and social events

    Cons

    • Inconsistent and inadequate staffing levels
    • Weak housekeeping and sanitation protocols
    • Incontinence-care delays and bedding-linen lapses
    • Medication-administration and dosing control gaps
    • Gaps in clinical oversight and physician responsiveness
    • Supply management and treatment-access failures
    • Poor family communication and notification practices
    • High administrative turnover and leadership instability
    • Safety and fall-risk management deficiencies
    • Food-quality and meal-temperature inconsistencies
    • Odor concerns in some common areas
    • Pest-control concerns
    • Staff conduct including alleged substance use
    • Limited resident engagement and inconsistent activity programming
    • Cost-cutting practices affecting staffing and training

    Summary of reviews

    The reviews present a mixed but concerning profile: many families describe individual staff members and therapy teams who provide attentive, compassionate care and meaningful rehabilitation, yet the facility appears to struggle with systemic operational weaknesses. Strengths cluster around specific caregivers and the therapy program (PT/OT/SLP), with multiple accounts of therapists and certain nurses delivering effective, life-changing rehabilitation and personalized assistance with medications and outpatient coordination. Some families described a family-like atmosphere with staff who were helpful, reassuring, and engaged.

    At the same time, reviewers consistently identify operational failures that affect clinical quality and resident comfort. Clinical-care concerns include inconsistent nursing attention (missed rounds, delayed responses to calls), gaps in wound and edema management, inconsistent physical-therapy availability for residents who would benefit, and medication-administration errors. There are also reports of delayed clinical communication with families and delayed or inadequate follow-up from the facility’s attending physician, which together indicate weaknesses in clinical oversight and escalation pathways.

    Facility and housekeeping issues were frequently cited. Reviews describe sanitation concerns, odor issues in common areas, linen shortages or delayed linen changes, and pest-control concerns. Several accounts describe maintenance problems (dirty vents/air-conditioning, rusted fixtures, handicapped-access equipment needing attention) and periods when housekeeping coverage appeared insufficient. Supply-chain problems and restricted access to treatment supplies were also mentioned, suggesting inconsistencies in inventory and treatment availability.

    Staffing, conduct, and management patterns are a central theme. While individual staff members earned strong praise, reviewers describe uneven staffing levels, frequent administrative turnover, and management that became less responsive over time. Concerns about staff conduct range from inattentive behavior and inappropriate communication tone to allegations of on- or off-site substance use; these accounts point to shortcomings in supervision, training, and accountability. Families also raised issues of nepotistic hiring and cost-cutting decisions that may have affected staff qualifications and retention.

    Dining, activities, and resident life were described as variable. Some residents benefited from engaging therapy and social opportunities; others experienced inconsistent meal quality, cold or poorly presented food, and limited activity engagement. Noise levels and television volume were noted as disturbances in common areas by some families, while others found the communal environment compatible with their loved one’s needs.

    Notable patterns include an overall decline in some areas described as starting after the COVID period, recurrent night-shift coverage and responsiveness problems, and references to regulatory attention and state investigations. There are serious family concerns following adverse clinical outcomes in at least one case; reviewers indicate that communication and condolences from administration were insufficient in those instances.

    For prospective residents and families: this facility appears to have capable and committed individual caregivers and a strong therapy department, but it also exhibits persistent operational weaknesses that have clinical and quality-of-life implications. Important topics to clarify during a tour or intake include current staffing ratios (day and night), wound-care and medication-administration protocols, infection-control and housekeeping schedules, supply availability for treatments, recent state inspection results, and procedures for family communication after clinical events. Daily visits or close oversight may be advisable for high-risk residents until operational improvements are demonstrably sustained.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Lewis and Clark Gardens is located at 1221 Boonslick Rd, St. Charles, Missouri, 63301.

    About Lewis and Clark Gardens

    Lewis and Clark Gardens sits in St. Charles, MO, providing long-term care under physician supervision with a focus on residents' wellbeing, aiming for their best physical, mental, and social health, and folks can see the place for themselves through a tour or a virtual tour if getting there's tough. The staff holds daily meetings to keep service up to good standards, and there's always someone available day or night to hear any care concerns or suggestions, so loved ones don't need to worry about getting in touch. Residents can choose private furnished rooms or shared apartments, with private bathrooms, kitchenettes, air conditioning, cable, Wi-Fi, phones, and all utilities included, and the place's set up for safety and easy movement, which families seem to appreciate, especially those with family needing memory care or non-ambulatory support. Meals happen in a restaurant-style dining room and are made by a professional chef with choices for those needing special diets like for diabetes, and there's a strong effort to honor what people want to eat and when, which helps those who enjoy some independence or just miss certain foods from home. People have their pick of amenities - pretty gardens, a fenced courtyard, an aviary with birds to watch, an ice cream parlor for a sweet treat, a professional barber and beauty shop, a small library, game and arts rooms, a fitness center, a massage and wellness room, and even a movie theater, while outside there are walking paths and space for group or quiet time. Lewis and Clark Gardens takes Medicare and Medicaid and offers a range of options, like independent living for active folks, assisted living, skilled nursing, memory care for dementia, respite care, as well as support with daily activities from bathing and dressing to transfers and medication management, plus they've got a friendly staff around 24/7, and an on-call RN for health checks and ongoing monitoring. They do their best to build a warm and welcoming atmosphere that brings people together from backgrounds that are mostly white but also include African American, Asian, and Hispanic residents, with scheduled group activities, outings, and opportunities for both social time and private family meetings, which are helped along by programs in both the community and resident-run clubs or groups. There's a call system in every room, massages, snacks between meals, housekeeping, laundry, moving help, and transportation for errands or doctor visits; plus, the community is set up to welcome pets and help with home care for those who need non-medical support right at home. The location's near medical offices, St. Joseph's Hospital, Walgreens pharmacy, and the Walsh Martin SSM Health Outpatient Center, making it easier for doctor visits and picking up medicine. The place gets around 3.4 stars on reviews, and while it isn't fancy in every way, folks say the staff is helpful, joyful, and kind, and there's always someone to talk to if something comes up, and the small extras - like the gardens and birds - do seem to make a difference to daily life.

    People often ask...

    Lewis and Clark Gardens offers assisted living, memory care, and skilled nursing.

    There are 11 photos of Lewis and Clark Gardens on Mirador.

    The full address for this community is 1221 Boonslick Rd, St. Charles, Missouri 63301.

    No, Lewis and Clark Gardens does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Lewis and Clark Gardens. The information above has not been verified or approved by the owner or operator. For exact information, please contact Lewis and Clark Gardens directly. There is no cost for this service. We are compensated by the community you select.

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