Skilled Nursing (SNF) — St. Charles, St. Charles County. 142 licensed beds.
Lewis & Clark Gardens is a Skilled Nursing Facility (SNF) in St. Charles (St. Charles County), DHSS license 053842, licensed for 142 beds.
| Facility | Lewis & Clark Gardens |
|---|---|
| Address | 1221 Boones Lick Rd, St. Charles, MO 63301 |
| Phone (DHSS record) | (636) 946-6140 |
| Licensing agency | Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation |
| License number | 053842 |
| DHSS facility number | 01266 |
| Level of care | Skilled Nursing Facility (SNF) |
| Licensed capacity | 142 beds |
| Alzheimer's special care unit | None disclosed |
| Status | Active — current license term July 31, 2026 to July 30, 2028 |
| First licensed | Not published in the DHSS directory; inspection records on Show Me LTC go back to June 18, 2019 |
| Licensee (operator) | N & R of St. Charles, LLC (limited liability company) |
| Administrator of record | Amanda Marsten |
| Medicare / Medicaid beds | Yes / Yes |
| CMS certification | Medicare/Medicaid — CCN 265160 |
| Enforcement / disciplinary action | None reported. The DHSS directory lists the license as active; Show Me LTC posts inspection findings but not civil penalties or license actions |
Show Me LTC lists 26 inspections and complaint investigations for Lewis & Clark Gardens, most recently on January 15, 2026 (inspection).
| Date | Inspection type | Plan of correction filed |
|---|---|---|
| January 15, 2026 | Inspection | — |
| June 23, 2025 | Federal certification survey | Yes |
| May 13, 2025 | Inspection | — |
| April 24, 2025 | Federal certification survey | Yes |
| April 11, 2025 | Inspection | — |
| August 8, 2024 | Federal certification survey | Yes |
| August 8, 2024 | Life Safety Code (fire safety) survey | Yes |
| June 26, 2024 | Inspection | — |
The portal has no per-facility link, so these four steps are the shortest route to the official record. The license number to match is 053842 in the DHSS LTC Directory.
DHSS licenses Lewis & Clark Gardens as a Skilled Nursing Facility (SNF): a facility that provides 24-hour accommodation, board and skilled nursing care and treatment services to at least three residents.
Because it is CMS-certified (Medicare/Medicaid), federal survey results, staffing and quality measures are on Medicare Care Compare.
Comparing Lewis & Clark Gardens with other licensed options? A local advisor can help, free.
Talk to an advisor →Data source + refresh cadence
Licenses, levels of care, capacity, Alzheimer's special care unit flags, operators and administrators come from the Missouri Department of Health and Senior Services (DHSS) LTC Directory, published for the Section for Long-Term Care Regulation (file updated October 5, 2026). Inspection and complaint-investigation history comes from DHSS Show Me Long Term Care.
Listings are active licenses only. We re-pull both sources quarterly. Last updated: October 23, 2026 · Last verified: October 2026.
Free and online, no pressure. We work for families, not facilities.
Or call (314) 370-2387