Missouri › St. Charles County › Saint Charles
Windsor Estates of St Charles
2150 West Randolph Street, Saint Charles, MO 63301
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 81 beds, Windsor Estates of St Charles serves Saint Charles in St. Charles County, Missouri and has taken Medicare and Medicaid residents since 1992.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 78 health deficiencies across the three most recent survey cycles (22, 29, 27 by cycle, most recent first), 14 of them at the actual-harm or immediate-jeopardy level. That is 96.3 per 100 beds, more than the state median of 32.1.
CMS lists 10 penalties in the period covered: fines totalling $364K and 2 payment denials.
Reported nurse staffing is 3.5 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 71.4%.
CMS flags that the facility carries the CMS abuse icon and has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | St. Charles Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 78 | 39 | 31 | 28.7 |
| Citations per 100 beds | 96.3 | 44.4 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 71.4% | 57.5% | 56.1% | 45.8% |
| Fines listed | $364,413 | $17,696 | $0 | — |
County and state figures are medians across facilities (15 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Mar 2024, 13 Jul 2022.
Severity mix: J ×1 G ×13 D ×25 E ×31 F ×6 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | Complaint investigation | 7 Jul 2026 |
| 19 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 7 Jul 2026 |
| 19 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 7 Jul 2026 |
| 19 May 2026 | F0584 | 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. | E | Complaint investigation | 7 Jul 2026 |
| 19 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 7 Jul 2026 |
| 19 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 7 Jul 2026 |
| 19 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 7 Jul 2026 |
| 1 Apr 2026 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Complaint investigation | 4 Jun 2026 |
| 15 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 19 Jan 2026 |
| 15 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Jan 2026 |
| 3 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 Oct 2025 |
| 7 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 Oct 2025 |
| 7 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 1 Oct 2025 |
| 7 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 27 Aug 2025 |
| 7 Aug 2025 | F0584 | 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. | D | Complaint investigation | 27 Aug 2025 |
| 10 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 12 Jun 2025 |
| 2 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 21 May 2025 |
| 2 May 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 21 May 2025 |
| 2 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 21 May 2025 |
| 2 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 12 Jun 2025 |
| 2 May 2025 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 21 May 2025 |
| 4 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Mar 2025 |
| 21 Feb 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Complaint investigation | 3 Mar 2025 |
| 18 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 10 Oct 2024 |
| 30 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 18 Jul 2024 |
| 17 Jul 2024 | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | Complaint investigation | 12 Aug 2024 |
| 21 Mar 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 5 May 2024 |
| 21 Mar 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 5 May 2024 |
| 21 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 May 2024 |
| 21 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 May 2024 |
| 21 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 5 May 2024 |
| 21 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 May 2024 |
| 21 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 May 2024 |
| 3 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 31 Jan 2024 |
| 3 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Jan 2024 |
| 20 Nov 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 15 Dec 2023 |
| 3 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 15 Nov 2023 |
| 3 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Nov 2023 |
| 3 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 15 Dec 2023 |
| 3 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Nov 2023 |
| 3 Oct 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 15 Nov 2023 |
| 13 Jul 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0584 | 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. | E | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0585 | 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. | E | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Dec 2022 |
| 13 Jul 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0761 | 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. | E | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0803 | 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. | E | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0924 | Put firmly secured handrails on each side of hallways. | E | Standard survey | 6 Dec 2022 |
| 13 Jul 2022 | F0578 | 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. | D | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Dec 2022 |
| 13 Jul 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 11 Oct 2022 |
| 13 Jul 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 11 Oct 2022 |
| 22 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0584 | 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. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0578 | 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. | D | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0758 | 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. | D | Standard survey | 1 Oct 2019 |
| 22 Aug 2019 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 1 Oct 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 May 2026 | Fine | $137,652 | |
| 15 Dec 2025 | Fine | $86,190 | |
| 7 Aug 2025 | Fine | $41,659 | |
| 2 May 2025 | Payment denial | — | 6 days |
| 2 May 2025 | Fine | $12,425 | |
| 6 Feb 2024 | Fine | $9,032 | |
| 3 Oct 2023 | Payment denial | — | 29 days |
| 3 Oct 2023 | Fine | $73,593 | |
| 28 Aug 2023 | Fine | $2,098 | |
| 21 Aug 2023 | Fine | $1,764 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 71.4%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.3% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: St Charles Opco Llc. Chain: Tutera Senior Living & Health Care (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Marian Olander Tutera 2020 Mrtl Tr | 5% or greater direct ownership interest | 6% | 08/01/2023 |
| St Charles Holdco Holdings LLC | 5% or greater direct ownership interest | 20% | 08/01/2023 |
| Walnut Creek Management Company LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Charles County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cottages of Lake St Louis | Lake Saint Louis | 60 | 4 | 4 | 4 | 8 | 13.3 | $18K | 4 Feb 2026 |
| Lutheran Senior Services At Breeze Park | Saint Charles | 50 | 4 | 3 | 5 | 15 | 30.0 | $41K | 2 Apr 2026 |
| Nhc Healthcare, St Charles | Saint Charles | 120 | 4 | 4 | 4 | 8 | 6.7 | — | 20 Jun 2024 |
| Abbey Senior Healthabuse icon | O Fallon | 55 | 3 | 2 | 5 | 29 | 52.7 | — | 11 Jun 2026 |
| Delmar Gardens of O'Fallon | O Fallon | 198 | 3 | 2 | 4 | 39 | 19.7 | — | 5 Feb 2026 |
| Mcclay Senior Care | Saint Peters | 60 | 3 | 3 | 3 | 42 | 70.0 | — | 4 Apr 2025 |
| Laurel Meadows Wellness & Rehabilitation | Saint Charles | 103 | 2 | 2 | 3 | 23 | 22.3 | $12K | 4 Jun 2025 |
| Sunterra Springs Dardenne Prairie | Dardenne Prairie | 38 | 2 | 2 | 3 | 31 | 81.6 | $50K | 20 May 2026 |
All 15 facilities in St. Charles County
Questions and answers
How many deficiencies has Windsor Estates of St Charles been cited for?
78 health deficiencies across the three most recent survey cycles, 14 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Windsor Estates of St Charles been fined?
Yes. CMS lists fines totalling $364K in the period covered, plus 2 payment denials.
How does staffing at Windsor Estates of St Charles compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Windsor Estates of St Charles?
It is part of the Tutera Senior Living & Health Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Marian Olander Tutera 2020 Mrtl Tr, St Charles Holdco Holdings LLC and Walnut Creek Management Company LLC. Individual owners and managers are not listed on this site.
When was Windsor Estates of St Charles last inspected?
The most recent survey or investigation in the CMS record is dated 29 Jun 2026; the most recent standard health survey was 21 Mar 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.