Windsor Estates of ST Charles
Nursing Home · Saint Charles, MO
CMS certification number265518
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
2150 West Randolph StreetSaint Charles, MO 63301
St. Charles County
- Phone
- (636) 946-4966
- ZIP code
- 63301 – all care providers
Facility details
- Certified beds
- 81
- Residents per day
- 72.7 (90% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- ST Charles Opco LLC
- Chain
- Tutera Senior Living & Health Care (25 facilities, avg 2.0★)
- Medicare certified since
- December 3, 1992
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.53 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.20 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 1.13 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.19 (state 2.29 · U.S. 2.32)
- Weekend total
- 3.07 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 71.4 (state 56.0 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- March 21, 2024
- Health deficiencies (last cycle)
- 22.0 (state 11.5 · U.S. 9.3)
- From complaints
- 17
- Citations on record (3 years)
- 61 health · 19 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-07-07 |
| 2026-05-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-07-07 |
| 2026-05-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-07-07 |
| 2026-05-19 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-07 |
| 2026-05-19 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-07 |
| 2026-05-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-07 |
| 2026-05-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-07 |
| 2026-04-01 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-04 |
| 2025-12-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-01-19 |
| 2025-12-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-09-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-10-01 |
| 2025-08-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-10-01 |
| 2025-08-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-01 |
| 2025-08-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-27 |
| 2025-08-07 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-27 |
| 2025-06-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-12 |
| 2025-05-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-21 |
| 2025-05-02 | 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. F0801 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-21 |
| 2025-05-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-21 |
| 2025-05-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-12 |
| 2025-05-02 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-21 |
| 2025-03-04 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-19 |
| 2025-02-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2024-09-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-10-10 |
| 2024-07-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-07-18 |
| 2024-07-17 | 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. F0620 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-12 |
| 2024-03-21 | 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. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-03-21 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-03-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-03-21 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-03-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-03-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-03-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-01-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2024-01-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-11-20 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-12-15 |
| 2023-10-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-11-15 |
| 2023-10-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-11-15 |
| 2023-10-03 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-12-15 |
| 2023-10-03 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-15 |
| 2023-10-03 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-15 |
| 2022-07-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2022-12-06 |
| 2022-07-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-10-11 |
| 2022-07-13 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-06 |
| 2022-07-13 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-06 |
| 2022-07-13 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-10-11 |
| 2022-07-13 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-10-11 |
| 2022-07-13 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-06 |
| 2022-07-13 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-30 |
| 2022-07-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-06 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
10 penalties in the last three years, including $364,413 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-05-19 | Fine | $137,652 |
| 2025-12-15 | Fine | $86,190 |
| 2025-08-07 | Fine | $41,659 |
| 2025-05-02 | Payment Denial | 6 days payment denial |
| 2025-05-02 | Fine | $12,425 |
| 2024-02-06 | Fine | $9,032 |
| 2023-10-03 | Payment Denial | 29 days payment denial |
| 2023-10-03 | Fine | $73,593 |
| 2023-08-28 | Fine | $2,098 |
| 2023-08-21 | Fine | $1,764 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement (organization) | 5%+ Direct Ownership Interest · 13% | |
| Marian Olander Tutera 2020 Mrtl TR (organization) | 5%+ Direct Ownership Interest · 6% | |
| ST Charles Holdco Holdings LLC (organization) | 5%+ Direct Ownership Interest · 20% | |
| Brooks, Kiley (individual) | Corporate Officer · NOT APPLICABLE | |
| Tutera, Joseph (individual) | Corporate Officer · NOT APPLICABLE | |
| Brooks, Kiley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Walnut Creek Management Company LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Windsor Estates of ST Charles?
Windsor Estates of ST Charles has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Windsor Estates of ST Charles have?
It has 81 certified beds and cares for about 73 residents per day.
Has Windsor Estates of ST Charles been fined?
Yes. CMS lists 10 penalties totaling $364,413 in the last three years.
Who owns Windsor Estates of ST Charles?
It is part of Tutera Senior Living & Health Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Windsor Estates of ST Charles?
(636) 946-4966. The facility is located at 2150 West Randolph Street, Saint Charles, MO 63301.
Other nursing homes in Saint Charles
-
Lutheran Senior Services at Breeze Park
Nursing Home · Saint Charles, MO · 50 beds
★★★★ -
NHC Healthcare, ST Charles
Nursing Home · Saint Charles, MO · 120 beds
★★★★ -
Laurel Meadows Wellness & Rehabilitation
Nursing Home · Saint Charles, MO · 103 beds
★★ -
Aspen Point Health and Rehabilitation
Nursing Home · Saint Charles, MO · 180 beds
★ -
Lewis & Clark Gardens
Nursing Home · Saint Charles, MO · 142 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.