Nursing HomeInspections

Windsor Estates of St Charles

Nursing home in Saint Charles, MO

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
2150 West Randolph Street, Saint Charles, MO 63301
Phone
(636) 946-4966
Listed under
For-profit
Medicare CCN
265518
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
81
Average residents per day
73
Ownership
For-profit, limited Liability company
Legal business name
St Charles Opco LLC
Chain
Tutera Senior Living & Health Care (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 3, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265518. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 21, 2024. CMS lists 78 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 22, 2019 to Jun 29, 2026): 36 from complaint inspections, 14 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jun 29, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
G
Actual harm, isolated
May 19, 2026Honor 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.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
May 19, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
May 19, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
May 19, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
May 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
May 19, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
J
Immediate jeopardy, isolated
Apr 1, 2026Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Dec 15, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 15, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Sep 3, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Aug 7, 2025Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 78. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 8 fines totalling $364,413 and 2 denials of Medicare payment for new admissions in the last three years.

May 19, 2026Fine: $137,652
Dec 15, 2025Fine: $86,190
Aug 7, 2025Fine: $41,659
May 2, 2025Fine: $12,425
May 2, 2025Payment denial for 6 days from Jun 6, 2025
Feb 6, 2024Fine: $9,032
Oct 3, 2023Fine: $73,593
Oct 3, 2023Payment denial for 29 days from Nov 16, 2023
Aug 28, 2023Fine: $2,098
Aug 21, 2023Fine: $1,764

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.53 hours
Registered nurse (RN) time per resident per day
0.20 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
3.07 hours
Nursing staff turnover (yearly)
71%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Saint Charles

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