Nursing home · St. Charles, MO
Windsor Estates of St Charles
2150 West Randolph Street, St. Charles, MO 63301 · 81 certified beds · for profit ownership · part of Tutera Senior Living & Health Care
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 29, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 21, 2024) it had 18 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.53 hours per resident per day here, about the same as the Missouri average (3.43) and 9% less than the U.S. average (3.86). Registered nurses account for 0.20 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 71% over the past year, 15 points higher than Missouri (56%) and 26 points higher than the U.S. (46%).
How Windsor Estates of St Charles compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.53 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.20 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.07 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 71% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | — | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 18 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 78 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 29, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service · complaint | G actual harm | Deficient, Provider has date of correction |
| May 19, 2026 | Protect 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 | J immediate jeopardy | Deficient, Provider has date of correction |
| May 19, 2026 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| May 19, 2026 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| May 19, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| May 19, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| May 19, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Apr 1, 2026 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Dec 15, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Dec 15, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Sep 3, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Aug 7, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Aug 7, 2025 | 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. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 7, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Aug 7, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Jun 10, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| May 2, 2025 | Keep all essential equipment working safely. Environmental · complaint | D | Deficient, Provider has date of correction |
| May 2, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| May 2, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| May 2, 2025 | 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. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| May 2, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Mar 4, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 21, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental · complaint | F | Deficient, Provider has date of correction |
| Sep 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Jul 30, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Past Non-Compliance |
| Jul 17, 2024 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Mar 21, 2024 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | 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. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 21, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 3, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 3, 2024 | Provide and implement an infection prevention and control program. Infection control · complaint | D | Deficient, Provider has date of correction |
| Nov 20, 2023 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Oct 3, 2023 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Oct 3, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Oct 3, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Oct 3, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| May 19, 2026 | Fine | $159,597 |
| May 19, 2026 | Payment Denial | 6 days |
| Dec 15, 2025 | Fine | $56,024 |
| Aug 7, 2025 | Fine | $41,659 |
| May 2, 2025 | Fine | $12,425 |
| May 2, 2025 | Payment Denial | 6 days |
| Feb 6, 2024 | Fine | $9,032 |
| Oct 3, 2023 | Fine | $73,593 |
| Oct 3, 2023 | Payment Denial | 29 days |
Location
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Reviews
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Questions about Windsor Estates of St Charles
Answers computed from CMS data for this facility.
What is Windsor Estates of St Charles's Medicare rating?
Medicare rates Windsor Estates of St Charles 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Windsor Estates of St Charles do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 29, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 21, 2024) it had 18 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Windsor Estates of St Charles been fined?
Yes. CMS reports 6 fines totaling $352,330 in the past three years.
Does Windsor Estates of St Charles accept Medicaid?
Windsor Estates of St Charles is certified for both Medicare and Medicaid. Call (636) 946-4966 to ask whether a Medicaid bed is open.
Other nursing homes near St. Charles
- 4/5Lutheran Senior Services at Breeze ParkSt. Charles · 50 beds
- 4/5Nhc Healthcare, St CharlesSt. Charles · 120 beds
- 2/5Laurel Meadows Wellness & RehabilitationSt. Charles · 103 beds
- 1/5Aspen Point Health and RehabilitationSt. Charles · 180 beds
- 1/5Lewis & Clark GardensSt. Charles · 142 beds
- 5/5Aberdeen HeightsKirkwood · 38 beds
Compare all 97 St. Louis-area nursing homes · Homes that take Medicaid · Rehab and skilled nursing · St. Louis guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.