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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Windsor Estates of St Charles

2150 West Randolph Street · Saint Charles, MO 63301 · 81 certified beds

6369464966

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1528748324. Look this up in the CMS NPPES registry (opens in a new tab)

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About Windsor Estates of St Charles

In Saint Charles, Missouri, Windsor Estates of St Charles is listed as a nursing home. Its reported capacity is 81 beds. Federal records list it as Medicare certified. It is recorded as a for-profit operator, part of Tutera Senior Living & Health Care. Our copy of the inspection record holds 80 citations, the newest dated 19 May 2026. Federal enforcement records add 11 fine or payment denial actions. Staffing reports put it at 3.53 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

60

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

57

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

61

Inspection history (80)

Records from August 2019 to May 2026.

  • June 28, 2023 · J

    Citation F0689

    Federal surveyors cited this nursing home on 2023-06-28 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-28.GOV
  • June 28, 2023 · E

    Citation F0920

    Federal surveyors cited this nursing home on 2023-06-28 under CMS tag F0920 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. The deficiency was recorded as corrected on 2023-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-28.GOV
  • June 28, 2023 · E

    Citation F0835

    Federal surveyors cited this nursing home on 2023-06-28 under CMS tag F0835 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2023-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-28.GOV
  • July 13, 2022 · E

    Citation F0803

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2022-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · D

    Citation F0578

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0585

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0924

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0924 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Put firmly secured handrails on each side of hallways. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0584

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0679

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · G

    Citation F0689

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0804

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · C

    Citation F0623

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0623 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0602

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0602 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0677

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0638

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0638 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · D

    Citation F0637

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0755

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2022-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV
  • July 13, 2022 · E

    Citation F0658

    Federal surveyors cited this nursing home on 2022-07-13 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2022-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-13.GOV

Penalties (11)

Total fines on file: $229,906

  • May 19, 2026 · Fine

    Citation FINE-141628

    CMS recorded a civil money penalty of $137,652 against this nursing home on 2026-05-19 (Fine ID: 141628). Source: CMS Care Compare Penalties (as of 2026-08-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-19.GOV
  • December 15, 2025 · Fine

    Citation FINE-137015

    CMS recorded a civil money penalty of $86,190 against this nursing home on 2025-12-15 (Fine ID: 137015). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-15.GOV
  • August 7, 2025 · Fine

    Citation FINE-136575

    CMS recorded a civil money penalty of $41,659 against this nursing home on 2025-08-07 (Fine ID: 136575). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-07.GOV
  • May 2, 2025 · Fine

    Citation FINE-135738

    CMS recorded a civil money penalty of $12,425 against this nursing home on 2025-05-02 (Fine ID: 135738). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-02.GOV
  • May 2, 2025 · Payment Denial

    Citation PAYDEN-2025-06-06

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2025-06-06, lasting 6 days (triggered by inspection on 2025-05-02). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-02.GOV
  • February 6, 2024 · Fine

    Citation FINE-90286

    CMS recorded a civil money penalty of $9,032 against this nursing home on 2024-02-06 (Fine ID: 90286). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-06.GOV
  • October 3, 2023 · Fine

    Citation FINE-90436

    CMS recorded a civil money penalty of $73,593 against this nursing home on 2023-10-03 (Fine ID: 90436). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-03.GOV
  • October 3, 2023 · Payment Denial

    Citation PAYDEN-2023-11-16

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2023-11-16, lasting 29 days (triggered by inspection on 2023-10-03). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-03.GOV
  • August 28, 2023 · Fine

    Citation FINE-89940

    CMS recorded a civil money penalty of $2,098 against this nursing home on 2023-08-28 (Fine ID: 89940). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-28.GOV
  • August 21, 2023 · Fine

    Citation FINE-89927

    CMS recorded a civil money penalty of $1,764 against this nursing home on 2023-08-21 (Fine ID: 89927). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-21.GOV
  • July 31, 2023 · Fine

    Citation FINE-89808

    CMS recorded a civil money penalty of $3,145 against this nursing home on 2023-07-31 (Fine ID: 89808). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-31.GOV

Staffing

Latest: 3.53 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.59 hrs/resident/day
  2. 2026-06-013.59 hrs/resident/day
  3. 2026-07-013.53 hrs/resident/day
  4. 2026-08-013.53 hrs/resident/day
  5. 2026Q13.53 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.06 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Tutera Senior Living & Health Care

Chain ID 531 · 25 facilities in chain (CMS)

  • Chain average overall rating: 2
  • Chain average health inspection rating: 2.2
  • Chain average staffing rating: 1.7
  • Chain average quality measure rating: 3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · MO$6,741/mo
See full MO cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Saint Charles, with their own public records.

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A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Windsor Estates of St Charles in Saint Charles, MO · Inspections page 3 · ElderCareCosts