Nursing Homes · Saint Charles, MO
Nursing Homes · Medicare certified
Windsor Estates of St Charles
2150 West Randolph Street · Saint Charles, MO 63301 · 81 certified beds
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About Windsor Estates of St Charles
Windsor Estates of St Charles is a nursing home in Saint Charles, Missouri. Its capacity is 81 beds, below the St. Charles County median of 91 for nursing homes. It is run by a for-profit operator and is part of Tutera Senior Living & Health Care. It is Medicare certified. Its public inspection record shows 80 citations, the most recent on May 19, 2026. CMS also lists 12 fines or payment denials against it. Nurse staffing averages 3.56 hours per resident per day. It is one of 6 nursing homes listed in Saint Charles. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (80)
Records from August 2019 to May 2026.
July 13, 2022
Tag F0625Notify 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.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected October 11, 2022.
July 13, 2022
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 6, 2022.
July 13, 2022
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 11, 2022.
August 22, 2019
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0570Assure the security of all personal funds of residents deposited with the facility.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0659Provide care by qualified persons according to each resident's written plan of care.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
August 22, 2019
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 1, 2019.
Penalties (12)
Total fines: $229,906
May 19, 2026 · Fine
CMS recorded a civil money penalty of $137,652 against this nursing home on May 19, 2026.
May 19, 2026 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting July 1, 2026, lasting 6 days (triggered by inspection on May 19, 2026).
December 15, 2025 · Fine
CMS recorded a civil money penalty of $86,190 against this nursing home on December 15, 2025.
August 7, 2025 · Fine
CMS recorded a civil money penalty of $41,659 against this nursing home on August 7, 2025.
May 2, 2025 · Fine
CMS recorded a civil money penalty of $12,425 against this nursing home on May 2, 2025.
May 2, 2025 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting June 6, 2025, lasting 6 days (triggered by inspection on May 2, 2025).
February 6, 2024 · Fine
CMS recorded a civil money penalty of $9,032 against this nursing home on February 6, 2024.
October 3, 2023 · Fine
CMS recorded a civil money penalty of $73,593 against this nursing home on October 3, 2023.
October 3, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 16, 2023, lasting 29 days (triggered by inspection on October 3, 2023).
August 28, 2023 · Fine
CMS recorded a civil money penalty of $2,098 against this nursing home on August 28, 2023.
August 21, 2023 · Fine
CMS recorded a civil money penalty of $1,764 against this nursing home on August 21, 2023.
July 31, 2023 · Fine
CMS recorded a civil money penalty of $3,145 against this nursing home on July 31, 2023.
Staffing
3.56 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Tutera Senior Living & Health Care, a chain of 24 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.2 for health inspections, 2.0 for staffing, 3.2 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Saint Charles.
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Lewis & Clark Gardens
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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