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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriWindsor Estates of St Charles

Windsor Estates of St Charles

2150 West Randolph Street, Saint Charles, MO 633016369464966
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
3/5
Beds
81
certified
8 fine(s) totaling $187,355

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 81 certified beds with an average of 70 residents per day (86% occupancy)

• Last health inspection found 22 deficiencies (inspected Mar 21, 2024)

• Has been fined a total of $187,355 across 8 fine(s)

• Total nursing staff: 3.57 hours per resident per day

• Staff turnover rate: 74.5% (high)

• Part of the Tutera Senior Living & Health Care chain (25 facilities)

Windsor Estates of St Charles is a 1-star Medicare and Medicaid certified nursing home in Saint Charles, Missouri with 81 certified beds. It has been operating since 1992. The facility scored below average compared to Missouri facilities.

Beds
81
Avg Residents/Day
70
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 3, 1992
Sprinklers
Yes
Council
Resident
County
St. Charles
Last Inspection
Mar 21, 2024
Deficiencies (Cycle 1)
22
Weighted Score
345.5
Infection Citations
0

Deficiency Citations (86)

F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 15, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 15, 2025Corrected: NoCycle: 1
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Sep 3, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 10, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 2, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 2, 2025Corrected: NoCycle: 1
F0801Potential for Harm

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.

Survey: May 2, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 2, 2025Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: May 2, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 4, 2025Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Feb 21, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Mar 21, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 21, 2024Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 21, 2024Corrected: NoCycle: 1
F0801Potential for Harm

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.

Survey: Mar 21, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 2024Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 21, 2024Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Mar 21, 2024Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 18, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0620Potential for Harm

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.

Survey: Jul 17, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 13, 2022Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Jul 13, 2022Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jul 13, 2022Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Jul 13, 2022Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jul 13, 2022Corrected: NoCycle: 2

+ 56 more deficiencies

Total Fines
$187,355
Number of Fines
8
Payment Denials
2
Total Penalties
10

Penalty History

FineAug 21, 2023
$1,764
FineAug 28, 2023
$2,098
FineJul 31, 2023
$3,145
FineFeb 6, 2024
$9,032
FineJun 28, 2023
$14,518
FineMay 2, 2025
$19,115
FineAug 7, 2025
$64,090
FineOct 3, 2023
$73,593
Payment DenialMay 2, 2025
6 days denied
Payment DenialOct 3, 2023
29 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.16 hrs
National avg: 2.35 hrs
LPN1.20 hrs
National avg: 0.86 hrs
RN0.20 hrs
National avg: 0.68 hrs
Total Nursing3.57 hrs
National avg: 3.89 hrs
Weekend Total3.04 hrs
National avg: 0.00 hrs
Physical Therapist0.13 hrs
National avg: 0.07 hrs
Total Turnover
74.5%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
JOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization13%Aug 1, 2023
MARIAN OLANDER TUTERA 2020 MRTL TR5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization6%Aug 1, 2023
ST CHARLES HOLDCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization20%Aug 1, 2023
TUTERA INVESTMENTS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization18%Aug 1, 2023
TUTERA, JOSEPH5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual13%Aug 1, 2023
WALNUT CREEK MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 2023
BROOKS, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2023
BROOKS, KILEYCORPORATE OFFICERIndividualN/AAug 1, 2023
TUTERA, JOSEPHCORPORATE OFFICERIndividualN/AAug 1, 2023

Nearby Nursing Homes

All Missouri facilities

Lauren Meadows Wellness & Rehabilitation

Saint Charles, MO · 103 beds

For profit$11,536 in fines
Health
Staffing
Quality
1.2 mi

Lewis & Clark Gardens

Saint Charles, MO · 142 beds

For profit$139,601 in finesAbuse
Health
Staffing
Quality
1.9 mi

Aspen Point Health and Rehabilitation

Saint Charles, MO · 180 beds

Not Rated
For profit$496,745 in fines
Health
Not Rated
Staffing
Not Rated
Quality
Not Rated
2.3 mi

Nhc Healthcare, St Charles

Saint Charles, MO · 120 beds

For profit
Health
Staffing
Quality
3.5 mi

Lutheran Senior Services at Breeze Park

Saint Charles, MO · 50 beds

Non profit$41,347 in fines
Health
Staffing
Quality
10.5 mi

Frequently Asked Questions

What is the CMS rating for Windsor Estates of St Charles?▾
Windsor Estates of St Charles has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
Has Windsor Estates of St Charles had any health inspection violations?▾
Windsor Estates of St Charles had 22 deficiency citations in its most recent health inspection (Mar 21, 2024). The facility has been fined a total of $187,355 across 8 fine(s).
What are the staffing levels at Windsor Estates of St Charles?▾
Windsor Estates of St Charles provides 3.57 total nursing staff hours per resident per day, including 0.20 RN hours, 1.20 LPN hours, and 2.16 nurse aide hours. The total staff turnover rate is 74.5%.
How many beds does Windsor Estates of St Charles have?▾
Windsor Estates of St Charles has 81 certified beds with an average of 70 residents per day, resulting in approximately 86% occupancy. The facility is For profit - Limited Liability company owned and is part of the Tutera Senior Living & Health Care chain.
Are there other nursing homes near Windsor Estates of St Charles?▾
Yes, there are 5 other nursing homes in Saint Charles, Missouri with an average rating of 2.4/5. You can compare all facilities on the Saint Charles nursing homes page.

Part of Tutera Senior Living & Health Care

This chain operates 25 facilities. View all →