Windsor Estates of St Charles
2150 West Randolph Street · Saint Charles, MO · 63301 · 6369464966
81 certified beds For profit - Limited Liability company Chain: Tutera Senior Living & Health Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $140,274 in fines in the last 24 months.
- 11 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$140,274 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 9 · $244,424 |
Inspection citations (74 in the current record)
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Potential for harm · E April 1, 2026 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected May 8, 2026 · Resident Rights
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Actual harm · G December 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D December 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 19, 2026 · Quality of Life and Care
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Actual harm · G September 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 1, 2025 · Quality of Life and Care
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Actual harm · G August 7, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 1, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025 · found via complaint
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.
Corrected August 27, 2025 · Resident Rights
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Potential for harm · E August 7, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 1, 2025 · Quality of Life and Care
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Potential for harm · E August 7, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 27, 2025 · Nutrition and Dietary
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Potential for harm · E June 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 12, 2025 · Quality of Life and Care
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Actual harm · G May 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · E May 2, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · F May 2, 2025 · found via complaint
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.
Corrected May 21, 2025 · Nutrition and Dietary
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Potential for harm · F May 2, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 21, 2025 · Nutrition and Dietary
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Potential for harm · D May 2, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected May 21, 2025 · Environmental
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Potential for harm · D March 4, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · F February 21, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 3, 2025 · Environmental
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Actual harm · G September 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 10, 2024 · Quality of Life and Care
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Actual harm · G July 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · E July 17, 2024 · found via complaint
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.
Corrected August 12, 2024 · Resident Rights
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Potential for harm · D March 21, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 5, 2024 · Resident Rights
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Potential for harm · D March 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.
Corrected May 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 5, 2024 · Quality of Life and Care
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Potential for harm · F March 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.
Corrected May 5, 2024 · Nutrition and Dietary
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Potential for harm · D March 21, 2024
Provide and implement an infection prevention and control program.
Corrected May 5, 2024 · Infection Control
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Potential for harm · D March 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 15, 2025 | Fine | $86,190 |
| August 7, 2025 | Fine | $41,659 |
| May 2, 2025 | Fine | $12,425 |
| May 2, 2025 | Payment Denial | 6 days |
| February 6, 2024 | Fine | $9,032 |
| October 3, 2023 | Fine | $73,593 |
| October 3, 2023 | Payment Denial | 29 days |
| August 28, 2023 | Fine | $2,098 |
| August 21, 2023 | Fine | $1,764 |
| July 31, 2023 | Fine | $3,145 |
| June 28, 2023 | Fine | $14,518 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265518 · certified since December 3, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.