Nursing homes › Missouri › Saint Charles › Windsor Estates of St Charles
2150 West Randolph Street, Saint Charles, MO 63301 · (636) 946-4966 · 81 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 479 providers with a published value in the same state and provider category: 2/5.
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Per CMS filings, this facility is affiliated with Tutera Senior Living & Health Care, a group operating 25 facilities in 5 states. Group record: average rating 2.0/5, 9 abuse citation icons, 0 facilities on the Special Focus list, $2,837,182 in federal fines. This facility rates below its group average (2.0/5).
Total nurse staffing: 3.53 (Missouri median: 3.36). RN hours: 0.20. Weekend total: 3.07. Nursing staff turnover: 71%.
In the downloaded CMS dataset: 78 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | complaint | corrected 2026-07-07 |
| 2026-05-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2026-07-07 |
| 2026-05-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2026-07-07 |
| 2026-05-19 | 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. | E | complaint | corrected 2026-07-07 |
| 2026-05-19 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2026-07-07 |
| 2026-05-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-07-07 |
| 2026-05-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2026-07-07 |
| 2026-04-01 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | complaint | corrected 2026-06-04 |
| 2025-12-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2026-01-19 |
| 2025-12-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-01-19 |
| 2025-09-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-10-01 |
| 2025-08-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-10-01 |
| 2025-08-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-10-01 |
| 2025-08-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-08-27 |
| 2025-08-07 | 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. | D | complaint | corrected 2025-08-27 |
| 2025-06-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-06-12 |
| 2025-05-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-05-21 |
| 2025-05-02 | 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. | F | complaint | corrected 2025-05-21 |
| 2025-05-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-05-21 |
| 2025-05-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-06-12 |
| 2025-05-02 | Keep all essential equipment working safely. | D | complaint | corrected 2025-05-21 |
| 2025-03-04 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-03-19 |
| 2025-02-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | complaint | corrected 2025-03-03 |
| 2024-09-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-10-10 |
| 2024-07-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-07-18 |
| 2024-07-17 | 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. | E | complaint | corrected 2024-08-12 |
| 2024-03-21 | 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. | F | Health | corrected 2024-05-05 |
| 2024-03-21 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-05-05 |
| 2024-03-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-05 |
| 2024-03-21 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-05-05 |
| 2024-03-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-05-05 |
| 2024-03-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-05-05 |
| 2024-03-21 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-05-05 |
| 2024-01-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-01-31 |
| 2024-01-03 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-01-31 |
| 2023-11-20 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2023-12-15 |
| 2023-10-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2023-11-15 |
| 2023-10-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-11-15 |
| 2023-10-03 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2023-12-15 |
| 2023-10-03 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2023-11-15 |
| Date | Type | Amount |
|---|---|---|
| 2026-05-19 | Fine | $137,652 |
| 2025-12-15 | Fine | $86,190 |
| 2025-08-07 | Fine | $41,659 |
| 2025-05-02 | Fine | $12,425 |
| 2025-05-02 | Payment Denial | 6 days payment denial |
| 2024-02-06 | Fine | $9,032 |
| 2023-10-03 | Fine | $73,593 |
| 2023-10-03 | Payment Denial | 29 days payment denial |
| 2023-08-28 | Fine | $2,098 |
| 2023-08-21 | Fine | $1,764 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| JOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT | 5% Or Greater Direct Ownership Interest | Organization | 13% | since 08/01/2023 |
| MARIAN OLANDER TUTERA 2020 MRTL TR | 5% Or Greater Direct Ownership Interest | Organization | 6% | since 08/01/2023 |
| ST CHARLES HOLDCO HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 20% | since 08/01/2023 |
| BROOKS, KILEY | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2023 |
| TUTERA, JOSEPH | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2023 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2023 |
| BROOKS, KILEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2023 |
How to cite this page: CareRecords, “Windsor Estates of St Charles — compliance, penalty and ownership record” (CCN 265518), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/windsor-estates-of-st-charles-saint-charles-mo/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265518. Corrections: data@carerecords.org.