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Medicare-certifiedSkilled Nursing

Windsor Estates of St Charles

Saint Charles, MissouriMedicare inspection record
(636) 946-4966

About Windsor Estates of St Charles

Windsor Estates of St Charles provides skilled nursing and rehabilitation care designed for recovery and healing. Our Saint Charles, Missouri facility combines medical expertise with compassionate support, helping seniors regain strength and independence through personalized treatment plans and therapeutic services.

Community at a glance

Capacity

81 residents

Location

Saint Charles, MO

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

2150 WEST RANDOLPH STREET, Saint Charles, Missouri 63301

(636) 946-4966

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Windsor Estates of St Charles for a citation related to abuse of residents in its recent inspections.
  • The most recent standard inspection is more than two years old, so these results may not reflect the home today.

At its most recent standard inspection, on March 21, 2024, state inspectors cited 18 health deficiencies (the Missouri average is 11.4).

Nurses and nurse aides spend 3 hours 32 minutes with each resident a day, about the same as the Missouri average.

Medicare fined Windsor Estates of St Charles 5 times in the last three years, $278,737 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 32 minutes
Registered nurse time per resident, per day12 minutesBelow the Missouri average
Nursing staff who left in the past year71%Above the Missouri average

Inspections

36 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 29, 2026 · Complaint investigation · 1 citation

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Jul 7, 2026

May 19, 2026 · Complaint investigation · 6 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 7, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 7, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 7, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 7, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 7, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 7, 2026
April 1, 2026 · Complaint investigation · 1 citation+
  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 4, 2026
December 15, 2025 · Complaint investigation · 2 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jan 19, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 19, 2026
September 3, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 1, 2025
August 7, 2025 · Complaint investigation · 4 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 1, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Oct 1, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Aug 27, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 27, 2025
June 10, 2025 · Complaint investigation · 1 citation+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 12, 2025
May 2, 2025 · Complaint investigation · 5 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 21, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected May 21, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected May 21, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 12, 2025
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected May 21, 2025
March 4, 2025 · Complaint investigation · 1 citation+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 19, 2025
February 21, 2025 · Complaint investigation · 1 citation+
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Mar 3, 2025
September 18, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 10, 2024
July 30, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Jul 18, 2024
July 17, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 12, 2024
March 21, 2024 · Standard inspection · 7 citations+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 5, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 5, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 5, 2024
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 5, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 5, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 5, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 5, 2024
January 3, 2024 · Complaint investigation · 2 citations+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 31, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 31, 2024
November 20, 2023 · Complaint investigation · 1 citation+
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Dec 15, 2023

Fines and payment denials

5 fines totaling $278,737 and 2 Medicare payment denials in the last three years.

  • May 19, 2026Fine: $159,597
  • May 19, 2026Payment denial, 6 days
  • December 15, 2025Fine: $56,024
  • August 7, 2025Fine: $41,659
  • May 2, 2025Payment denial, 6 days
  • May 2, 2025Fine: $12,425
  • February 6, 2024Fine: $9,032

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
St Charles Opco LLC
Medicare-certified beds
81
Average residents per day
73
Accepts
Medicare and Medicaid
First certified
December 3, 1992
Part of a chain
Tutera Senior Living & Health Care, 25 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265518

Location

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2150 WEST RANDOLPH STREETSaint Charles, MO 63301

12 other communities within 10 miles

Senior living near Saint Charles

Questions about Windsor Estates of St Charles

How did Windsor Estates of St Charles do on its last inspection?+

State inspectors visited on March 21, 2024 and cited 18 health deficiencies, 13 of them from complaint investigations. The Missouri average is 11.4.

How much nursing care does each resident get at Windsor Estates of St Charles?+

Nurses and aides spend 3 hours 32 minutes with each resident per day, including 12 minutes from registered nurses. 71% of nursing staff left over the past year.

Has Windsor Estates of St Charles been fined by Medicare?+

Yes. Medicare fined Windsor Estates of St Charles 5 times in the last three years, totaling $278,737.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Saint Charles Skilled Nursing in Missouri Skilled Nursing guide Information last updated October 2026