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Windsor Estates of St. Charles

Nursing Home Facility

2150 Randolph Street, Saint Charles, MO 63301

Nursing Home Care Continuing Care (CCRC) Senior Living

Windsor Estates of St. Charles provides skilled nursing, rehabilitation, respite care, hospice support, palliative care, and therapy services in St. Charles, Missouri. The community offers individualized treatment plans, 24-hour skilled nursing care, and physical, occupational, and speech therapy designed to help residents recover and return home safely.

Operated by Tutera Senior Living, which runs 60 communities in our directory.

Employer rating 3.3 out of 5 391 reviews from their own employees on Indeed. See what they say.

Windsor Estates of St. Charles is licensed for 81 beds, about typical for the area, where senior care communities in Saint Charles average about 96 beds.

Federal reporting puts occupancy at about 90% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Saint Charles average of roughly 74%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Saint Charles average about 2.2 stars. Its most recent standard health inspection was in March 2024 and recorded 22 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 71%, which is high and can affect continuity of care.

The community is located in Saint Charles County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 78 problems at Windsor Estates of St. Charles. 14 findings involved harm to a resident, including 1 that put residents in immediate danger. 36 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 5 times, a total of $286,958. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected May 2026, after a complaint. Corrected by July 7, 2026.

  • Caused harm to a resident, one or a few residents Pharmacy Service

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

    Inspected June 2026, after a complaint. Corrected by July 7, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by July 7, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected December 2025, after a complaint. Corrected by January 19, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected September 2025, after a complaint. Corrected by October 1, 2025.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected August 2025, after a complaint. Corrected by October 1, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected May 2026, after a complaint. Corrected by July 7, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected May 2026, after a complaint. Corrected by July 7, 2026.

Show 14 more
  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by July 7, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by July 7, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Inspected April 2026, after a complaint. Corrected by June 4, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025, after a complaint. Corrected by January 19, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected August 2025, after a complaint. Corrected by October 1, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected August 2025, after a complaint. Corrected by August 27, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected August 2025, after a complaint. Corrected by August 27, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    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.

    Inspected March 2024. Corrected by May 5, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected March 2024. Corrected by May 5, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected March 2024, after a complaint. Corrected by May 5, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected March 2024, after a complaint. Corrected by May 5, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected March 2024. Corrected by May 5, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2024. Corrected by May 5, 2024.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2024. Corrected by May 5, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Windsor Estates of St. Charles offers nursing home care, continuing care (CCRC), and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 81
  • Occupancy 90%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 71%
  • Last health inspection March 2024

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