Nursing home
Windsor Estates of St Charles
2150 West Randolph Street, Saint Charles, MO 63301 · Map
For profit - Limited Liability company · Part of Tutera Senior Living & Health Care (25 facilities) · 81 certified beds
Windsor Estates of St Charles is a Medicare-certified nursing home in Saint Charles, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.57 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Mar 21, 2024 cited 21 deficiencies.
- 9 fines totaling $273,545In CMS records: 11 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Windsor Estates of St Charles compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.57 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.20 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.16 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 74.5% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 21.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 9 fines totaling $273,545, 11 total penalties, 2 Medicare payment denials.
What inspectors found at Windsor Estates of St Charles
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 15, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 15, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Sep 3, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Aug 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 10, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 2, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 2, 2025 · Full report (PDF) - Potential 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.
Nutrition and Dietary Deficiencies · May 2, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · May 2, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2150 West Randolph Street
Saint Charles, MO 63301 - CMS certification #
- 265518
- Ownership
- For profit - Limited Liability company
- Certified beds
- 81
- Avg residents/day
- 70.0
- Provider type
- Medicare and Medicaid
- First certified
- 1992-12-03
- Chain
- Tutera Senior Living & Health Care (25 facilities)
- Setting
- Urban
Part of Tutera Senior Living & Health Care
Tutera Senior Living & Health Care operates 25 nursing facilities across the United States. View all Tutera Senior Living & Health Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Windsor Estates of St Charles using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2021
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 1, 2021 to Sep 30, 2023. Violations found: Overtime. Back wages: $45,333 owed to 87 employees. Employer as DOL recorded it: ST. CHARLES OPCO Windsor Estates of St. Charl (ST. CHARLES OPCO, L.L.C.). Case 1970715.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Ssm St Joseph Health Center, Saint Charles. 1.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Laurel Meadows Wellness & Rehabilitation, Saint Charles. 1.2 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Bridgeton. 3.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63301 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc St Charles Dialysis, Saint Charles, 4.1 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Bridgeton, Bridgeton, 4.5 miles away, straight line (CMS rating 2 of 5 stars)
Davita St. Peters Dialysis, Saint Peters, 5.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 33 Medicare hospices tell CMS they serve ZIP code 63301.
Nineveh Hospice, office in St Charles, 1.2 miles away, straight line
St Croix Hospice, office in Saint Peters, 6.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Vitas Healthcare Corporation Midwest, office in Saint Louis, 6.8 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Ssm Health Care Group, Saint Charles. 3.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Windsor Estates of St Charles a good nursing home?
CMS gives Windsor Estates of St Charles an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Windsor Estates of St Charles staffed?
Windsor Estates of St Charles reports 3.57 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Windsor Estates of St Charles had inspection problems?
Its most recent CMS inspection cited 21 deficiencies.
How many beds does Windsor Estates of St Charles have?
Windsor Estates of St Charles is certified for 81 beds.