Nursing home report
SAINT CHARLES, MO · Medicare-certified · 81 beds
WINDSOR ESTATES OF ST CHARLES has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and a 2-star quality measures rating. It also has recent federal penalties with $140,274 in fines over the last 24 months, and reported nurse staffing is 3.59 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.5881 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5881.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2023 — isolated incident, actual harm.
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited May 2025 — widespread issue, potential for harm.
F-Tag 801 — 42 CFR §483.60 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $86,190 was recorded.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $41,659 was recorded.
Health inspection found 4 health deficiencies.
A federal payment denial was recorded.
A federal fine of $12,425 was recorded.
On record with Medicare: 9 fines · $244,424 in total fines · 2 payment denials.
Federal fine
Dec 15, 2025
Federal fine
Aug 7, 2025
Medicare/Medicaid payment denial
May 2, 2025
Federal fine
May 2, 2025
Federal fine
Feb 6, 2024
Medicare/Medicaid payment denial
Oct 3, 2023
Federal fine
Oct 3, 2023
Federal fine
Aug 28, 2023
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
