The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
WINDSOR ESTATES OF ST CHARLES
SAINT CHARLES, MO · Medicare-certified · 81 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
Windsor Estates of St. Charles has a 1 out of 5 overall rating, with 1-star health inspection and staffing scores and 2-star quality measures. It also has reported nurse staffing below the federal benchmark (3.53 vs. 4.1 hours per resident per day), $269,705 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.5252 hrs/resident/day
Quality measures
Last inspection: June 29, 2026Penalties, last 24 months: $269,705recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5252.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.19
- Weekend nursing
- 3.07
Hours per resident per day.
Total staff turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.2%20.8%Worsening
Residents with a fall causing major injury
3.4%4.8%Worsening
Residents with pressure ulcers (bedsores)
8.4%9.2%Worsening
Residents with a urinary tract infection
1.7%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%3.8%Improving
Residents whose ability to walk got worse
0%11.1%Worsening
Long-stay residents on antianxiety or sleep medication
30.8%39.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.8%15.4%Improving
Residents with depressive symptoms
9.8%44.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.8%—
Long-stay residents given the pneumonia vaccine
45.8%73%Improving
Short-stay residents given the seasonal flu vaccine
—64.9%—
Short-stay residents given the pneumonia vaccine
45.1%19.8%Worsening
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2026 — isolated incident, actual harm.
View the original federal record
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.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $159,597 was recorded.
- PENALTY
A federal fine of $137,652 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $56,024 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $86,190 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $41,659 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $12,425 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $352,330 in total fines · 3 payment denials.
- 6 days
Medicare/Medicaid payment denial
May 19, 2026
- $159,597
Federal fine
May 19, 2026
- $56,024
Federal fine
Dec 15, 2025
- $41,659
Federal fine
Aug 7, 2025
- 6 days
Medicare/Medicaid payment denial
May 2, 2025
- $12,425
Federal fine
May 2, 2025
- $9,032
Federal fine
Feb 6, 2024
- 29 days
Medicare/Medicaid payment denial
Oct 3, 2023
Operator & ownership
Recent ownership change · Aug 1, 2023
Now operated by Windsor Estates of St. Charles, previously Windsor Estates of St Charles Snal LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of TUTERA SENIOR LIVING & HEALTH CARE · 25 homes · 2.1 stars avg
- Occupancy
- 72.7 residents on an average day (90% of 81 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
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.