The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
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 July 1, 2026
1 of 5 overall
WINDSOR ESTATES OF ST CHARLES has a 1 of 5-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It also has a recent abuse citation, $140,274 in fines over the last 24 months, and reported nurse staffing of 3.53 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.5252 hrs/resident/day
Quality measures
Last inspection: May 19, 2026Penalties, last 24 months: $140,274recent 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 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
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — 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 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
- 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.
See what inspectors found
- 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: 8 fines · $229,906 in total fines · 2 payment denials.
- $86,190
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
- $73,593
Federal fine
Oct 3, 2023
- $2,098
Federal fine
Aug 28, 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 · 26 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.