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Data / Nursing homes / Missouri / Windsor Estates of St Charles

Windsor Estates of St Charles, Saint Charles, MO: 1 star rating, fined $278,737 across 5 fines and had 2 payment denials

Windsor Estates of St Charles in Saint Charles, MO is owned by St Charles HOLDCO Holdings LLC, is rated 1 of 5 stars by Medicare, and was fined $278,737 across 5 fines and had 2 payment denials in the three years to October 1, 2026. CMS lists 41 health citations from inspections in that time, the latest survey on June 29, 2026, and 13 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Missouri
Address
2150 West Randolph Street, Saint Charles, MO 63301
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
81
Residents per day
72 on average
Ownership type
For profit, limited liability company
Legal business name
St Charles OPCO LLC
Chain
Tutera Senior Living & Health Care, 24 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$278,737 across 5 fines, three years to October 1, 2026
Payment denials
2
Health citations
41, of which 13 with actual harm or immediate jeopardy
Latest survey
June 29, 2026
CMS Certification Number
265518
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 19, 2026Fine$159,597Not listeddata.cms.gov
May 19, 2026Payment denialNot listedJuly 1, 20266data.cms.gov
December 15, 2025Fine$56,024Not listeddata.cms.gov
August 7, 2025Fine$41,659Not listeddata.cms.gov
May 2, 2025Fine$12,425Not listeddata.cms.gov
May 2, 2025Payment denialNot listedJune 6, 20256data.cms.gov
February 6, 2024Fine$9,032Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 29, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G: isolated, actual harmCorrectedJuly 7, 2026data.cms.gov
May 19, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJuly 7, 2026data.cms.gov
May 19, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedJuly 7, 2026data.cms.gov
May 19, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 7, 2026data.cms.gov
May 19, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 7, 2026data.cms.gov
May 19, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 7, 2026data.cms.gov
May 19, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 7, 2026data.cms.gov
April 1, 2026F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 4, 2026data.cms.gov
December 15, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJanuary 19, 2026data.cms.gov
December 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
September 3, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedOctober 1, 2025data.cms.gov
August 7, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedOctober 1, 2025data.cms.gov
August 7, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2025data.cms.gov
August 7, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2025data.cms.gov
August 7, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2025data.cms.gov
June 10, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
May 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 21, 2025data.cms.gov
May 2, 2025F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2025data.cms.gov
May 2, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 21, 2025data.cms.gov
May 2, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 21, 2025data.cms.gov
May 2, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
March 4, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2025data.cms.gov
February 21, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
September 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedOctober 10, 2024data.cms.gov
July 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncomplianceJuly 18, 2024data.cms.gov
July 17, 2024F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
March 21, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
March 21, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
March 21, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
March 21, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
March 21, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
March 21, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
March 21, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
January 3, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
January 3, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
November 20, 2023F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedDecember 15, 2023data.cms.gov
October 3, 2023F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedDecember 15, 2023data.cms.gov
October 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedNovember 15, 2023data.cms.gov
October 3, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedNovember 15, 2023data.cms.gov
October 3, 2023F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2023data.cms.gov
October 3, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (2 owners, 1 managers, 2 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
St Charles HOLDCO Holdings LLCDirect owner20%August 1, 2023data.cms.gov
Walnut Creek Management Company LLCOperational or managerial controlNot listedAugust 1, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.