Windsor Estates Of St Charles

Name: Windsor Estates Of St Charles: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Saint Charles, St. Charles County, Missouri · CCN 265518 · For-profit (LLC) · part of Tutera Senior Living & Health Care (25 facilities, chain average 2 stars)

CMS rates Windsor Estates Of St Charles 1 of 5 overall as of August 2026. 81 certified beds, 73 residents a day on average. 78 citations on record from the current inspection cycles, 1 at immediate jeopardy; 8 fines totalling $364,413 and 2 payment denials.

On record

Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
No health inspection in more than two years, by CMS’s own flag.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★☆☆☆☆ 1 of 5
Quality measures	★★☆☆☆ 2 of 5
Quality: long-stay / short-stay	4 / 1 of 5

Staffing

Total nurse staffing	3.5252 hours per resident per day
Registered nurses	0.20441 hours per resident per day
Weekend total	3.07321 hours per resident per day
Nursing staff turnover	71.4%
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-06-29 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has plan of correction 2026-07-07
2026-05-19 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has plan of correction 2026-07-07
2026-05-19 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has plan of correction 2026-07-07
2026-05-19 complaint survey	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 · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has plan of correction 2026-07-07
2026-05-19 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has plan of correction 2026-07-07
2026-05-19 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has plan of correction 2026-07-07
2026-05-19 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has plan of correction 2026-07-07
2026-04-01 complaint survey	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-04
2025-12-15 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-01-19
2025-12-15 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-01-19
2025-09-03 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-10-01
2025-08-07 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-10-01
2025-08-07 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-10-01
2025-08-07 complaint survey	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-27
2025-08-07 complaint survey	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 · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-27
2025-06-10 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-06-12
2025-05-02 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-05-21
2025-05-02 complaint survey	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 · tag F0801	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-05-21
2025-05-02 complaint survey	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-05-21
2025-05-02 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-06-12
2025-05-02 complaint survey	Keep all essential equipment working safely. Environmental Deficiencies · tag F0908	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-21
2025-03-04 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-19
2025-02-21 complaint survey	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-03-03
2024-09-18 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-10-10
2024-07-30 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Past Non-Compliance 2024-07-18
2024-07-17 complaint survey	Not 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. Resident Rights Deficiencies · tag F0620	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-08-12
2024-03-21	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 · tag F0801	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-05-05
2024-03-21	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-05
2024-03-21 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-05
2024-03-21 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-05
2024-03-21	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-05
2024-03-21	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-05
2024-03-21	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-05
2024-01-03 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-31
2024-01-03 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-01-31
2023-11-20 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-12-15
2023-10-03 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-11-15
2023-10-03 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-11-15
2023-10-03 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-12-15
2023-10-03 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-15
2023-10-03 complaint survey	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-15
2022-07-13	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2022-12-06
2022-07-13	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-06
2022-07-13	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 · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-06
2022-07-13	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · tag F0585	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-06
2022-07-13	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-30
2022-07-13	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-06
2022-07-13	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · tag F0803	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-06
2022-07-13	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-06
2022-07-13	Put firmly secured handrails on each side of hallways. Environmental Deficiencies · tag F0924	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-12-06
2022-07-13	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-12-30
2022-07-13	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623	C No actual harm, with potential for minimal harm; widespread	Deficient, Provider has date of correction 2022-10-11
2022-07-13	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625	B No actual harm, with potential for minimal harm; pattern	Deficient, Provider has date of correction 2022-10-11
2019-08-22	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · tag F0570	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	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 · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · tag F0659	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · tag F0661	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01
2019-08-22	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2019-10-01

Fines and payment denials

Date	Penalty	Amount
2026-05-19	Fine	$137,652
2025-12-15	Fine	$86,190
2025-08-07	Fine	$41,659
2025-05-02	Payment denial for 6 days from 2025-06-06	—
2025-05-02	Fine	$12,425
2024-02-06	Fine	$9,032
2023-10-03	Payment denial for 29 days from 2023-11-16	—
2023-10-03	Fine	$73,593
2023-08-28	Fine	$2,098
2023-08-21	Fine	$1,764

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement Organization	5% or greater direct ownership interest	13%	2023-08-01
Marian Olander Tutera 2020 Mrtl Tr Organization	5% or greater direct ownership interest	6%	2023-08-01
St Charles Holdco Holdings LLC Organization	5% or greater direct ownership interest	20%	2023-08-01
Walnut Creek Management Company LLC Organization	operational/managerial control	—	2023-08-01
Brooks, Kiley Individual	corporate officer	—	2023-08-01
Tutera, Joseph Individual	corporate officer	—	2023-08-01
Brooks, Kiley Individual	operational/managerial control	—	2023-08-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Windsor Estates Of St Charles.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in St. Charles County.