WINDSOR ESTATES OF ST CHARLES

CMS abuse icon · St. Charles · MO · For profit - Limited Liability company · TUTERA SENIOR LIVING & HEALTH CARE chain · 81 certified beds · CCN 265518 · ST CHARLES OPCO LLC


WINDSOR ESTATES OF ST CHARLES operates 81 certified beds in SAINT CHARLES, Missouri. Its Medicare and Medicaid certification dates to 1992-12-03. It averages 72.7 residents a day.

What harm was found in the violations cited at WINDSOR ESTATES OF ST CHARLES?

CMS lists 78 health-inspection deficiencies for WINDSOR ESTATES OF ST CHARLES since 2019-08-22, 41 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-29.

Survey dateTagDeficiencySeverity
2026-06-29F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G
2026-05-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2026-05-19F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2026-05-19F0584, F0658, F0677, F0689Honor 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-04-01F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E
2025-12-15F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-12-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-09-03F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-08-07F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-08-07F0677, F0804Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-08-07F0584Honor 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
2025-06-10F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-05-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-05-02F0801, F0812Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-02F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-05-02F0908Keep all essential equipment working safely.D
2025-03-04F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-02-21F0919Make sure that a working call system is available in each resident's bathroom and bathing area.F
2024-09-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-07-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-07-17F0620Not 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
2024-03-21F0801Employ 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
2024-03-21F0554, F0609, F0610, F0657, F0689, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D
2024-01-03F0677, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program.D
2023-11-20F0697Provide safe, appropriate pain management for a resident who requires such services.G
2023-10-03F0686, F0689, F0697Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services.G
2023-10-03F0658, F0692Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough food/fluids to maintain a resident's health.D
2022-07-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2022-07-13F0880Provide and implement an infection prevention and control program.F
2022-07-13F0558, F0584, F0585, F0602, F0638, F0658, F0677, F0679, F0755, F0761, F0803, F0804, F0924Reasonably accommodate the needs and preferences of each resident. / 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. / 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. / Protect each resident from the wrongful use of the resident's belongings or money. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Put firmly secured handrails on each side of hallways.E
2022-07-13F0578, F0637, F0684Honor 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. / Assess the resident when there is a significant change in condition / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2022-07-13F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C
2022-07-13F0625Notify 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.B
2019-08-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2019-08-22F0561, F0570, F0584, F0658, F0659, F0686, F0880, F0883Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Assure the security of all personal funds of residents deposited with the facility. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care by qualified persons according to each resident's written plan of care. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2019-08-22F0578, F0623, F0661, F0690, F0697, F0698, F0758, F0814Honor 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Dispose of garbage and refuse properly.D

Why was WINDSOR ESTATES OF ST CHARLES fined 8 times?

DateTypeAmount
2026-05-19Fine$137,652
2025-12-15Fine$86,190
2025-08-07Fine$41,659
2025-05-02Fine$12,425
2024-02-06Fine$9,032
2023-10-03Fine$73,593
2023-08-28Fine$2,098
2023-08-21Fine$1,764

Has WINDSOR ESTATES OF ST CHARLES had payment denied by Medicare more than once?

Payment denial startLength in days
2025-06-066
2023-11-1629

How is WINDSOR ESTATES OF ST CHARLES staffed?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.525203.43324
Total nursing staff turnover (%)71.456.0
Average number of residents per day72.773.0

Who owns WINDSOR ESTATES OF ST CHARLES, and what chain is it in?

WINDSOR ESTATES OF ST CHARLES is registered with CMS as For profit - Limited Liability company, operates under the legal business name ST CHARLES OPCO LLC and belongs to the TUTERA SENIOR LIVING & HEALTH CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTJOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT, MARIAN OLANDER TUTERA 2020 MRTL TR, ST CHARLES HOLDCO HOLDINGS LLCsince 08/01/2023
CORPORATE OFFICERBROOKS, KILEY, TUTERA, JOSEPHsince 08/01/2023
OPERATIONAL/MANAGERIAL CONTROLWALNUT CREEK MANAGEMENT COMPANY LLC, BROOKS, KILEYsince 08/01/2023

Were you or a family member harmed at WINDSOR ESTATES OF ST CHARLES?