Windsor Estates of St Charles, Saint Charles, Missouri
- 78
- Citations from health inspectionsMissouri average: 36 a home
- 14
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $352,330
- Fines from the federal governmentMissouri average: $37,425 a home
- 1 out of 5
- Overall rating in starsMissouri average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
19 inspection visits produced 78 citations. Residents were in immediate danger in one finding. Residents were found hurt in 13 cases. Federal fines came to $352,330 (six fines). Three times, Medicare stopped paying for new admissions.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 3.53 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.20 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- 71.4%against the Missouri average of 56%
- Beds that are certified
- 81
- Ownership
- Limited Liability company (for profit)
- Chain
- Tutera Senior Living & Health Care, with 25 homes
- Street address
- 2150 West Randolph Street, Saint Charles, Missouri 63301
- County
- St. Charles
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated June 29, 2026
- F755 Pharmacy Services: residents were harmed, one or a few residents, found on a complaint visit.
Six citations dated May 19, 2026
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated April 1, 2026
- F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated Dec. 15, 2025
One citation dated Sept. 3, 2025
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
Four citations dated Aug. 7, 2025
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated June 10, 2025
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Five citations dated May 2, 2025
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated March 4, 2025
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 21, 2025
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, widespread, found on a complaint visit.
One citation dated Sept. 18, 2024
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated July 30, 2024
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated July 17, 2024
- F620 Fair Admission Without Giving Up Benefits: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Seven citations dated March 21, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
Two citations dated Jan. 3, 2024
One citation dated Nov. 20, 2023
- F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
Five citations dated Oct. 3, 2023
- F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
20 citations dated July 13, 2022
- F924 Secure Handrails in Hallways: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
- F638 Update Assessments Every Three Months: risk of harm, no one found hurt, a pattern, several residents.
- F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: minimal risk to residents, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, a pattern, several residents.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
17 citations dated Aug. 22, 2019
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
- F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents.
- F659 Qualified Staff Follow Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, a pattern, several residents.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| May 19, 2026 | Fine | $159,597 |
| May 19, 2026 | Payment denial for new admissions | six days |
| Dec. 15, 2025 | Fine | $56,024 |
| Aug. 7, 2025 | Fine | $41,659 |
| May 2, 2025 | Fine | $12,425 |
| May 2, 2025 | Payment denial for new admissions | six days |
| Feb. 6, 2024 | Fine | $9,032 |
| Oct. 3, 2023 | Fine | $73,593 |
| Oct. 3, 2023 | Payment denial for new admissions | 29 days |
Ownership and Management of the Home
- The home is run by Walnut Creek Management Company LLC (operational or managerial control).
- The direct 13% owner is Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement.
- The direct 6% owner is Marian Olander Tutera 2020 Mrtl Tr.
- The direct 20% owner is St Charles Holdco Holdings LLC.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265518. Other homes in Missouri.