Windsor Estates of St Charles
2150 West Randolph Street, Saint Charles, MO 63301 · (636) 946-4966
For profit - Limited Liability company · 81 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Windsor Estates of St Charles has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2024, found 7 citations (the Missouri average is 11.4). It was fined 6 times in the last three years, $352,330 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 21, 2024 found 7 citations. What an inspection citation means
- 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.March 21, 2024 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Allow residents to self-administer drugs if determined clinically appropriate.March 21, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 21, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.March 21, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 21, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 21, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 21, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 31 citations.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 29, 2026 · F0755 · Level of harm: Actual harm · Residents affected: Few
- 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.May 19, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 19, 2026 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.May 19, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 19, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 19, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 19, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.April 1, 2026 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 15, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 15, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.September 3, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- 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.August 7, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.August 7, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 7, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 7, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 10, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 2, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 2, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- 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.May 2, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 2, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Keep all essential equipment working safely.May 2, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 4, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.February 21, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 18, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 30, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- 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.July 17, 2024 · F0620 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 21, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.March 21, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.January 3, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 3, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.November 20, 2023 · F0697 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $159,597May 19, 2026
- Fine of $56,024December 15, 2025
- Fine of $41,659August 7, 2025
- Fine of $12,425May 2, 2025
- Fine of $9,032February 6, 2024
- Fine of $73,593October 3, 2023
- Medicare payment denial for 6 daysStarting July 1, 2026
- Medicare payment denial for 6 daysStarting June 6, 2025
- Medicare payment denial for 29 daysStarting November 16, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.53 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.20 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 1.13 | 0.68 | 0.86 |
| Nurse aides | 2.19 | 2.29 | 2.32 |
| Total nursing staff turnover | 71.4% | 56% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 81 |
| Average residents per day | 72.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- NHC Healthcare, St Charles Saint Charles · ★★★★★ 4 out of 5 stars
- Lutheran Senior Services at Breeze Park Saint Charles · ★★★★★ 4 out of 5 stars
- Laurel Meadows Wellness & Rehabilitation Saint Charles · ★★★★★ 2 out of 5 stars
- Aspen Point Health and Rehabilitation Saint Charles · ★★★★★ 1 out of 5 stars
- Lewis & Clark Gardens Saint Charles · ★★★★★ 1 out of 5 stars
Compare every nursing home in Saint Charles, MO · Nursing homes in Missouri
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from Windsor Estates of St Charles on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.