Starfile / Missouri

WINDSOR ESTATES OF ST CHARLES

2150 WEST RANDOLPH STREET, SAINT CHARLES, MO 63301 · CCN 265518

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$273,545

Number of fines

9

Number of penalties

11

Payment denials

2

Chain

Chain

TUTERA SENIOR LIVING & HEALTH CARE

Facilities in chain

25

Chain avg overall

2.20 / 5

Inspection citations (77)1 immediate jeopardy11 actual harm

1. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-15 · Health · corrected 2026-01-19

   Actual harm

2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-15 · Health · corrected 2026-01-19

   Potential for more than minimal harm

3. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-03 · Health · corrected 2025-10-01

   Actual harm

4. DF0584Honor 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.2025-08-07 · Health · corrected 2025-08-27

   Potential for more than minimal harm

5. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-07 · Health · corrected 2025-10-01

   Potential for more than minimal harm

6. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-07 · Health · corrected 2025-10-01

   Actual harm

7. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-07 · Health · corrected 2025-08-27

   Potential for more than minimal harm

8. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-10 · Health · corrected 2025-06-12

   Potential for more than minimal harm

9. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-02 · Health · corrected 2025-06-12

   Potential for more than minimal harm

10. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-02 · Health · corrected 2025-05-21

    Actual harm

11. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-05-02 · Health · corrected 2025-05-21

    Potential for more than minimal harm

12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-02 · Health · corrected 2025-05-21

    Potential for more than minimal harm

13. DF0908Keep all essential equipment working safely.2025-05-02 · Health · corrected 2025-05-21

    Potential for more than minimal harm

14. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-04 · Health · corrected 2025-03-19

    Potential for more than minimal harm

15. FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-21 · Health · corrected 2025-03-03

    Potential for more than minimal harm

16. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-18 · Health · corrected 2024-10-10

    Actual harm

17. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-30 · Health · corrected 2024-07-18

    Actual harm

18. EF0620Not 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.2024-07-17 · Health · corrected 2024-08-12

    Potential for more than minimal harm

19. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-03-21 · Health · corrected 2024-05-05

    Potential for more than minimal harm

20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-21 · Health · corrected 2024-05-05

    Potential for more than minimal harm

21. DF0610Respond appropriately to all alleged violations.2024-03-21 · Health · corrected 2024-05-05

    Potential for more than minimal harm

22. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-21 · Health · corrected 2024-05-05

    Potential for more than minimal harm

23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-21 · Health · corrected 2024-05-05

    Potential for more than minimal harm

24. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-03-21 · Health · corrected 2024-05-05

    Potential for more than minimal harm

25. DF0880Provide and implement an infection prevention and control program.2024-03-21 · Health · corrected 2024-05-05

    Potential for more than minimal harm

26. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-03 · Health · corrected 2024-01-31

    Potential for more than minimal harm

27. DF0880Provide and implement an infection prevention and control program.2024-01-03 · Health · corrected 2024-01-31

    Potential for more than minimal harm

28. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-11-20 · Health · corrected 2023-12-15

    Actual harm

29. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-03 · Health · corrected 2023-11-15

    Potential for more than minimal harm

30. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-03 · Health · corrected 2023-11-15

    Actual harm

31. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-03 · Health · corrected 2023-11-15

    Actual harm

32. DF0692Provide enough food/fluids to maintain a resident's health.2023-10-03 · Health · corrected 2023-11-15

    Potential for more than minimal harm

33. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-03 · Health · corrected 2023-12-15

    Actual harm

34. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-28 · Health · corrected 2023-06-18

    Immediate jeopardy

35. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-06-28 · Health · corrected 2023-07-31

    Potential for more than minimal harm

36. EF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.2023-06-28 · Health · corrected 2023-07-31

    Potential for more than minimal harm

37. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-04-05 · Health · corrected 2023-06-01

    Potential for more than minimal harm

38. EF0585Honor 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.2023-04-05 · Health · corrected 2023-06-01

    Potential for more than minimal harm

39. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-04-05 · Health · corrected 2023-06-01

    Potential for more than minimal harm

40. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-04-05 · Health · corrected 2023-06-01

    Potential for more than minimal harm

41. EF0558Reasonably accommodate the needs and preferences of each resident.2022-07-13 · Health · corrected 2022-12-06

    Potential for more than minimal harm

42. DF0578Honor 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.2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

43. EF0584Honor 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.2022-07-13 · Health · corrected 2022-12-06

    Potential for more than minimal harm

44. EF0585Honor 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.2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

45. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

46. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-07-13 · Health · corrected 2022-10-11

    Potential for minimal harm

47. BF0625Notify 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.2022-07-13 · Health · corrected 2022-10-11

    Potential for minimal harm

48. DF0637Assess the resident when there is a significant change in condition2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

49. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-07-13 · Health · corrected 2022-12-06

    Potential for more than minimal harm

50. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-07-13 · Health · corrected 2022-12-30

    Potential for more than minimal harm

51. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-13 · Health · corrected 2022-12-06

    Potential for more than minimal harm

52. EF0679Provide activities to meet all resident's needs.2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-07-13 · Health · corrected 2022-12-30

    Potential for more than minimal harm

54. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-07-13 · Health · corrected 2022-12-06

    Actual harm

55. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

56. EF0761Ensure 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.2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

57. EF0803Ensure 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.2022-07-13 · Health · corrected 2022-12-06

    Potential for more than minimal harm

58. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-07-13 · Health · corrected 2022-12-06

    Potential for more than minimal harm

59. FF0880Provide and implement an infection prevention and control program.2022-07-13 · Health · corrected 2022-10-11

    Potential for more than minimal harm

60. EF0924Put firmly secured handrails on each side of hallways.2022-07-13 · Health · corrected 2022-12-06

    Potential for more than minimal harm

61. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

62. EF0570Assure the security of all personal funds of residents deposited with the facility.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

63. DF0578Honor 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.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

64. EF0584Honor 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.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

65. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

66. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

67. EF0659Provide care by qualified persons according to each resident's written plan of care.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

68. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

69. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

70. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

71. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

72. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

73. DF0758Implement 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.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

74. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

75. DF0814Dispose of garbage and refuse properly.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

76. EF0880Provide and implement an infection prevention and control program.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

77. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2019-08-22 · Health · corrected 2019-10-01

    Potential for more than minimal harm

Ownership

Other facilities in SAINT CHARLES

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.