01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-03-21 | 22 | 2024-03-21 | 8 |
| Cycle 2 | 2022-07-13 | 29 | 2022-07-13 | 20 |
| Cycle 3 | 2019-08-22 | 27 | 2019-08-22 | 13 |
CMS CCN 2655182026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Windsor Estates Of St Charles
2150 West Randolph Street · Saint Charles, MO 63301 · St. Charles County
Certified beds81CMS provider file
Recent citation rows119current CMS citation release
Penalty rows10current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
119 rows in the current release
14 rows carry G–L scope/severity codes; 1 carry J–L. 22 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-29 · HEALTHF0755Severity G · isolated actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has plan of correction · 2026-07-07 · complaint2026-05-19 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has plan of correction · 2026-07-07 · complaint2026-05-19 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has plan of correction · 2026-07-07 · complaint2026-05-19 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has plan of correction · 2026-07-07 · complaint2026-05-19 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has plan of correction · 2026-07-07 · complaint2026-05-19 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has plan of correction · 2026-07-07 · complaint2026-05-19 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has plan of correction · 2026-07-07 · complaint2026-04-01 · HEALTHF0569Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2026-06-04 · complaint2025-12-15 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint2025-12-15 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint2025-09-03 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-10-01 · complaint2025-08-07 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-08-27 · complaint2025-08-07 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-10-01 · complaint2025-08-07 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-10-01 · complaint2025-08-07 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-08-27 · complaint2025-06-10 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-06-12 · complaint2025-05-02 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-06-12 · complaint2025-05-02 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-05-02 · HEALTHF0801Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-05-02 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-05-02 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-03-04 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-03-19 · complaint2025-02-21 · HEALTHF0919Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2025-03-03 · complaint2024-09-18 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-10-10 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-05-19 | Fine | $137,652 | 0 |
| 2025-12-15 | Fine | $86,190 | 0 |
| 2025-08-07 | Fine | $41,659 | 0 |
| 2025-05-02 | Fine | $12,425 | 0 |
| 2025-05-02 | Payment Denial | $0 | 6 |
| 2024-02-06 | Fine | $9,032 | 0 |
| 2023-10-03 | Fine | $73,593 | 0 |
| 2023-10-03 | Payment Denial | $0 | 29 |
| 2023-08-28 | Fine | $2,098 | 0 |
| 2023-08-21 | Fine | $1,764 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST13% · since 08/01/2023
- MARIAN OLANDER TUTERA 2020 MRTL TROrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 08/01/2023
- ST CHARLES HOLDCO HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 08/01/2023
- BROOKS, KILEYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2023
- TUTERA, JOSEPHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2023
- WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2023
- BROOKS, KILEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.53per resident day
RN hours0.20per resident day
Weekend nurse hours3.07per resident day
Staff turnover71.4%CMS reported field
06 / LOCAL RECORDS
Open the Saint Charles ledger →Other published facilities nearby
Aspen Point Health And Rehabilitation180 beds · CMS overall 1/597 citation rowsLaurel Meadows Wellness & Rehabilitation103 beds · CMS overall 2/553 citation rowsLewis & Clark Gardens142 beds · CMS overall 1/595 citation rowsLutheran Senior Services At Breeze Park50 beds · CMS overall 4/537 citation rowsNhc Healthcare, St Charles120 beds · CMS overall 4/538 citation rows