Windsor Estates of St Charles: Staffing, Turnover, and Inspection Record
Windsor Estates of St Charles is a 81-bed for-profit nursing home in Saint Charles, Missouri, part of Tutera Senior Living & Health Care. In the CMS August 2026 release it reported 2.19 nurse aide hours per resident per day, 4% below the Missouri average of 2.29, and 71.4% nursing staff turnover (Missouri average 56.0%).
Windsor Estates of St Charles
2150 West Randolph StreetSaint Charles, MO 63301
St. Charles County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Windsor Estates of St Charles, nurse aides logged 2.19 hours per resident per day, 4% below the Missouri average. With about 73 residents a day, that works out to roughly 159 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.19 | 2.29 | 2.32 |
| Licensed practical nurses | 1.13 | 0.68 | 0.86 |
| Registered nurses | 0.20 | 0.46 | 0.69 |
| All nursing staff | 3.53 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.07 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
71.4% of nursing staff at Windsor Estates of St Charles left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 21, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 22 health deficiencies (Missouri average 11.5). CMS lists 8 fines totaling $364,413 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 19, 2026 | Fine | $137,652 |
| Dec 15, 2025 | Fine | $86,190 |
| Aug 7, 2025 | Fine | $41,659 |
| May 2, 2025 | Fine | $12,425 |
| May 2, 2025 | Payment Denial | 6 days from Jun 6, 2025 |
| Feb 6, 2024 | Fine | $9,032 |
| Oct 3, 2023 | Payment Denial | 29 days from Nov 16, 2023 |
| Oct 3, 2023 | Fine | $73,593 |
| Aug 28, 2023 | Fine | $2,098 |
| Aug 21, 2023 | Fine | $1,764 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Windsor Estates of St Charles holds 1 of 5 overall; the Missouri average is 2.5.
About Windsor Estates of St Charles
- Ownership: For profit - Limited Liability company
- Chain: Tutera Senior Living & Health Care, 25 homes
- Legal name: St Charles Opco LLC
- Medicare and Medicaid certified since: Dec 3, 1992
- Councils: resident council
- Area: urban
Nursing homes near Windsor Estates of St Charles
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Laurel Meadows Wellness & Rehabilitation Saint Charles | 1.2 | 103 | 2.85 | 4.31 | — | 2 | $11,536 |
| Lewis & Clark Gardens Saint Charles | 1.9 | 142 | 2.68 | 3.48 | 53.4% | 1 | $139,916 |
| Aspen Point Health and Rehabilitation Saint Charles | 2.3 | 180 | 1.70 | 3.41 | 52.1% | 1 | $340,683 |
| NHC Healthcare, St Charles Saint Charles | 3.5 | 120 | 2.03 | 3.34 | 59.0% | 4 | None |
| SSM Health Depaul Hospital - Anna House Bridgeton | 4.6 | 105 | 3.03 | 4.62 | — | 3 | None |
| Avenir at Mark Twain Bridgeton | 4.8 | 120 | 2.51 | 3.47 | 71.4% | 1 | $183,665 |
| Life Care Center of Bridgeton Bridgeton | 4.8 | 91 | 2.08 | 3.32 | 68.2% | 2 | $21,801 |
| Parkwood Skilled Nursing and Rehabilitation Center Maryland Heights · many days without an RN | 5.2 | 130 | 2.33 | 3.18 | 51.6% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.