Windsor Estates of St Charles
2150 West Randolph Street, Saint Charles, MO 63301
Windsor Estates of St Charles, a 81-bed for profit - limited liability company nursing facility in Saint Charles, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #464 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 13 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6369464966
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #464 of 479
- In-state rank among rated MO homes
- 3.53
- Below average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 13 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Windsor Estates of St Charles, a 81-bed for profit - limited liability company nursing facility in Saint Charles, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #464 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 13 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #464 of 479
- In-state rank among rated MO homes
- 3.53
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 13 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 487 MO nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 265518
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 81
- Residents
- 73
- In Hospital
- No
- County
- St. Charles
- Last Inspection
- Mar 21, 2024
Staffing Data
How the 3.53 total nursing hours per resident-day are staffed:
- RN Hours
- 0.20 (nat'l avg: 0.69)
- LPN Hours
- 1.13
- CNA Hours
- 2.19
- Total Nursing Hours
- 3.53 (nat'l avg: 3.86)
- PT Hours
- 0.05
- Nursing Turnover
- 71.4%
What the CMS Record Reveals About Windsor Estates of St Charles
According to CMS Nursing Home Compare, Windsor Estates of St Charles ranks #464 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Windsor Estates of St Charles operates 81 certified beds in Saint Charles, MO with approximately 73 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 2★).
The inspection file contains 50 deficiency records from recent surveys, of which 13 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 8 penalties totaling $364K levied against this facility. Reported nurse staffing runs 3.53 total hours per resident day (national average 3.86); RN hours specifically are 0.20 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Windsor Estates of St Charles falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 71.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (50 most recent)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jul 7, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 7, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 7, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 7, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Jul 7, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 7, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 7, 2026
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Category: Resident Rights Deficiencies
Corrected: Jun 4, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 19, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 19, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 1, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Aug 27, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 1, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 1, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 12, 2025
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: May 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 21, 2025
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.
Category: Nutrition and Dietary Deficiencies
Corrected: May 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 21, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 19, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Category: Environmental Deficiencies
Corrected: Mar 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 18, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Aug 12, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 5, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 5, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 5, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 5, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: May 5, 2024
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.
Category: Nutrition and Dietary Deficiencies
Corrected: May 5, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 31, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 31, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 15, 2023
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 15, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 15, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 15, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 15, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 15, 2023
Notify 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.
Category: Resident Rights Deficiencies
Corrected: Oct 11, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Oct 11, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 30, 2022
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 11, 2022
Honor 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.
Category: Resident Rights Deficiencies
Corrected: Oct 11, 2022
Put firmly secured handrails on each side of hallways.
Category: Environmental Deficiencies
Corrected: Dec 6, 2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 6, 2022
Ensure 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.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 6, 2022
Ensure 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.
Category: Pharmacy Service Deficiencies
Corrected: Oct 11, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.4% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 28.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 73.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 33.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 93.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 15.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 30.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 64.9% | No |
Penalty History 8 penalties totaling $364K
| Date | Type | Amount |
|---|---|---|
| May 19, 2026 | Fine | $138K |
| Dec 15, 2025 | Fine | $86K |
| Aug 7, 2025 | Fine | $42K |
| May 2, 2025 | Fine | $12K |
| May 2, 2025 | Payment Denial | - |
| Feb 6, 2024 | Fine | $9K |
| Oct 3, 2023 | Fine | $74K |
| Oct 3, 2023 | Payment Denial | - |
| Aug 28, 2023 | Fine | $2K |
| Aug 21, 2023 | Fine | $2K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Windsor Estates of St Charles, both outside MO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MO (81 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MO (3.45 here).
Nearby Nursing Homes in MO
486 other nursing homes are on record in MO; 6 are shown here.
Abbey Senior Health
O Fallon, MO
Aberdeen Heights
Kirkwood, MO
Abode Health and Wellness Center
Independence, MO
Abundant Acres Care and Rehab
Savannah, MO
Adair Village
Clinton, MO
Advanced Care of St Joseph
Saint Joseph, MO
Understanding Nursing Home Data
What the CMS records show for Windsor Estates of St Charles
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
- Peer homes near 81 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Windsor Estates of St Charles?
Where does Windsor Estates of St Charles rank among nursing homes in MO?
What are the staffing levels at Windsor Estates of St Charles?
How many beds does Windsor Estates of St Charles have?
Does Windsor Estates of St Charles have any deficiencies on record?
Has Windsor Estates of St Charles received any fines or penalties?
Who owns Windsor Estates of St Charles?
When was Windsor Estates of St Charles last inspected?
What quality measures are tracked for Windsor Estates of St Charles?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
