Windsor Estates of St Charles
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 90 Google reviews
Watch Windsor Estates of St Charles
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (21 vs median 10)
- High staff turnover (74%)
Bottom 25% in MO · Critically understaffed (RN) · Above average staffing · Very high staff turnover · Worst in TUTERA SENIOR LIVING & HEALTH CARE chain · $273,545 in fines
What this means for your family
While the therapy department is frequently praised for helping residents regain mobility, the facility has a history of severe lapses in basic care and communication. Families should conduct an in-person tour, specifically checking the cleanliness of rooms and asking for a clear explanation of the current staffing ratios and medication administration protocols.
Google Reviews
Google Reviews
90 reviews on Google“Windsor Estates of St. Charles presents a highly polarized experience for families, with many praising the therapy department and specific staff members while others report severe neglect and communication failures. While some families find the facility to be a 'hidden gem' with caring staff, a significant number of reviewers cite issues with call light response times, hygiene, and medication management. The facility has undergone ownership changes and periods of instability, leading to inconsistent quality of care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy team
- Friendly and professional individual staff members
- Engaging activities and social programming
- Well-maintained, scenic campus grounds
Concerns
- Slow or non-existent response to call lights/requests for assistance (mentioned by 8 reviewers)
- Poor hygiene and lack of assistance with personal care (toileting/showering) (mentioned by 6 reviewers)
- Inconsistent or dangerous medication management (mentioned by 4 reviewers)
- Lack of communication from management and staff (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 77 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your campus grounds are quite beautiful; how do you incorporate these outdoor spaces into your daily activities and social programming for residents?
- 2Given that your therapy team is highly regarded, how do you coordinate their efforts with the nursing staff to ensure consistent care throughout the day?
- 3What specific protocols are in place to ensure that resident call lights are answered promptly and that needs for personal assistance are met in a timely manner?
- 4I appreciate that your team is active in responding to feedback online; how does management use that input to improve communication with families regarding their loved one's daily care?
- 5Could you walk me through your current medication management process and the steps you take to ensure accuracy and safety for every resident?
- 6What is your process for ensuring consistent hygiene and personal care support, especially during peak times of the day?
Personalized based on this facility's data
Key Review Excerpts
“Unfortunately many times my husband pressed the button and received NO help for at least an hour.”
“The facility is clean, and the staff is caring and conscientious. We never worried about his escaping and getting lost; and more importantly, he was much”
“My dad was left to sit in his own feces, did not get his medication when he was supposed to, no shower for 5 days.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have repeatedly filed complaints triggering 36 deficiencies, with persistent problems in accident prevention, wound care, and daily living assistance recurring across multiple recent surveys. The facility shows ongoing issues with safety supervision and pressure ulcer prevention that have not been fully resolved, as evidenced by continued citations through 2025. While deficiencies are marked as corrected, the pattern of repeated complaints in core care areas suggests families should carefully evaluate current conditions during visits.
Dec 15, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 3, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Aug 7, 2025Complaint4
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Jun 10, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
May 2, 2025Complaint5
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Environmental Deficiencies
Keep all essential equipment working safely.
Mar 4, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
Dec 15, 2025
$86,190
Fine
Aug 7, 2025
$41,659
Fine
May 2, 2025
$12,425
Payment Denial
May 2, 2025
6-day denial
Fine
Feb 6, 2024
$9,032
Payment Denial
Oct 3, 2023
29-day denial
Fine
Oct 3, 2023
$73,593
Fine
Aug 28, 2023
$2,098
Fine
Aug 21, 2023
$1,764
Fine
Jul 31, 2023
$3,145
Fine
Jun 28, 2023
$14,518
Ownership & Operations
Who Operates This Facility
Windsor Estates of St Charles
for profit
Chain Affiliation
Tutera Senior Living & Health Care
26 facilities nationwide
Chain avg rating: 2.2/5 · Rank 15 of 25 (Worst)
Ownership & Management
Owners
Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement
Owner · Organization
Marian Olander Tutera 2020 Mrtl Tr
Owner · Organization
St Charles Holdco Holdings LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
90 reviews from families & visitors
Official Website
Visit tutera.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Laurel Meadows Wellness & Rehabilitation
1.3 miNursing Home · Saint Charles, MO
Lewis & Clark Gardens
2.1 miNursing Home · Saint Charles, MO
Aspen Point Health and Rehabilitation
2.4 miNursing Home · Saint Charles, MO
Nhc Healthcare, St Charles
3.7 miNursing Home · Saint Charles, MO
Ssm Health Depaul Hospital - Anna House
4.6 miNursing Home · Bridgeton, MO
Life Care Center of Bridgeton
4.8 miNursing Home · Bridgeton, MO