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Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 90 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
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
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 78 analyzed
This facility actively engages with reviewer feedback.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
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 with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
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
Detailed Medicare record · up to 3-year lookback
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.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal Penalties
Fine
Dec 15, 2025
$86,190
Fine
Aug 7, 2025
$41,659
Payment Denial
May 2, 2025
6-day denial
Fine
May 2, 2025
$12,425
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
Windsor Estates of St Charles
for profit
Tutera Senior Living & Health Care
26 facilities nationwide
Chain avg rating: 2.2/5 · Rank 15 of 25 (Lowest rating)
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 this facility directly and verify the details that matter most to your family.
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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