Facility profile · CCN 265518
Windsor Estates Of St Charles
77 federal citations on record , including 1 at the Immediate Jeopardy level, and 11 federal enforcement actions totaling $273,545.
Record summary
Federal record · Q1 202677
Total citations
36
Last 3 years
12
Actual harm+
11
Federal penalties
$273,545
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
77 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 15, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 15, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Sep 3, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Aug 7, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Aug 7, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Aug 7, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Aug 7, 2025 | F584 | 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. | D | Complaint |
| Jun 10, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| May 2, 2025 | F908 | Keep all essential equipment working safely. | D | Complaint |
| May 2, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| May 2, 2025 | F801 | 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. | F | Complaint |
| May 2, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| May 2, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Mar 4, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Feb 21, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Complaint |
| Sep 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 17, 2024 | F620 | 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. | E | Complaint |
| Mar 21, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 21, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 21, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 21, 2024 | F801 | 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. | F | Standard |
| Mar 21, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Mar 21, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 21, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jan 3, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 3, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 20, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Oct 3, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Oct 3, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Oct 3, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Oct 3, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Oct 3, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jun 28, 2023 | F920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | E | Complaint |
| Jun 28, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint |
| Jun 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 5, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Apr 5, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Apr 5, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint |
| Apr 5, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Jul 13, 2022 | F924 | Put firmly secured handrails on each side of hallways. | E | Standard |
| Jul 13, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jul 13, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jul 13, 2022 | F803 | 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. | E | Standard |
| Jul 13, 2022 | F761 | 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. | E | Standard |
| Jul 13, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jul 13, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Jul 13, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 13, 2022 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Jul 13, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Jul 13, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jul 13, 2022 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Jul 13, 2022 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jul 13, 2022 | F625 | 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. | B | Standard |
| Jul 13, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Jul 13, 2022 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Standard |
| Jul 13, 2022 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard |
| Jul 13, 2022 | F584 | 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. | E | Standard |
| Jul 13, 2022 | F578 | 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. | D | Standard |
| Jul 13, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Aug 22, 2019 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Aug 22, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 22, 2019 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Aug 22, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 22, 2019 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Aug 22, 2019 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Aug 22, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Aug 22, 2019 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Aug 22, 2019 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Aug 22, 2019 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Aug 22, 2019 | F659 | Provide care by qualified persons according to each resident's written plan of care. | E | Standard |
| Aug 22, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Aug 22, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Aug 22, 2019 | F584 | 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. | E | Standard |
| Aug 22, 2019 | F578 | 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. | D | Standard |
| Aug 22, 2019 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard |
| Aug 22, 2019 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard |
Federal enforcement history
Federal regulators have imposed 11 enforcement actions against this facility, including 9 civil money penalties totaling $273,545 and 2 payment-denial actions spanning 35 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 15, 2025 | Fine | $86,190 | — |
| Aug 7, 2025 | Fine | $64,090 | — |
| May 2, 2025 | Fine | $19,115 | — |
| May 2, 2025 | Payment Denial | — | Jun 6, 2025 · 6 days |
| Feb 6, 2024 | Fine | $9,032 | — |
| Oct 3, 2023 | Payment Denial | — | Nov 16, 2023 · 29 days |
| Oct 3, 2023 | Fine | $73,593 | — |
| Aug 28, 2023 | Fine | $2,098 | — |
| Aug 21, 2023 | Fine | $1,764 | — |
| Jul 31, 2023 | Fine | $3,145 | — |
| Jun 28, 2023 | Fine | $14,518 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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