CCN 265518 · St. Charles County, Missouri

Windsor Estates of St Charles

2150 West Randolph Street, Saint Charles, MO 63301

Windsor Estates of St Charles is a 81-bed for-profit nursing home in Saint Charles, Missouri, first certified for Medicare or Medicaid in 1992. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 72.7 residents a day, about 90% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
81
Average residents per day
72.7 (89.8% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
St Charles Opco LLC
Certified since
Dec 3, 1992
Chain or affiliated group
Tutera Senior Living & Health Care (25 facilities, chain average 2.1 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityMissouri medianUS median
Overall rating1 of 5State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5
Health inspections1 of 5
Quality measures2 of 5
Staffing1 of 5
Total nurse hours per resident per day3.533.363.68
RN hours per resident per day0.200.390.58
Weekend nurse hours per resident per day3.07
Nursing staff turnover71.4%56.1%44.9%
Occupancy (residents / beds)89.8%74.2%85.7%
Fines reported by CMS6 totaling $352,330
Health deficiencies, latest standard survey18 (Mar 21, 2024)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Windsor Estates of St Charles does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Joseph Charles Tutera 2013 Family Irrevociable Trust AgreementOrganizationDirect Ownership Interest13%08/01/2023
Marian Olander Tutera 2020 Mrtl TrOrganizationDirect Ownership Interest6%08/01/2023
St Charles Holdco Holdings LLCOrganizationDirect Ownership Interest20%08/01/2023
Walnut Creek Management Company LLCOrganizationOperational / Managerial Controln/a08/01/2023
Brooks, KileyIndividualOperational / Managerial Controln/a08/01/2023

Changes of ownership

EffectiveBuyerSeller
Aug 1, 2023St Charles Opco LLCWindsor Estates of St Charles Snal LLC

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.