Overview

Address
2150 WEST RANDOLPH STREET, SAINT CHARLES, MO 63301
Phone
6369464966
Certified beds
81
Avg daily residents
70 (86% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-12-03
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.57 3.72 3.70 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.20 0.65 0.21 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.20 0.83 1.25
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.16 2.24 2.24
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.41
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.13

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.04
hrs / resident / day
RN (weekend)
0.17
hrs / resident / day
Total nurse (adjusted, weekend)
3.16
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
74.5%
annual
RN turnover
Staffing penalized (missing PBJ submission).
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.32
higher acuity than avg
Case-Mix Index Ratio
0.96
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-03-21 21 7 16 200 1 200
Cycle 2/3 (prior) 2022-07-13 39 20 19 380 3 646
Total weighted health score
311.5
lower is better

Deficiencies (77)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

2 A/B/C No actual harm — minor
63 D/E/F Actual harm — potential for minor
11 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-12-15 2026-01-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-12-15 2026-01-19
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-09-03 2025-10-01
0584 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 2025-08-07 2025-08-27
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-08-07 2025-10-01
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-08-07 2025-10-01
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-08-07 2025-08-27
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-06-10 2025-06-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-05-02 2025-06-12
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-05-02 2025-05-21
0801 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 2025-05-02 2025-05-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-05-02 2025-05-21
0908 Keep all essential equipment working safely. D 2025-05-02 2025-05-21
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-03-04 2025-03-19
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. F 2025-02-21 2025-03-03
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-09-18 2024-10-10
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-07-30 2024-07-18
0620 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 2024-07-17 2024-08-12
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-03-21 2024-05-05
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-03-21 2024-05-05
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-03-21 2024-05-05
0801 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 2024-03-21 2024-05-05
0880 Provide and implement an infection prevention and control program. D 2024-03-21 2024-05-05
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-03-21 2024-05-05
0610 Respond appropriately to all alleged violations. D 2024-03-21 2024-05-05
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-01-03 2024-01-31
0880 Provide and implement an infection prevention and control program. D 2024-01-03 2024-01-31
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2023-11-20 2023-12-15
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-10-03 2023-11-15
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-10-03 2023-11-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-10-03 2023-11-15
0692 Provide enough food/fluids to maintain a resident's health. D 2023-10-03 2023-11-15
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2023-10-03 2023-12-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2023-06-28 2023-06-18
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. E 2023-06-28 2023-07-31
0920 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 2023-06-28 2023-07-31
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2023-04-05 2023-06-01
0585 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 2023-04-05 2023-06-01
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-04-05 2023-06-01
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2023-04-05 2023-06-01
0558 Reasonably accommodate the needs and preferences of each resident. E 2022-07-13 2022-12-06
0578 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 2022-07-13 2022-10-11
0584 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 2022-07-13 2022-12-06
0585 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 2022-07-13 2022-10-11
0602 Protect each resident from the wrongful use of the resident's belongings or money. E 2022-07-13 2022-10-11
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. C 2022-07-13 2022-10-11
0625 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 2022-07-13 2022-10-11
0637 Assess the resident when there is a significant change in condition D 2022-07-13 2022-10-11
0638 Assure that each resident’s assessment is updated at least once every 3 months. E 2022-07-13 2022-12-06
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2022-07-13 2022-12-30

Showing 50 most recent of 77. See the All Data CSV for the full list.

Penalties (11)

Fines issued
9
last 3 years
Total fines
$273,545
Payment denials
2
Date Type Fine amount
2023-08-21 Fine $1,764
2023-08-28 Fine $2,098
2023-07-31 Fine $3,145
2024-02-06 Fine $9,032
2023-06-28 Fine $14,518
2025-05-02 Fine $19,115
2025-08-07 Fine $64,090
2023-10-03 Fine $73,593
2025-12-15 Fine $86,190
2025-05-02 Payment Denial
2023-10-03 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 4.0% Medicaid 62.4% Other 33.6%

Operating performance

Total Margin
-58.7%
Occupancy Rate
89.0%
Cost per Resident Day
$35

Revenue & costs

Net Patient Revenue
$3.4M
Total Costs
$434K
Net Income
-$2.6M

Balance sheet

Total Assets
$1.8M
Total Liabilities
$26.5M
Fund Balance
-$24.7M

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: TUTERA SENIOR LIVING & HEALTH CARE

Chain ID
531
Facilities in chain
25
Legal business name
ST CHARLES OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.2
Health
2.3
Staffing
1.9
QM
2.9

Owner / manager organizations (5)

Organization Role Association
JOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2023
MARIAN OLANDER TUTERA 2020 MRTL TR 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2023
ST CHARLES HOLDCO HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2023
TUTERA INVESTMENTS, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2023
WALNUT CREEK MANAGEMENT COMPANY LLC OPERATIONAL/MANAGERIAL CONTROL since 08/01/2023

Owner / manager individuals (4)

Name Role Association
TUTERA, JOSEPH 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2023
BROOKS, KILEY OPERATIONAL/MANAGERIAL CONTROL since 08/01/2023
BROOKS, KILEY CORPORATE OFFICER since 08/01/2023
TUTERA, JOSEPH CORPORATE OFFICER since 08/01/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 111 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $35 metrics.cost_per_resident_day
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 62.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.0% metrics.medicare_day_share
Cost Report Net Income ($) $-2,586,374 metrics.net_income
Cost Report Net Patient Revenue ($) $3,423,655 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 89.0% metrics.occupancy_rate
Cost Report Total Assets ($) $1,803,382 metrics.total_assets
Cost Report Total Costs ($) $434,000 metrics.total_costs
Cost Report Total Fund Balances ($) $-24,739,974 metrics.fund_balance
Cost Report Total Liabilities ($) $26,543,356 metrics.total_liabilities
Cost Report Total Margin (%) -58.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.25048 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.23864 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.21250 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.70161 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.15898 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 70.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.82545 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.24338 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65063 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.71946 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.27831 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.9 Chain Average Staffing Rating
Provider Information Chain ID 531 Chain ID
Provider Information Chain Name TUTERA SENIOR LIVING & HEALTH CARE Chain Name
Provider Information City/Town SAINT CHARLES City/Town
Provider Information CMS Certification Number (CCN) 265518 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish St. Charles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-12-03 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 38.7994 Latitude
Provider Information Legal Business Name ST CHARLES OPCO LLC Legal Business Name
Provider Information Location 2150 WEST RANDOLPH STREET,SAINT CHARLES,MO,63301 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -90.487 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 81 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 25 Number of Facilities in Chain
Provider Information Number of Fines 9 Number of Fines
Provider Information Number of Payment Denials 2 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.31764 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.95644 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2150 WEST RANDOLPH STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WINDSOR ESTATES OF ST CHARLES Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 910 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 200 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 16 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-03-21 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 200 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 21 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 20 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-07-13 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 380 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 266 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 19 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 3 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 646 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 39 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.17368 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 27 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.40937 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.20466 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.15661 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.13451 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.20471 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.56598 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State MO State
Provider Information Telephone Number 6369464966 Telephone Number
Provider Information Total Amount of Fines in Dollars 273545.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.04322 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 11 Total Number of Penalties
Provider Information Total nursing staff turnover 74.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 311.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 63301 ZIP Code