Nursing home · Chesterfield, MO
The Westchester House
550 White Road, Chesterfield, MO 63017 · 159 certified beds · for profit ownership · part of Life Care Centers of America
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on May 13, 2025, when they cited 3 problems from complaint investigations. The most common area was quality of life and care (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Aug 28, 2024) it had 13 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.29 hours per resident per day here, 4% less than the Missouri average (3.43) and 15% less than the U.S. average (3.86). Registered nurses account for 0.59 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 69% over the past year, 13 points higher than Missouri (56%) and 23 points higher than the U.S. (46%).
How The Westchester House compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.29 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.59 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.98 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 69% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 90% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 13 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 41 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| May 13, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| May 13, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| May 13, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 28, 2024 | Provide enough food/fluids to maintain a resident's health. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Aug 28, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Aug 28, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| Aug 28, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Aug 28, 2024 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 28, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Aug 28, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service · complaint | E | Deficient, Provider has date of correction |
| Aug 28, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 28, 2024 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 28, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Aug 28, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Aug 28, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights | E | Deficient, Provider has date of correction |
| Aug 28, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident rights | E | Deficient, Provider has date of correction |
| Jul 3, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | D | Past Non-Compliance |
| Mar 1, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Mar 1, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of life and care | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Jun 15, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Jun 15, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jun 15, 2023 | Honor the resident's right to manage his or her financial affairs. Resident rights | F | Deficient, Provider has date of correction |
| Oct 11, 2019 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Oct 11, 2019 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of life and care | E | Deficient, Provider has date of correction |
| Oct 11, 2019 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Oct 11, 2019 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Oct 11, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Oct 11, 2019 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Aug 28, 2024 | Fine | $83,824 |
| Aug 28, 2024 | Payment Denial | 21 days |
Location
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Reviews
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Questions about The Westchester House
Answers computed from CMS data for this facility.
What is The Westchester House's Medicare rating?
Medicare rates The Westchester House 2 out of 5 stars overall (below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did The Westchester House do on its last inspection?
Inspectors' most recent visit in the CMS data was on May 13, 2025, when they cited 3 problems from complaint investigations. The most common area was quality of life and care (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Aug 28, 2024) it had 13 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has The Westchester House been fined?
Yes. CMS reports 1 fine totaling $83,824 in the past three years.
Does The Westchester House accept Medicaid?
The Westchester House is certified for both Medicare and Medicaid. Call (314) 469-1200 to ask whether a Medicaid bed is open.
Other nursing homes near Chesterfield
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- 5/5Mason Pointe Care CenterChesterfield · 63 beds
- 4/5Garden View Care Center of ChesterfieldChesterfield · 52 beds
- 4/5Surrey Place St Lukes Hospital Skilled NursingChesterfield · 130 beds
- 3/5Brooking ParkChesterfield · 49 beds
- 3/5Delmar Gardens of ChesterfieldChesterfield · 227 beds
Compare all 97 St. Louis-area nursing homes · Homes that take Medicaid · Rehab and skilled nursing · St. Louis guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.