nursing home in Chesterfield, MO

Westchester House, the

550 White Road, Chesterfield, MO 63017 · (314) 469-1200

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★2
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Westchester House, the at a glance

Westchester House, the is a 159-bed for-profit nursing home in Chesterfield, Missouri (St. Louis County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.

Residents receive about 3.3 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (August 28, 2024) found 13 health citations. The Missouri average is 11.4.

Federal regulators fined it 1 time in the past three years, totaling $83,824.

Nursing staff turnover is 69% per year (state average 56%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
159
Certified for
Medicare and Medicaid
Chain / affiliated entity
Life Care Centers of America
Medicare-certified since
December 12, 1988
Resident/family council
Resident
County
St. Louis County
CMS Certification Number
265338

Ratings

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 52.2 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 52.7 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 52.8 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)3 / 52.7 / 53.3 / 5Average

Staffing

This facility3.29 hrsMissouri average3.43 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.29 hrs3.43 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.59 hrs0.46 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.01 hrs2.29 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.98 hrs3.01 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)69%56%45.8%Worse
Registered nurse turnover (yearly) (lower is better)90%47.8%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility13Missouri average11U.S. average9
Health citations in the most recent inspection: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)13119Worse
Citations from complaint investigations (latest cycle) (lower is better)633Worse
Weighted health inspection score ⓘ (lower is better)112111.880.6Worse

Penalties

This facility1Missouri average1U.S. average1
Fines in the past 3 years: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$83,824$37,425$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Certified beds159103107
Average residents per day907386
Occupancy56.7%72.4%80.9%

Long-stay residents

This facility4%Missouri average4.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)4%4.1%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)7.1%4.5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)12.6%23.5%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.7%2.3%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%1.1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)7.6%18.1%13.9%Better
Long-stay residents whose walking worsened (lower is better)4.3%17.4%14.1%Better
Long-stay residents who lose too much weight (lower is better)2.7%5.3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)14.5%18.5%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)17.7%25.6%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)21.7%17.8%19%Worse
Long-stay residents given a flu vaccine (higher is better)96.1%90.9%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)91.1%84.1%93.6%Average

Short-stay residents

This facility4.4%Missouri average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)4.4%2.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)94.1%63.5%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)80%65.7%82%Average

Inspection citations

State inspectors cited this home for 41 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
May 13, 2025
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected June 17, 2025
May 13, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected July 2, 2025
May 13, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 2, 2025
August 28, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Complaint
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected October 25, 2024
August 28, 2024
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
F
Potential harm, widespread
Corrected October 3, 2024
August 28, 2024
Standard
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 Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Standard
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Tag F0553
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Complaint
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
E
Potential harm, pattern
Corrected October 3, 2024
August 28, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected October 3, 2024
August 28, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 3, 2024
August 28, 2024
Standard
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 Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected October 3, 2024
July 3, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected May 30, 2024
March 1, 2024
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected April 9, 2024
March 1, 2024
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 9, 2024
June 15, 2023
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected July 28, 2023
June 15, 2023
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
E
Potential harm, pattern
Corrected July 28, 2023
June 15, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected July 28, 2023
June 15, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected July 28, 2023
June 15, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected July 28, 2023
June 15, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Standard
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Tag F0567
F
Potential harm, widespread
Corrected July 28, 2023
June 15, 2023
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected July 28, 2023
June 15, 2023
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies · Tag F0914
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
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 Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
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 Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
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 Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
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 Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected July 28, 2023
June 15, 2023
Standard
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 Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected July 28, 2023
October 11, 2019
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected November 20, 2019
October 11, 2019
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected November 20, 2019
October 11, 2019
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected November 27, 2019
October 11, 2019
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected November 20, 2019
October 11, 2019
Standard
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 Deficiencies · Tag F0700
E
Potential harm, pattern
Corrected November 20, 2019
October 11, 2019
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected November 20, 2019
October 11, 2019
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected November 27, 2019
October 11, 2019
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected November 20, 2019
October 11, 2019
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected November 20, 2019
October 11, 2019
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected November 20, 2019
October 11, 2019
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected November 20, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $83,824 in fines.

DatePenaltyAmount / length
August 28, 2024Payment Denial21 days from October 4, 2024
August 28, 2024Fine$83,824

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FUND I INVESTMENTS LIMITED PARTNERSHIP
Organization
5% or greater direct ownership interest96%08/23/1995
CROSS, CINDY
Individual
corporate officerNOT APPLICABLE08/23/1995
THURMOND, JOAN
Individual
corporate officerNOT APPLICABLE09/21/2000
CRHC LLC
Organization
general partnership interestNOT APPLICABLE01/01/2017
DEVELOPERS INVESTMENT COMPANY INC
Organization
limited partnership interestNOT APPLICABLE08/23/1995
FUND I INVESTMENTS LIMITED PARTNERSHIP
Organization
limited partnership interestNOT APPLICABLE08/23/1995
HCF INC
Organization
limited partnership interestNOT APPLICABLE08/23/1995
LIFE CARE CENTERS OF AMERICA, INC.
Organization
operational/managerial controlNOT APPLICABLE02/05/1990
BACHIEL, ROBERT
Individual
w-2 managing employeeNOT APPLICABLE04/20/2020

Other nursing homes near Westchester House, the

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    ★★★★★5Much above average
  2. Surrey Place St Lukes Hospital Skilled Nursing

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  3. Garden View Care Center of Chesterfield

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    ★★★★★4Above average
  4. Delmar Gardens of Chesterfield

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    ★★★★★3Average
  5. Mason Pointe Care Center

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    ★★★★★5Much above average
  6. Delmar Gardens West

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Frequently asked questions

What is Westchester House, the's rating?

Westchester House, the has 2 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.

How many inspection citations did Westchester House, the receive?

Its most recent standard health inspection found 13 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.

Does Westchester House, the accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Westchester House, the?

It is for profit - corporation and part of Life Care Centers of America. The ownership section on this page lists the owners and managers reported to CMS.

Where is Westchester House, the and how do I contact it?

Westchester House, the is at 550 White Road, Chesterfield, MO 63017. Phone: (314) 469-1200.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.