Missouri › St. Louis County › Chesterfield
Westchester House, The
550 White Road, Chesterfield, MO 63017
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Westchester House, The is a For-profit, corporation nursing home in Chesterfield, Missouri, certified for 159 beds and caring for about 90 residents a day.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (13, 18, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 27.0 per 100 beds, about the same as the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $84K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 69.0%.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 43 | 46 | 31 | 28.7 |
| Citations per 100 beds | 27.0 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 69.0% | 60.7% | 56.1% | 45.8% |
| Fines listed | $83,824 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2024, 15 Jun 2023.
Severity mix: G ×2 D ×24 E ×14 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 May 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 17 Jun 2025 |
| 13 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Jul 2025 |
| 13 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 Jul 2025 |
| 28 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 25 Oct 2024 |
| 28 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 3 Oct 2024 |
| 28 Aug 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard survey | 3 Oct 2024 |
| 28 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 3 Oct 2024 |
| 28 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 3 Oct 2024 |
| 28 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 3 Oct 2024 |
| 28 Aug 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 3 Oct 2024 |
| 28 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 3 Oct 2024 |
| 28 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 3 Oct 2024 |
| 28 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Oct 2024 |
| 28 Aug 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 3 Oct 2024 |
| 28 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Oct 2024 |
| 28 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 3 Oct 2024 |
| 3 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 30 May 2024 |
| 1 Mar 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 9 Apr 2024 |
| 1 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 9 Apr 2024 |
| 3 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 15 Jul 2023 |
| 3 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 15 Jul 2023 |
| 15 Jun 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | F | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0657 | 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 survey | 28 Jul 2023 |
| 15 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0700 | 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. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Standard survey | 28 Jul 2023 |
| 15 Jun 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 28 Jul 2023 |
| 11 Oct 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 27 Nov 2019 |
| 11 Oct 2019 | F0700 | 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. | E | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Nov 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Aug 2024 | Payment denial | — | 21 days |
| 28 Aug 2024 | Fine | $83,824 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 69.0%, RNs 90.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.4% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.6% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Consolidated Resources Health Care Fund I Lp. Chain: Life Care Centers Of America (194 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fund I Investments Limited Partnership | 5% or greater direct ownership interest | 96% | 08/23/1995 |
| Life Care Centers of America, Inc. | Operational/managerial control | NOT APPLICABLE | 02/05/1990 |
| Crhc LLC | General partnership interest | NOT APPLICABLE | 01/01/2017 |
| Developers Investment Company Inc | Limited partnership interest | NOT APPLICABLE | 08/23/1995 |
| Fund I Investments Limited Partnership | Limited partnership interest | NOT APPLICABLE | 08/23/1995 |
| Hcf Inc | Limited partnership interest | NOT APPLICABLE | 08/23/1995 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Westchester House, The been cited for?
43 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Westchester House, The been fined?
Yes. CMS lists fines totalling $84K in the period covered, plus 1 payment denial.
How does staffing at Westchester House, The compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Westchester House, The?
It is part of the Life Care Centers Of America chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Fund I Investments Limited Partnership and Life Care Centers of America, Inc.. Individual owners and managers are not listed on this site.
When was Westchester House, The last inspected?
The most recent survey or investigation in the CMS record is dated 13 May 2025; the most recent standard health survey was 28 Aug 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.