The Westchester House
550 White Road, Chesterfield, MO 63017 · (314) 469-1200
For profit - Corporation · 159 certified beds
The Westchester House has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2024, found 13 citations, 1 for actual harm or immediate jeopardy (the Missouri average is 11.4). It was fined 1 time in the last three years, $83,824 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 28, 2024 found 13 citations. What an inspection citation means
- Provide enough food/fluids to maintain a resident's health.August 28, 2024 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 28, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.August 28, 2024 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 28, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 28, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.August 28, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide activities to meet all resident's needs.August 28, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.August 28, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.August 28, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.August 28, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.August 28, 2024 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 28, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 28, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 12 citations.
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.May 13, 2025 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 13, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 13, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.August 28, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 28, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 28, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.August 28, 2024 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.August 28, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 28, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that residents are free from significant medication errors.July 3, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.March 1, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 1, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $83,824August 28, 2024
- Medicare payment denial for 21 daysStarting October 4, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.29 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.59 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.69 | 0.68 | 0.86 |
| Nurse aides | 2.01 | 2.29 | 2.32 |
| Total nursing staff turnover | 69% | 56% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 159 |
| Average residents per day | 90.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Mason Pointe Care Center Chesterfield · ★★★★★ 5 out of 5 stars
- Friendship Village Chesterfield Chesterfield · ★★★★★ 5 out of 5 stars
- Garden View Care Center of Chesterfield Chesterfield · ★★★★★ 4 out of 5 stars
- Surrey Place St Lukes Hospital Skilled Nursing Chesterfield · ★★★★★ 4 out of 5 stars
- Brooking Park Chesterfield · ★★★★★ 3 out of 5 stars
Compare every nursing home in Chesterfield, MO · Nursing homes in Missouri · Home health agencies in Chesterfield, MO
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Data from Medicare (CMS), updated October 2026, from The Westchester House on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.