The Westchester House
Nursing home in Chesterfield, MO
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 550 White Road, Chesterfield, MO 63017
- Phone
- (314) 469-1200
- Listed under
- For-profit
- Medicare CCN
- 265338
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 159
- Average residents per day
- 90
- Ownership
- For-profit, corporation
- Legal business name
- Consolidated Resources Health Care Fund I LP
- Chain
- Life Care Centers of America (194 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Dec 12, 1988
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 28, 2024. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 11, 2019 to May 13, 2025): 14 from complaint inspections, 2 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| May 13, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| May 13, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| May 13, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Aug 28, 2024 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| Aug 28, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Aug 28, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Aug 28, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E |
| 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. | E |
| 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. | E |
| Aug 28, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| Aug 28, 2024 | Provide activities to meet all resident's needs. | E |
| Aug 28, 2024 | Provide safe and appropriate respiratory care for a resident when needed. | E |
Fines and payment denials
CMS records 1 fine totalling $83,824 and 1 denial of Medicare payment for new admissions in the last three years.
| Aug 28, 2024 | Fine: $83,824 |
| Aug 28, 2024 | Payment denial for 21 days from Oct 4, 2024 |
Staffing
- Total nurse staffing per resident per day
- 3.29 hours
- Registered nurse (RN) time per resident per day
- 0.59 hours
- Nurse aide time per resident per day
- 2.01 hours
- Total nurse staffing on weekends
- 2.98 hours
- Nursing staff turnover (yearly)
- 69%
- RN turnover (yearly)
- 90%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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