Assisted Living · Chesterfield, MO
Nursing Homes · Medicare certified
Westchester House, The
550 White Road · Chesterfield, MO 63017 · 157 certified beds
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About Westchester House, The
Westchester House, The is a nursing home in Chesterfield, Missouri. Its capacity is 157 beds, above the St. Louis County median of 120 for nursing homes. It is run by a for-profit operator and is part of Life Care Centers of America. It is Medicare certified. Its public inspection record shows 43 citations, the most recent on May 13, 2025. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.37 hours per resident per day. It is one of 8 nursing homes listed in Chesterfield. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
2.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (43)
Records from October 2019 to May 2025.
August 3, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected July 15, 2023.
June 15, 2023
Tag F0567Honor the resident's right to manage his or her financial affairs.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0700Try 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
June 15, 2023
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2023.
October 11, 2019
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 27, 2019.
October 11, 2019
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 20, 2019.
October 11, 2019
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 20, 2019.
October 11, 2019
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 20, 2019.
Penalties (2)
Total fines: $83,824
August 28, 2024 · Fine
CMS recorded a civil money penalty of $83,824 against this nursing home on August 28, 2024.
August 28, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 4, 2024, lasting 21 days (triggered by inspection on August 28, 2024).
Staffing
3.37 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Life Care Centers of America, a chain of 194 nursing homes.
Average CMS star ratings across the chain: 3.4 overall, 2.9 for health inspections, 3.4 for staffing, 4.5 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Chesterfield.
Nursing Homes · Chesterfield, MO
Delmar Gardens of Chesterfield
Nursing Homes · Chesterfield, MO
Delmar Gardens on the Green
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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