All states › Missouri › Chesterfield › The Westchester House
550 White Road Chesterfield, MO 63017 · St. Louis County
All 8 nursing homes in Chesterfield, MO (8 take Medicaid)
CMS certification number 265338 · See this home on Medicare Care Compare
Is The Westchester House a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Westchester House as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.37 hours per resident per day at The Westchester House, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.50 of those hours are from registered nurses. On weekends it falls to 3.04 hours, 10% below its all-week average. 70.8% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at The Westchester House: Medicare and Medicaid
The Westchester House is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 28, 2024 and found 7 deficiencies, plus 6 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 41 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 41 citations at The Westchester House across 6 inspection dates, 12 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on August 28, 2024. The most common areas cited were quality of life and care (15) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "provide enough food/fluids to maintain a resident's health" (tag F0692, level G, August 28, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
May 13, 2025 · 3 citations · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
August 28, 2024 · 13 citations, includes actual harm · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EAllow resident to participate in the development and implementation of his or her person-centered plan of care.
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
July 3, 2024 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
March 1, 2024 · 2 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
June 15, 2023 · 15 citations
FHonor the resident's right to manage his or her financial affairs.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DTry 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.
DEnsure that residents are free from significant medication errors.
DProvide bedrooms that don't allow residents to see each other when privacy is needed.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
October 11, 2019 · 7 citations
EEnsure services provided by the nursing facility meet professional standards of quality.
ETry 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.
EEnsure medication error rates are not 5 percent or greater.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of The Westchester House
- Inspectors cited the home at the actual-harm level on August 28, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 1, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 70.8% a year. How many of the staff come from agencies?
- The home averages about 52% of its beds filled. Are any units closed?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $83,824 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 28, 2024 | Fine | $83,824 |
| Aug 28, 2024 | Payment Denial | 21 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near The Westchester House
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.0 mi
St Lukes Hospital ChesterfieldEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 32m for patients treated and sent home
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3.7 mi
Barnes-Jewish West County Hospital St LouisEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 40m for patients treated and sent home
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5.2 mi
St Johns Mercy Medical Center St LouisEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 40m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Westchester House › All nursing homes in Chesterfield ›
Compare The Westchester House with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Friendship Village Chesterfield · Chesterfield · 5 stars · 0.5 mi
- Mason Pointe Care Center · Chesterfield · 5 stars · 1.4 mi
- Lutheran Senior Services at Meramec Bluffs · Ballwin · 5 stars · 6.2 mi
- Aberdeen Heights · Kirkwood · 5 stars · 8.7 mi
Other Life Care Centers of America nursing homes in Missouri
- Life Care Center of St Louis · Saint Louis · 4 stars
- Life Care Center of Carrollton · Carrollton · 4 stars
- Life Care Center of Sullivan · Sullivan · 4 stars
- Life Care Center of Waynesville · Waynesville · 3 stars
- Life Care Center of Bridgeton · Bridgeton · 3 stars
- Life Care Center of Cape Girardeau · Cape Girardeau · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 194 Life Care Centers of America nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.