Federal inspection record · CMS data as of October 1, 2026
Westchester House, The
550 White Road, Chesterfield, MO · (314) 469-1200
- Certified beds
- 157
- Residents per day
- 82
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 12, 1988
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Westchester House, The carries 112 inspection points. That is fewer than 34% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care14E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
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
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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning6E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights5F
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F
Honor the resident's right to manage his or her financial affairs.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Nutrition and Dietary4F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service4E
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2D
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2024-08-28
13 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-06-15
18 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2019-10-11
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 22 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 71% of nursing staff and 81% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$83,824 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-28 | Fine | $83,824 |
| 2024-08-28 | Payment Denial · 21 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 86.5% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 97.7% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 15.5% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 3.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts better | 18.5% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.7 pts better | 13.8% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.1 pts better | 4.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts better | 11.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.2% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts worse | 20.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 5.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.2 pts better | 74.9% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better | 11.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts worse | 4.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 70.6% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts better | 21.5% | 25.7% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fund I Investments Limited Partnership | 5% Or Greater Direct Ownership Interest · Organization | 96% | 12 facilities |
| Bachiel, Robert | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Crhc LLC | General Partnership Interest · Organization | 0% | 10 facilities |
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Developers Investment Company Inc | Limited Partnership Interest · Organization | 0% | 71 facilities |
| Fund I Investments Limited Partnership | Limited Partnership Interest · Organization | 0% | 12 facilities |
| Hcf Inc | Limited Partnership Interest · Organization | 0% | 11 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress4E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Emergency Preparedness3F
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Construction2E
- E
Use approved construction type or materials.
- E
Use approved construction type or materials.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
- E
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- 4 h 25 min
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- $0
-
Surrey Place St Lukes Hospital Skilled Nursing
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-
Garden View Care Center Of Chesterfield
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