Nursing home
The Westchester House
550 White Road, Chesterfield, MO 63017 · Map
For profit - Corporation · Part of Life Care Centers Of America (194 facilities) · 159 certified beds
The Westchester House is a Medicare-certified nursing home in Chesterfield, Missouri. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.43 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Aug 28, 2024 cited 16 deficiencies.
- 1 fine totaling $83,824In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Westchester House compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.43 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.98 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 66.1% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 16.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the May 13, 2025 inspection was corrected by July 2, 2025
Penalties in CMS records: 1 fine totaling $83,824, 2 total penalties, 1 Medicare payment denial.
What inspectors found at The Westchester House
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · May 13, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 13, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · May 13, 2025 · Full report (PDF) - Actual harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Aug 28, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Aug 28, 2024 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 28, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 550 White Road
Chesterfield, MO 63017 - CMS certification #
- 265338
- Ownership
- For profit - Corporation
- Certified beds
- 159
- Avg residents/day
- 84.7
- Provider type
- Medicare and Medicaid
- First certified
- 1988-12-12
- Chain
- Life Care Centers Of America (194 facilities)
- Setting
- Urban
Part of Life Care Centers Of America
Life Care Centers Of America operates 194 nursing facilities across the United States. View all Life Care Centers Of America facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Westchester House using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What The Westchester House says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Focusing on inpatient and outpatient rehabilitation with 24-hour skilled nursing care, The Westchester House's in-house team of therapists and nurses create individualized care plans, focusing on the goals and needs of each resident and patient.
(page, checked Oct 12, 2026) - Provides transportation.
Transportation services
(page, checked Oct 15, 2026) - Smoke-free.
Non-smoking facility
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending May 6, 2023.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- St Lukes Hospital, Chesterfield. 1.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Friendship Village Chesterfield, Chesterfield. 0.5 miles away, straight line.
- Nearest home health agency office
- Fv At Home By Friendship Village, Chesterfield. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS. 3.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63017 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Creve Coeur Dialysis, Creve Coeur, 3.4 miles away, straight line (CMS rating 4 of 5 stars)
Davita Town And Country West Dialysis, Saint Louis, 3.8 miles away, straight line (CMS rating 3 of 5 stars)
Fkc - Creve Coeur Home, Creve Coeur, 5.0 miles away, straight line - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 63017.
Pathways Hospice And Palliative Care, office in Chesterfield, 1.3 miles away, straight line (CMS family survey rating 5 of 5 stars)
St Luke'S Hospice Services, office in Chesterfield, 1.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Three Oaks Hospice, office in Creve Coeur, 3.5 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Elite Physical Therapy Of Creve Coeur LLC, Creve Coeur. 3.5 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Westchester House a good nursing home?
CMS gives The Westchester House an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Westchester House staffed?
The Westchester House reports 3.43 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has The Westchester House had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does The Westchester House have?
The Westchester House is certified for 159 beds.