The home failed to provide enough food and fluids to keep residents healthy. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
WESTCHESTER HOUSE, THE
CHESTERFIELD, MO · Medicare-certified · 159 beds
Needs attention
For-profitChain member
2 of 5 overall
Westchester House, The (Chesterfield, MO) has an overall rating of 2 out of 5 stars, with 2-star health inspections, 3-star staffing, and 4-star quality measures. Reported nurse staffing is 3.39 hours per resident per day, below the 4.1 federal benchmark, and the facility had $83,824 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3923 hrs/resident/day
Quality measures
Last inspection: May 13, 2025Penalties, last 24 months: $83,824recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3923.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.73
- Nurse aides
- 1.95
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 74%
Registered nurse turnover: 93%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.6%Worsening
Residents with a fall causing major injury
5.9%Improving
Residents with pressure ulcers (bedsores)
7.2%Worsening
Residents with a urinary tract infection
0.4%Worsening
Residents who lost too much weight
1.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.6%Improving
Residents whose ability to walk got worse
3.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.3%Worsening
Short-stay residents newly given an antipsychotic
3.6%Worsening
Residents with a long-term catheter
0.3%Improving
Residents with new or worsening incontinence
23.7%Worsening
Residents with depressive symptoms
10.4%Worsening
Long-stay residents given the seasonal flu vaccine
96.1%Steady
Long-stay residents given the pneumonia vaccine
93.4%Worsening
Short-stay residents given the seasonal flu vaccine
94.1%Steady
Short-stay residents given the pneumonia vaccine
84.7%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 567 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $83,824 was recorded.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $83,824 in total fines · 1 payment denial.
- 21 days
Medicare/Medicaid payment denial
Aug 28, 2024
- $83,824
Federal fine
Aug 28, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of LIFE CARE CENTERS OF AMERICA · 194 homes · 3.5 stars avg
- Occupancy
- 88.7 residents on an average day (56% of 159 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.