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
Data as of July 1, 2026
2 of 5 overall
Westchester House in Chesterfield, MO has an overall 2 of 5 stars, with 2-star health inspection and staffing ratings but 4-star quality measures. It also has a recent federal penalty, $83,824 in fines over the last 24 months, and reported nurse staffing of 3.29 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.2885 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 3.2885.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.01
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 90%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10%13.6%Worsening
Residents with a fall causing major injury
7.1%1.2%Improving
Residents with pressure ulcers (bedsores)
7.9%4.7%Improving
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
3%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3%20.9%Worsening
Residents whose ability to walk got worse
3.7%12.6%Worsening
Long-stay residents on antianxiety or sleep medication
15.9%20%Worsening
Short-stay residents newly given an antipsychotic
3.4%2.6%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.7%15.6%Improving
Residents with depressive symptoms
8.2%20.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.1%—
Long-stay residents given the pneumonia vaccine
95.7%87.7%Worsening
Short-stay residents given the seasonal flu vaccine
—94.1%—
Short-stay residents given the pneumonia vaccine
90%70.2%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 · 3.4 stars avg
- Occupancy
- 90.1 residents on an average day (57% 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.