ElderGrade
D

54.3/100

Below average

Westchester House, The

550 White Road, Chesterfield, MO 63017

CMS 2/5 stars #34 of 69 in St. Louis County (314) 469-1200
Certified beds
159
Occupancy
57%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $83,824 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 69%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

25.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -0.7 for 19 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.49 total nurse hours per resident per day (national median 3.77)
  • 0.59 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 69% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $83,824 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.29 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.59 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.98 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 69.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 43 citations

Last standard health inspection: August 28, 2024 (1 year ago).

D May 13, 2025 F0557 From a complaint

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

No actual harm, potential for more than minimal harm

D May 13, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D May 13, 2025 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

G Aug 28, 2024 F0692 From a complaint

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Actual harm to a resident

F Aug 28, 2024 F0804 From a complaint

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

E Aug 28, 2024 F0553

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

No actual harm, potential for more than minimal harm

E Aug 28, 2024 F0580

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

E Aug 28, 2024 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of LIFE CARE CENTERS OF AMERICA, which operates 194 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BACHIEL, ROBERT Individual W-2 MANAGING EMPLOYEE
CROSS, CINDY Individual CORPORATE OFFICER
THURMOND, JOAN Individual CORPORATE OFFICER
LIFE CARE CENTERS OF AMERICA, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
CRHC LLC Organization GENERAL PARTNERSHIP INTEREST
DEVELOPERS INVESTMENT COMPANY INC Organization LIMITED PARTNERSHIP INTEREST
FUND I INVESTMENTS LIMITED PARTNERSHIP Organization LIMITED PARTNERSHIP INTEREST
HCF INC Organization LIMITED PARTNERSHIP INTEREST
FUND I INVESTMENTS LIMITED PARTNERSHIP Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Westchester House, The

What is the ElderGrade for Westchester House, The? +

Westchester House, The holds an ElderGrade of D (54.3 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Westchester House, The? +

Residents receive an average of 3.29 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Westchester House, The been cited for harming residents? +

Yes. 2 of the 43 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Westchester House, The accept Medicaid? +

Yes, Westchester House, The is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.