F

WESTCHESTER HOUSE, THE

550 WHITE ROAD, CHESTERFIELD, MO 63017
Score: 30 / 100

Westchester House, The has received an F grade based on CMS data, with a score of 30/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Chesterfield facility should carefully review its inspection history and quality metrics.

Staffing at Westchester House, The is near the national average, with 3.43 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 54 deficiencies at Westchester House, The. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.43 3.8 Average
Registered Nurses (RN) 0.48 0.7 Below Average
Licensed Practical Nurses (LPN) 0.96 0.7 Above Average
Certified Nursing Assistants (CNA) 1.98 2.4 Below Average
Weekend Total Nursing 3.14 3.8 Below Average
Weekend RN Hours 0.42 0.7 Below Average

🔍 Inspection & Deficiency History

54
Total Deficiencies
May 12, 2025
Most Recent Inspection
🟠 54 Moderate
View recent deficiencies (5 shown)
  • Tag 0557 Severity D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    May 12, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    May 12, 2025 · Quality of Life and Care Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    May 12, 2025 · Quality of Life and Care Deficiencies
  • Tag 0692 Severity G
    Provide enough food/fluids to maintain a resident's health.
    Aug 27, 2024 · Quality of Life and Care Deficiencies
  • Tag 0804 Severity F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Aug 27, 2024 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.1% 4.5% Worse
Falls with major injury 6.7% 3.0% Worse
On antipsychotic medication 10.4% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 5.3% 14.0% Better
Excessive weight loss 2.2% 7.5% Better
New/worsened incontinence 22.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $83,824

How This Grade Was Calculated

This facility's grade of F is based on a score of 30 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -8 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
159
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 27, 2024
Deficiencies (Cycle 1)
16