Westchester House, the

Name: Westchester House, the
Address: 550 WHITE ROAD, Chesterfield, MO, 63017, US
Telephone: 3144691200

550 White Road, Chesterfield, MO 63017 · St. Louis County · 159 certified beds · avg 90 residents/day · certified since Dec 12, 1988

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

2/5

Health inspection rating (on-site)

Serious findings on record

$83,824

Fines, last 3 years

3.49

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Aug 28, 2024 · F-0692 · triggered by a complaint

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 25, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 3, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 15, 2023 (Past Non-Compliance)

All citations in the current public record (43)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 13, 2025	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
May 13, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 13, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Aug 28, 2024	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Aug 28, 2024	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Aug 28, 2024	E · Potential for harm, repeated	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Aug 28, 2024	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 28, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 28, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 28, 2024	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Aug 28, 2024	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 28, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Aug 28, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 28, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Aug 28, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 28, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jul 3, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Mar 1, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Mar 1, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 3, 2023	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 3, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jun 15, 2023	F · Potential for harm, facility-wide	The facility did not honor residents' right to manage their own money and financial affairs.
Jun 15, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 15, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 15, 2023	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jun 15, 2023	D · Potential for harm, one-off	The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Oct 11, 2019	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 11, 2019	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Oct 11, 2019	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 11, 2019	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 11, 2019	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 11, 2019	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Oct 11, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (15 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2019	7	0	E
2023	17	1	G ▲
2024	16	1	G ▲
2025	3	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $83,824, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Aug 28, 2024	Fine	$83,824
Aug 28, 2024	Payment Denial	21 days from Oct 4, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.49	3.66	3.95	bottom 45% in Missouri; bottom 36% in the U.S.
Registered Nurse hours	0.63	0.49	0.69	top 19% in Missouri; top 45% in the U.S.
Weekend total nurse staffing	3.16	3.22	3.50	top 50% in Missouri; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.33	0.48	top 21% in Missouri; top 50% in the U.S.
Total nursing staff turnover (%)	69.0	56.0	45.8	bottom 17% in Missouri; bottom 6% in the U.S.
RN turnover (%)	90.0	47.8	42.9	bottom 3% in Missouri; bottom 2% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.59, weekend 2.98. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fund I Investments Limited Partnership	Organization	5% or Greater Direct Ownership Interest	96%	08/23/1995
Bachiel, Robert	Individual	W-2 Managing Employee	NOT APPLICABLE	04/20/2020
CRHC LLC	Organization	General Partnership Interest	NOT APPLICABLE	01/01/2017
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	08/23/1995
Developers Investment Company INC	Organization	Limited Partnership Interest	NOT APPLICABLE	08/23/1995
Fund I Investments Limited Partnership	Organization	Limited Partnership Interest	NOT APPLICABLE	08/23/1995
HCF INC	Organization	Limited Partnership Interest	NOT APPLICABLE	08/23/1995
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	02/05/1990
Thurmond, Joan	Individual	Corporate Officer	NOT APPLICABLE	09/21/2000

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Friendship Village Chesterfield	0.5 mi	Chesterfield, MO	★★★★★	4/5
Surrey Place St Lukes Hospital Skilled Nursing	0.7 mi	Chesterfield, MO	★★★★☆	3/5
Garden View Care Center of Chesterfield	1.4 mi	Chesterfield, MO	★★★★☆	4/5
Delmar Gardens of Chesterfield	1.4 mi	Chesterfield, MO	★★★☆☆	3/5
Mason Pointe Care Center	1.4 mi	Chesterfield, MO	★★★★★	5/5
Delmar Gardens West	1.4 mi	Town and Country, MO	★★☆☆☆	3/5
Brooking Park	1.7 mi	Chesterfield, MO	★★★☆☆	3/5
Athene Nursing and Rehabilitation	3.0 mi	Town and Country, MO	★☆☆☆☆	1/5	abuse
Creve Coeur Manor	3.7 mi	Saint Louis, MO	★☆☆☆☆	1/5
Delmar Gardens on the Green	4.0 mi	Chesterfield, MO	★★☆☆☆	3/5
Country Villa Wellness & Rehabilitation	4.4 mi	Creve Coeur, MO	★★★☆☆	4/5
Manchester Rehab and Healthcare Center	5.2 mi	Ballwin, MO	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Chesterfield →

Facility data as of CMS processing date 2026-08-01. CCN 265338.

The Care File

Visit checklist — Westchester House, the

550 White Road, Chesterfield, MO 63017 · 3144691200

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $83,824

Most serious findings on record:

▲ Aug 28, 2024 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ Aug 3, 2023 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265338 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)