Westchester House, the
550 White Road · Chesterfield, MO · 63017 · 3144691200
159 certified beds For profit - Corporation Chain: Life Care Centers of America
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $83,824 in fines in the last 24 months.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$83,824 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 1 · $83,824 |
Inspection citations (43 in the current record)
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Potential for harm · D May 13, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D May 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D May 13, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 2, 2025 · Quality of Life and Care
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Actual harm · G August 28, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected October 25, 2024 · Quality of Life and Care
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Potential for harm · E August 28, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected October 3, 2024 · Resident Rights
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Potential for harm · E August 28, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 3, 2024 · Resident Rights
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Potential for harm · E August 28, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 28, 2024
Provide activities to meet all resident's needs.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · E August 28, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · E August 28, 2024
Provide and implement an infection prevention and control program.
Corrected October 3, 2024 · Infection Control
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Potential for harm · E August 28, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D August 28, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D August 28, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · E August 28, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected October 3, 2024 · Pharmacy Service
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Potential for harm · F August 28, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 3, 2024 · Nutrition and Dietary
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Potential for harm · D July 3, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 30, 2024 · Pharmacy Service
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Potential for harm · D March 1, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 1, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 9, 2024 · Quality of Life and Care
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Actual harm · G August 3, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 15, 2023 · Quality of Life and Care
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Potential for harm · D August 3, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 15, 2023 · Pharmacy Service
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Potential for harm · D June 15, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 28, 2023 · Resident Rights
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Potential for harm · F June 15, 2023
Honor the resident's right to manage his or her financial affairs.
Corrected July 28, 2023 · Resident Rights
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Potential for harm · E June 15, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 15, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 28, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 28, 2024 | Fine | $83,824 |
| August 28, 2024 | Payment Denial | 21 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265338 · certified since December 12, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.