The Westchester House: Nursing Home OverviewSkip to content

The Westchester House

  • Nursing Home

Updated Nov 1, 2023 by Nick Lata

Historical Rating
Grade: F
Oct 18: B-Nov 18: BDec 18: BJan 19: BFeb 19: BMay 19: B+Jun 19: B+Jul 19: BAug 19: BSep 19: BJan 20: BMar 20: BApr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-Sep 20: COct 20: B+Nov 20: AJan 21: B+Feb 21: B+Mar 21: B+Apr 21: B+May 21: CJun 21: CJul 21: CAug 21: CSep 21: COct 21: DNov 21: DJan 22: CFeb 22: CMar 22: CApr 22: DMay 22: DJun 22: DAug 22: CSep 22: COct 22: B-Nov 22: B-Jan 23: B-Feb 23: CMar 23: CApr 23: CJun 23: DJul 23: FAug 23: FSep 23: FOct 23: FNov 23: F
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The Westchester House's website

550 White Road,
Chesterfield MO 63017

(314) 469-1200

39.3% estimated occupancy 1

Note: The Westchester House has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

The Westchester House is a senior living facility located in Chesterfield, Missouri, a city with a population of 59,223 people. We gave this facility an F, which is just about as bad as it gets in our grading scheme. Keep in mind that Chesterfield received a city grade of C, so should consider other options in the city as well. More information on this nursing home's category grades is available below. Its best category was short-term care, which is addressed in the next section.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • Has Family Council
  • For profit - Corporation
  • Offers Post-Acute Care 
  • Offers Inpatient Rehab
  • Offers Outpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Transportation
  • Speech Therapy
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Diabetes Management
  • Physical Therapy
  • Nutritional Counseling
  • Recreational Therapy

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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Short-term Care Quality

Grade: B-minus

Even though we graded this facility incredibly poorly overall, it received a decent short-term care rating this year. We gave it a grade of B- in that area, which was the closest thing to a bright spot we could find for this place. In calculating these short-term care scores, we assess the facility's skilled nursing services, such as those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. The goal is to create a measure for sizing up the rehabilitation services of different nursing homes. We were surprised to find that this facility was below average in the two key staffing areas we focus on. In fact, it offered fewer registered nurse and physical therapist hours per resident than most other facilities. It is important to determine whether this is adversely impacting the quality of care. The final datapoint we assessed in this category is the percentage of residents that were able to return home from the facility. We found that just 5.1 percent of this facility's residents returned home. Unfortunately, this was below the national average.

Long-term Care Quality

Grade: C

Incredibly, we awarded this facility a grade of C for its long-term care score, which isn't a bad grade. Long-term care grades are used to score a facility's performance as a traditional nursing home, as opposed to focusing more on the skilled nursing services offered by a rehabilitation facility. On top of looking at the volume of care provided by nurses aids and other staff, we also looked at the number of residents vaccinated for pneumonia. This nursing home vaccinated 97.4249 percent of its patients, which is more than the majority of nursing homes. This facility keeps its residents out of the hospital. It had only 0.05 hospitalizations per 1,000 long-term resident days, which is an impressively low number.

Nurse Quality

Grade: D

Unfortunately, this facility only received a grade of D for its nursing grade, which was actually one of its better category grades. In calculating a nursing home's nursing grade, we look at the amount of time nurses spend with residents and the level of licensure of the nurses. This nursing home offered just 0.4 hours of nursing care per resident on a daily basis. This is not a very impressive figure. Finally, we also looked at some nursing quality-based metrics in calculating our nursing grades. This nursing home performed well in terms of avoiding major falls and pressure ulcers. Many consider these metrics to be indicators of the quality of nursing care.

Facility Inspections

Grade: F

The final category we looked at is inspections. This facility did not receive favorable government inspection reports in recent years. As a result, we had to give it an F here. When a place has this bad of an inspection score, you should expect some severe deficiencies on its inspection report. Severe deficiencies indicate a risk to the well being of residents. This nursing home was assessed 2 deficiencies by government inspectors. The only favorable thing we found is that none of its deficiencies were in the categories that suggest that they created a risk to resident safety or health. Lastly, this facility was flagged by CMS for possible abuse or neglect. We prefer to avoid facilities with this designation. Please do your best to find an alternative nursing home.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

The Westchester House Quality Metrics

Minimizes Pressure Ulcers

Grade: C

In The Westchester House, 11.56% of Patients had Pressure Ulcers

This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often caused by patients not being moved frequently enough. Better nursing care can limit the percentage of residents in a nursing home who sustain pressure ulcers.

Minimizes Serious Falls

Grade: B

In The Westchester House, 3% of Patients had Serious Falls

This indicates the percentage of patients that sustained a major fall. Falls resulting in major injuries are routinely the result of poor nursing care. Better nursing protocols can minimize the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: B

In The Westchester House, 1.42% of Patients had UTIs

This is the percentage of residents who have had a urinary tract infection. These infections may be linked to inadequate hygiene.

Appropriately Uses Anti-Psychotic Medication

Grade: A

In The Westchester House, 7.73% of Patients use Anti-Psychotic Medication

This tells you the percentage of patients prescribed antipsychotic drugs. While antipsychotic drugs may be vital to many patients, it is important to ensure these drugs are being used appropriately. In some cases, excessive reliance on these medications may indicate that a facility is using these drugs to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: A-plus

In The Westchester House, 6.42% of Patients use Anti-Anxiety Medication

This gauges the percent of long-term stay residents taking antianxiety drugs.

Managing Depression Among Residents

Grade: B

In The Westchester House, 3.37% of Patients

This indicates the percentage of patients exhibiting symptoms of depression. Higher levels of depression could be an indicator worse patient care.

Appropriate Vaccine Usage

Grade: B-plus

In The Westchester House, 98.71% of Patients

This is the percent of patients that were administered the pneumonia and flu vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: C

In The Westchester House, 20.4% of Patients

This datapoint is a measure of the percent of long-term stay residents that needed additional assistance with activities of daily living over time. Activities of daily living include activities such as moving around and using the bathroom. Some would argue this is a reasonable measure of a patient's well-being.

Ability to Keep Residents Mobile

Grade: A-minus

In The Westchester House, 21.36% of Residents

This indicates the percent of residents that maintained mobility over time. Optimizing mobility is often a good sign for residents' well-being.

Hospitalizations

Grade: F

In The Westchester House, 0.05 Hospitalizations per 1,000 resident days

This indicates the number of hospitalizations per thousand days of care. There is a correlation between staying out of the hospital and the overall quality of long-term care.

Short-term Care: Rehospitalizations

Grade: C

In The Westchester House, 21.36% of Residents Rehospitalized

This indicates the number of times residents are rehospitalized per 1,000 days of short-term care. There is generally a correlation between staying out of the hospital and a nursing home's quality of short-term rehabilitation.

Short-term Care: ER Visits

Grade: B-plus

In The Westchester House, 10.24% of Patients

This is the number of times residents are sent to the emergency room per 1,000 days of short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: B

In The Westchester House, 77.18% of Resident

This datapoint is a measure of the percentage of short-term residents that saw functional improvements, such as with activities of daily living. Many would argue this is a reasonable measure of rehabilitation services.

Scores for Chesterfield, MO

  • Overall Rating has a grade of C
  • Nurse Rating has a grade of B-minus
  • Long-term Care Rating has a grade of C
  • Short-term Care Rating has a grade of B-minus
  • Inspection Rating has a grade of B

Looking for more options? Chesterfield, Missouri has 9 other nursing homes

Nearby Hospitals

  • St Lukes HospitalAcute Care Hospitals 1.79 miles away232 S Woods Mill Rd Chesterfield Missouri 63017Voluntary non-profit - Private(314) 434-1500
  • Barnes-Jewish West County HospitalAcute Care Hospitals 3.79 miles away12634 Olive Boulevard Saint Louis Missouri 63141Voluntary non-profit - Private(314) 996-8000
  • Missouri Baptist Medical CenterAcute Care Hospitals 5.33 miles away3015 N Ballas Rd Saint Louis Missouri 63131Voluntary non-profit - Private(314) 996-5000
  • St Luke's Des Peres HospitalAcute Care Hospitals 7.39 miles away2345 Dougherty Ferry Road Saint Louis Missouri 63122Proprietary(314) 966-9100
  • Ssm Health Depaul Hospital St LouisAcute Care Hospitals 8 miles away12303 Depaul Drive Bridgeton Missouri 63044Voluntary non-profit - Private(314) 344-6000
  • Ssm Health St Joseph Hospital-St CharlesAcute Care Hospitals 8.39 miles away300 1st Capitol Dr Saint Charles Missouri 63301Voluntary non-profit - Private(636) 947-5000
  • Barnes-Jewish St Peters HospitalAcute Care Hospitals 9.08 miles away10 Hospital Dr Saint Peters Missouri 63376Voluntary non-profit - Other(636) 916-9000
  • Progress West HospitalAcute Care Hospitals 9.34 miles away2 Progress Point Pkwy O Fallon Missouri 63368Voluntary non-profit - Private(636) 344-1000

Nearby Dialysis

  • Creve Coeur Dialysis Center3.41 miles away1009 Executive Pkwy #100 Saint Louis Missouri 63141CMS Rating: 4 stars Dialysis Stations: 40 (314) 434-4770
  • Town and Country West Dialysis3.83 miles away12855 N 40 Drive Suite l4 Saint Louis Missouri 63141Dialysis Stations: 12 (314) 542-0049
  • Fmc - Creve Coeur4.93 miles away555 N New Ballas #170 Saint Louis Missouri 63141CMS Rating: 3 stars Dialysis Stations: 17 (314) 872-9272
  • Ellisville Dialysis Center5.33 miles away257 Clarkson Road Ballwin Missouri 63011CMS Rating: 3 stars Dialysis Stations: 18 (636) 207-7401
  • Nxstage St Louis, LLC6.25 miles away1076 Old Des Peres Road Saint Louis Missouri 63131Dialysis Stations: 9 (314) 925-2522
  • Saint Louis West Dialysis7.03 miles away400 North Lindberg Boulevard Saint Louis Missouri 63141CMS Rating: 4 stars Dialysis Stations: 21 (314) 989-0886
  • Frontenac Home Dialysis Center7.05 miles away10435 Clayton Rd Suite 201 Saint Louis Missouri 63131Dialysis Stations: 6 (314) 567-0645
  • Saint Louis West Pd Dialysis7.96 miles away9632 Olive Blvd Saint Louis Missouri 63132Dialysis Stations: 2 (314) 994-9311