Total staff
170
Employees
109
Contractors
61
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
The Westchester House
Nursing Home · Chesterfield, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Westchester House
Nursing Home · Chesterfield, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Westchester House accepts Medicare, Medicaid, and private pay.
The Westchester House is a nursing home in Chesterfield, MO, offering rehabilitation and skilled nursing. Here, older adults experience a comfortable stay, especially with a nurturing and home-like environment. With 24-hour care, social services, and well-balanced meals, residents receive the utmost attention and care. The community also goes above and beyond to provide the best possible care tailored to residents’ unique needs and habits, ensuring their recovery.
Fitness exercises, games, and social events provide residents with more opportunities to learn new hobbies and gain meaningful experiences. A lively dining room, top-notch rehabilitation equipment, and cozy outdoors also ensure residents can rest and interact with their surroundings. Residents also have convenient access to their necessities and leisure, as St. Luke’s Hospital, Green Trails Lake, and bus stops are available in the area. This nursing home has high standards of care, making it one of the best choices for senior living in Missouri.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 75th out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 75th out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 11m per day
Rank #75 / 276Nurse hours — State benchmarkedThis home is ranked 75th out of 276 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 276 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Missouri avg
+12%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 14m per day |
Types of Care at The Westchester House
Nursing Home
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
43.5%
Rank #264 / 283Occupancy rate — State benchmarkedThis home is ranked 264th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
56 days
Occupancy rate
43.5%
Rank #264 / 283Occupancy rate — State benchmarkedThis home is ranked 264th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
56 days
Walk Score: 12 / 100 Rank #490 / 562Walk Score — State benchmarkedThis home is ranked 490th out of 562 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.18:1
29% better than Missouri average
Avg staff/day
43
Average shift
8.2 hours
0% compared with Missouri average
Total staff hours (quarter)
32,557
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
64
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5.5%
1,799 contractor hours this quarter
Licensed Practical Nurse: 50
Occupational Therapy Assistant: 5
Registered Nurse: 3
Occupational Therapy Aide: 2
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 0 | 46 | 12,793 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 14 | 50 | 64 | 5,217 | 92 | 100% | 8.4 |
| Registered Nurse | 16 | 3 | 19 | 4,726 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 6 | 0 | 6 | 3,144 | 92 | 100% | 8.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 963 | 64 | 70% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 802 | 66 | 72% | 8.2 |
| RN Director of Nursing | 2 | 0 | 2 | 728 | 64 | 70% | 9.5 |
| Speech Language Pathologist | 3 | 0 | 3 | 545 | 66 | 72% | 7.4 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Aide | 4 | 0 | 4 | 517 | 62 | 67% | 6.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 507 | 66 | 72% | 7.7 |
| Dietitian | 1 | 0 | 1 | 484 | 61 | 66% | 7.9 |
| Qualified Social Worker | 1 | 0 | 1 | 475 | 62 | 67% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 402 | 55 | 60% | 7.3 |
| Nurse Practitioner | 2 | 0 | 2 | 281 | 39 | 42% | 7.2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 197 | 41 | 45% | 4.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 172 | 24 | 26% | 7.2 |
| Occupational Therapy Assistant | 0 | 5 | 5 | 54 | 10 | 11% | 4.9 |
| Medical Director | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
46 Certified Nursing Assistant
% of Days
100%
64 Licensed Practical Nurse
% of Days
100%
19 Registered Nurse
% of Days
100%
6 Medication Aide/Technician
% of Days
100%
3 Respiratory Therapy Technician
% of Days
70%
3 Clinical Nurse Specialist
% of Days
72%
2 RN Director of Nursing
% of Days
70%
3 Speech Language Pathologist
% of Days
72%
1 Administrator
% of Days
72%
4 Physical Therapy Aide
% of Days
67%
2 Physical Therapy Assistant
% of Days
72%
1 Dietitian
% of Days
66%
1 Qualified Social Worker
% of Days
67%
1 Mental Health Service Worker
% of Days
60%
2 Nurse Practitioner
% of Days
42%
2 Occupational Therapy Aide
% of Days
45%
4 Other Dietary Services Staff
% of Days
26%
5 Occupational Therapy Assistant
% of Days
11%
1 Medical Director
% of Days
3%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$84K Rank #261 / 283Federal fines — State benchmarkedThis home is ranked 261st out of 283 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 283 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
15% higher than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$84K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2024
$84K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 28, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 28, 2024
21 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.3
42% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.4
36% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
62% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.7%
Percent of long-stay residents whose ability to move independently worsened
7.7%
63% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.0%
21% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
61% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.8%
Percent of long-stay high risk residents with pressure ulcers
6.8%
35% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.1%
Percent of long-stay residents who lose too much weight
3.1%
44% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.1%
Percent of long-stay residents who have depressive symptoms
5.1%
60% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.7%
Percent of long-stay residents who received an antipsychotic medication
3.7%
83% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
9% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
6% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.8%
32% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
56% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
48% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
26% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
39% of new residents, often for short stays.
Typical stay
1 months
Medicaid
35% of new residents, often for long-term daily care.
Typical stay
3 - 4 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78
Medicare
8
10.3% of residents
Medicaid
36
46.2% of residents
Private pay or other
34
43.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for The Westchester House based on CMS SNF Cost Reports.
Occupancy Rate
43.5%
↓ 3.9pp vs 2022
Net Income
-$2.3M
↓ ~$15.0K vs 2022
Total Payroll
$5.8M
↑ ~$85.3K vs 2022
Profit Margin
-23.4%
↓ 3.1pp vs 2022
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9.7M
Operating loss
-$2.3M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9.7M Rank #76 / 286Revenue — State benchmarkedThis home is ranked 76th out of 286 homes in Missouri. Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$2.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #63 / 286Payroll — State benchmarkedThis home is ranked 63rd out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #63 / 286Payroll — State benchmarkedThis home is ranked 63rd out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.0M
What does this home offer?
Housing Options: Private / Shared Rooms
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Westchester House
3.3 miles from city center
Estimated distance in miles from Chesterfield's city center to The Westchester House's address, calculated via Google Maps.
Calculate Travel Distance to The Westchester House
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Financial Assistance for
Nursing Home in Missouri
The Westchester House is located in Chesterfield, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Compare Nursing Home around Chesterfield
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Garden View Care Center of Chesterfield |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Chesterfield (Lucas Pond) | 130 | 58.7% | -12% | 5.23 | +21% | +40% | $0 | 20 | 4.0 | - | 51 | 19 | Jodi Luaders | $8.5M | $4.5M | 52.8% | 265627 | ||||
| Delmar Gardens of Chesterfield |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Chesterfield (Walnut Hill Plaza) | 237 | 76.4% | +15% | 4.58 | -62% | +23% | $17.2k | 42 | 8.4 | 1 | 164 | 36 | Kavitha Nallabelli | $26.1M | $11.0M | 42.4% | 265170 | ||||
| The Westchester House |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Chesterfield (Leesburg Pike) | 143 | 43.5% | -35% | 4.18 | +46% | +12% | $151.9k | 66 | 7.3 | 6 | 86 | 12 | Robert Bachiel | $9.7M | $5.8M | 59.3% | 265338 |
Frequently Asked Questions about The Westchester House
What neighborhood is The Westchester House in?
The Westchester House is in the Leesburg Pike neighborhood.
Is The Westchester House in a walkable area?
The Westchester House has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at The Westchester House?
The Westchester House's occupancy is 43.5%.
What is the address of The Westchester House?
The Westchester House is located at 550 White Rd, Chesterfield, MO 63017.
What is the phone number of The Westchester House?
(314) 469-1200 will put you in contact with the team at The Westchester House.
Is The Westchester House Medicare or Medicaid certified?
Yes — The Westchester House is a CMS-certified provider of Medicare and Medicaid.
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