The Westchester House: Staffing, Turnover, and Inspection Record
The Westchester House is a 159-bed for-profit nursing home in Chesterfield, Missouri, part of Life Care Centers of America. In the CMS August 2026 release it reported 2.01 nurse aide hours per resident per day, 12% below the Missouri average of 2.29, and 69.0% nursing staff turnover (Missouri average 56.0%).
The Westchester House
550 White RoadChesterfield, MO 63017
St. Louis County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Westchester House, nurse aides logged 2.01 hours per resident per day, 12% below the Missouri average. With about 90 residents a day, that works out to roughly 181 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.01 | 2.29 | 2.32 |
| Licensed practical nurses | 0.69 | 0.68 | 0.86 |
| Registered nurses | 0.59 | 0.46 | 0.69 |
| All nursing staff | 3.29 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.98 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
69.0% of nursing staff at The Westchester House left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 90.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 28, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $83,824 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 28, 2024 | Fine | $83,824 |
| Aug 28, 2024 | Payment Denial | 21 days from Oct 4, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Westchester House holds 2 of 5 overall; the Missouri average is 2.5.
About The Westchester House
- Ownership: For profit - Corporation
- Chain: Life Care Centers of America, 194 homes
- Legal name: Consolidated Resources Health Care Fund I LP
- Medicare and Medicaid certified since: Dec 12, 1988
- Councils: resident council
- Area: urban
Nursing homes near The Westchester House
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Friendship Village Chesterfield Chesterfield | 0.5 | 98 | 3.09 | 4.40 | 46.6% | 5 | None |
| Surrey Place St Lukes Hospital Skilled Nursing Chesterfield | 0.7 | 130 | 1.84 | 4.72 | 44.3% | 4 | None |
| Garden View Care Center of Chesterfield Chesterfield | 1.4 | 52 | 3.59 | 5.39 | 61.6% | 4 | None |
| Delmar Gardens of Chesterfield Chesterfield | 1.4 | 227 | 2.81 | 3.77 | 48.8% | 3 | None |
| Mason Pointe Care Center Chesterfield | 1.4 | 63 | 2.64 | 4.32 | 40.3% | 5 | None |
| Delmar Gardens West Town and Country | 1.4 | 321 | 2.46 | 3.62 | 42.4% | 2 | $14,433 |
| Brooking Park Chesterfield | 1.7 | 49 | 2.77 | 4.65 | — | 3 | $15,646 |
| Athene Nursing and Rehabilitation Town and Country · abuse citation | 3.0 | 282 | 2.00 | 2.90 | 61.2% | 1 | $122,846 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.