Home›Missouri›St. Louis County›WESTCHESTER HOUSE, THE
C
Below Standard

WESTCHESTER HOUSE, THE

550 WHITE ROAD · CHESTERFIELD, MO 63017

3144691200 · For profit - Corporation

159 beds84.7 residents180 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WESTCHESTER HOUSE, THE receives an overall staffing grade of C (Below Standard). With 3.4388 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4831 HPRD, below the recommended 0.75. It is 0.46 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.52% compared to weekdays. The facility relies heavily on temporary agency staff (17.26% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4388 HPRD — needs 0.04 more hours per resident per day.
⚠️RN staffing (0.4831 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️17.26% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4388hrs/resident/day▼ 0.46
CMS benchmark: 3.48
RN HPRD
0.4831hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
11.52%
3.5546 weekday → 3.1449 weekend
Agency Staff
17.26%
9.2% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5299hrs/resident/day
Direct care aides
LPN HPRD
0.9646hrs/resident/day
Licensed practical nurses
Consistency
0.4708std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. St. Louis County Average-0.38 HPRD
3.82
03.44 HPRD
vs. Missouri State Average-0.04 HPRD
3.48
03.44 HPRD
vs. National Average-0.46 HPRD
3.90
03.44 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WESTCHESTER HOUSE, THE ★
CHESTERFIELD · This facility
—
C
3.43880.4831★★☆☆☆
FRIENDSHIP VILLAGE CHESTERFIELD
CHESTERFIELD
0.5 mi
B
4.63990.6115★★★★★
SURREY PLACE ST LUKES HOSPITAL SKILLED NURSING
CHESTERFIELD
0.7 mi
A+
5.46731.8628★★★★☆
DELMAR GARDENS OF CHESTERFIELD
CHESTERFIELD
1.4 mi
F
3.88040.2473★★★☆☆
MASON POINTE CARE CENTER
CHESTERFIELD
1.4 mi
A
4.34681.0051★★★★★
DELMAR GARDENS WEST
TOWN AND COUNTRY
1.4 mi
C
3.85850.4429★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
54
Total Deficiencies
$83,824
Fines Assessed
May 13, 2025Health
3 deficiencies cited
▼
Aug 28, 2024Health
13 deficiencies cited· Includes actual harm
▼
Jul 3, 2024Health
1 deficiency cited
▼
Mar 1, 2024Health
2 deficiencies cited
▼
Aug 3, 2023Health
2 deficiencies cited· Includes actual harm
▼
Jun 15, 2023Health
15 deficiencies cited
▼
Mar 8, 2023Health
11 deficiencies cited· Includes actual harm
▼
Oct 11, 2019Health
7 deficiencies cited
▼

Penalty History

Aug 28, 2024Fine
$83,824
Aug 28, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.