THE WESTCHESTER HOUSE

The information listed below provides an in-depth look into the type and quality of care offered at The Westchester House. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

THE WESTCHESTER HOUSE
550 WHITE ROAD
CHESTERFIELD, MO 63017
(314) 469-1200

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

56%

Number of Residents and Certified Beds

  • Residents: 89
  • Certified Beds: 159

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Westchester House. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.6%
ADL Index Range: 2-102.4%
Total Percent:4.9%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.4%
Total Percent:0.4%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-169.1%
ADL Index Range: 6-1016.5%
ADL Index Range: 0-516.3%
Total Percent:41.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.8%
ADL Index Range: 6-108.9%
ADL Index Range: 0-513.1%
Total Percent:29.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.9%
ADL Index Range: 6-103.2%
ADL Index Range: 0-55.7%
Total Percent:10.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.2%
ADL Index Range: 6-103.9%
ADL Index Range: 0-53.7%
Total Percent:8.8%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.3%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:0.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.6%
ADL Index Range: 0-1
- No Signs of depression
0.4%
Total Percent:1.1%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
1.8%
ADL Index Range: 0-1
- Less restorative nursing
0.09%
Total Percent:1.9%
 

Rating Details For The Westchester House

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours30 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 27 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 57 Minutes1 Hour and 50 Minutes
Total Nurse Hours4 Hours and 36 Minutes4 Hours and 17 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season87%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination89%88%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%38%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%11%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores19%10%
Percent of Long-Stay Residents Who Lose Too Much Weight3%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season60%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination50%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%4%
Percent of Short-Stay Residents Who Have Pressure Sores13%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%20%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/27/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010
Give or Get Lab Tests by a Certified Laboratory.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/30/2009
  • Correction Date: 12/30/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 09/30/2009
  • Correction Date: 12/30/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)09/30/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Westchester House, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/12/2008
  • Correction Date: 09/25/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/30/2009
  • Correction Date: 10/30/2009

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 08/12/2008
  • Correction Date: 09/25/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 08/12/2008
  • Correction Date: 09/25/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/12/2008
  • Correction Date: 09/25/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 08/12/2008
  • Correction Date: 09/25/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 09/30/2009
  • Correction Date: 10/30/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/17/2009
  • Correction Date: 12/30/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 11/17/2009
  • Correction Date: 12/30/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that The Westchester House had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/27/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Portable Fire Extinguishers.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/12/2008
  • Correction Date: 09/25/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/27/2010
  • Correction Date: 09/06/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011