THE WESTCHESTER HOUSE

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.

Ultra-High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

Reduced Physical Function

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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.

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

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.

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.

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

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.

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