Westchester House, the
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 115 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (16 vs median 10)
- High staff turnover (66%)
- High RN turnover (88%)
Below average in MO · Below recommended RN staffing · Below chain average · $83,824 in fines
What this means for your family
The Westchester House's therapy department is frequently cited as a major strength for those in short-term rehab. However, the recurring, severe reports of communication failures and neglectful care during off-hours are significant red flags. We strongly recommend visiting unannounced, specifically in the evening or on a weekend, to observe staffing levels and responsiveness before making a decision.
Google Reviews
Google Reviews
115 reviews on Google“The Westchester House receives highly polarized feedback, with many families praising the facility's effective physical and occupational therapy programs for successful rehabilitation. However, a significant number of reviewers report severe concerns regarding understaffing, poor communication, and neglectful patient care, particularly during evening and weekend shifts. Families should be aware that while some residents have positive experiences, others have documented serious issues with hygiene, medication management, and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy programs
- Clean and well-maintained facility environment
- Attentive and supportive nursing staff (noted in specific positive cases)
- Helpful administrative staff for admissions and transitions
Concerns
- Chronic understaffing and slow response times to call lights (mentioned by 12 reviewers)
- Poor communication and inability to reach staff via phone (mentioned by 9 reviewers)
- Inconsistent hygiene, including failure to turn patients or clean rooms (mentioned by 7 reviewers)
- Poor food quality, including cold or unappealing meals (mentioned by 6 reviewers)
- Medication management errors or delays (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 118 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your administrative team is very responsive to feedback online; how do you ensure that communication remains just as seamless between the staff and families once a resident has moved in?
- 2With the great physical and occupational therapy programs you offer, how do you coordinate those sessions with the daily nursing care to ensure a smooth routine?
- 3What specific protocols do you have in place to ensure call lights are answered promptly and that residents' hygiene and room cleanliness are maintained consistently throughout every shift?
- 4Can you tell me more about the dining experience, specifically how you ensure meals are served at the right temperature and meet the nutritional needs of the residents?
- 5How does the nursing team manage medication schedules to prevent any delays or errors, especially during shift changes?
- 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating with doctors?
Personalized based on this facility's data
Key Review Excerpts
“The Physical and Occupational Therapist are excellent. My daughter has really improved greatly and has gained much more strength. The Therapist are the best.”
“The nursing staff and aids are great!! Everyone is very helpful and caring. My mom has lived there in for a few years, and is hard to get along with, but everyone is nice”
“I honestly do not know how this facility is still open. One nightmare after another. It wasn't until I contacted the Corporate office and the State of Missouri for neglect... that the Director and an employee from the DHS came to the facility”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
4
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering serious deficiencies at this facility, with recurring issues in medication management, nutrition and dietary services, and wound care. The facility shows a concerning pattern of repeated violations across multiple surveys, including recent 2024 complaints about inadequate food/fluid provision and medication errors that mirror problems from 2023. While all deficiencies show correction dates, the persistence of similar issues across years suggests ongoing quality concerns that families should carefully consider.
May 13, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Aug 28, 2024Complaint6
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Aug 28, 2024Routine18
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Jul 3, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Mar 1, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Aug 3, 2023Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Aug 28, 2024
$83,824
Payment Denial
Aug 28, 2024
21-day denial
Ownership & Operations
Who Operates This Facility
Westchester House, the
for profit
Chain Affiliation
Life Care Centers of America
194 facilities nationwide
Chain avg rating: 3.5/5 · Rank 164 of 194
Ownership & Management
Owners
Fund I Investments Limited Partnership
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
115 reviews from families & visitors
Official Website
Visit thewestchesterhouse.com
Medicare data downloads
Original nursing home datasets
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