All states › Missouri › Saint James › St James Living Center
415 Sidney Street Saint James, MO 65559 · Phelps County
CMS certification number 265225 · See this home on Medicare Care Compare
Is St James Living Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for St James Living Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.28 hours per resident per day at St James Living Center, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.42 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 52.7% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at St James Living Center: Medicare and Medicaid
St James Living Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 17, 2025 and found 5 deficiencies. In total, inspectors issued 31 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 31 citations at St James Living Center across 7 inspection dates, 6 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 9, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (9) and resident rights (8). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, July 9, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
November 17, 2025 · 5 citations
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
August 14, 2025 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DRespond appropriately to all alleged violations.
July 9, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 9, 2025 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
July 17, 2024 · 9 citations
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EProvide and implement an infection prevention and control program.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
CPost nurse staffing information every day.
November 9, 2023 · 2 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
DProtect each resident from the wrongful use of the resident's belongings or money.
June 2, 2023 · 11 citations
EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
ENotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
CImplement a program that monitors antibiotic use.
Questions to ask on a tour of St James Living Center
- Inspectors cited the home at the immediate-jeopardy level on July 9, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 14, 2025. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 55% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $14,069 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 9, 2025 | Fine | $14,069 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | 2/5 |
| August 2026 | 3/5 | 4/5 | 3/5 | 1/5 |
Add this rating badge to your websiteFree. Shows St James Living Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near St James Living Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
10.2 mi
Phelps County Regional Medical Center RollaEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 31m for patients treated and sent home
-
24.2 mi
Salem Memorial District Hospital SalemEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 13m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near St James Living Center › All nursing homes in Saint James ›
Compare St James Living Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Rolla Presbyterian Manor · Rolla · 5 stars · 8.5 mi
Other James & Judy Lincoln nursing homes in Missouri
- Crowley Ridge Care Center · Dexter · 5 stars
- New Madrid Living Center · New Madrid · 5 stars
- Country Meadows · Park Hills · 5 stars
- California Care Center · California · 5 stars
- Nixa Nursing & Rehab · Nixa · 5 stars
- Republic Nursing & Rehab · Republic · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 55 James & Judy Lincoln nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.