Nursing home · St. James, MO
St James Living Center
415 Sidney Street,, St. James, MO 65559 · 90 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 5 problems. The most common area was resident assessment and care planning (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 5 citations, compared with an average of 6.2 for Rolla-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.12 hours per resident per day here, 9% less than the Missouri average (3.43) and 19% less than the U.S. average (3.86). Registered nurses account for 0.43 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 58% over the past year, 2 points higher than Missouri (56%) and 12 points higher than the U.S. (46%).
How St James Living Center compares
This home's latest CMS figures next to the averages for Rolla-area homes (12), Missouri (487) and the U.S. (14,680).
| This home | Rolla area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.12 | 3.68 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.43 | 0.85 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.89 | 3.29 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 58% | 57% | 56% | 46% |
| Registered nurse turnover (past year) | 67% | 55% | 48% | 43% |
| Citations at the most recent standard inspection | 5 | 6.2 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 31 of 31 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 17, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Aug 14, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 14, 2025 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jul 9, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Past Non-Compliance |
| May 9, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Jul 17, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jul 17, 2024 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Jul 17, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jul 17, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Jul 17, 2024 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jul 17, 2024 | Have 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. Nursing and physician services | E | Deficient, Provider has date of correction |
| Jul 17, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jul 17, 2024 | Honor 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. Resident rights | E | Deficient, Provider has date of correction |
| Jul 17, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Nov 9, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Nov 9, 2023 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jun 2, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Post 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. Resident rights | C | Deficient, Provider has date of correction |
| Jun 2, 2023 | Ensure 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Jun 2, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Honor 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. Resident rights | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Honor 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. Resident rights | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Honor 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. Resident rights | E | Deficient, Provider has date of correction |
| Jun 2, 2023 | Implement a program that monitors antibiotic use. Infection control | C | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jul 9, 2025 | Fine | $14,069 |
Location
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Reviews
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Questions about St James Living Center
Answers computed from CMS data for this facility.
What is St James Living Center's Medicare rating?
Medicare rates St James Living Center 3 out of 5 stars overall (average). The average for Rolla-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.
How did St James Living Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 5 problems. The most common area was resident assessment and care planning (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 5 citations, compared with an average of 6.2 for Rolla-area homes, 11.4 in Missouri and 9.2 nationally.
Has St James Living Center been fined?
Yes. CMS reports 1 fine totaling $14,069 in the past three years.
Does St James Living Center accept Medicaid?
St James Living Center is certified for both Medicare and Medicaid. Call (573) 265-8921 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.