St James Living Center
415 Sidney Street,, Saint James, MO 65559 · (573) 265-8921
For profit - Corporation · 90 certified beds
St James Living Center has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2025, found 5 citations (the Missouri average is 11.4). It was fined 1 time in the last three years, $14,069 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 17, 2025 found 5 citations. What an inspection citation means
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 17, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.November 17, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedNovember 17, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 17, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.November 17, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 14, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.August 14, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 9, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.May 9, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.November 9, 2023 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.November 9, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $14,069July 9, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.12 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.43 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.34 | 0.68 | 0.86 |
| Nurse aides | 2.35 | 2.29 | 2.32 |
| Total nursing staff turnover | 58% | 56% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 90 |
| Average residents per day | 49.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Phelps Health Rolla · ★★★★★ 5 out of 5 stars
- Rolla Presbyterian Manor Rolla · ★★★★★ 5 out of 5 stars
- Lebanon South Nursing & Rehab Lebanon · ★★★★★ 2 out of 5 stars
- Lebanon North Nursing & Rehab Lebanon · ★★★★★ 1 out of 5 stars
- Hickory Manor Licking · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from St James Living Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.