Assisted Living
Villas at St. James
14335 Jamestown Road, Breese, IL 62230 · Map
Licensed for 65 residents
Villas at St. James is a state-licensed assisted living community in Breese, Illinois. It is licensed for 65 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
Starting prices the community publishes, with the date we checked each one and a link to where it is published. Care charges are usually added after an assessment.
| Care | Starting at | Checked |
|---|---|---|
| Assisted Living | $4,400 /mo | Oct 12, 2026 |
Area costs
Care and services
From the community’s website
What Villas at St. James says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Provides transportation.
Scheduled local transportation for easy access to medical visits, shopping, and community excursions.
(page, checked Oct 12, 2026) - Has a secured outdoor area.
The enclosed courtyard is beautiful.
(page, checked Oct 12, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last annual survey: Sep 24, 2026. See the record
Nearest emergency room
0.3 miles
St Josephs Hospital, rated 4 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Villas at St. James this community | 65 | $4,400/mo | Unknown | 1 rule section cited in 3 years | |
| Cedarhurst of Breese | 0.4 mi | 57 | $5,650/mo | Unknown | 1 rule section cited in 3 years |
| Trenton Village | 7.8 mi | 57 | Not published | Unknown | 4 rule sections cited in 3 years |
| Carlyle Senior Living | 8.7 mi | Not listed | Not published | Active | No record |
| Villa Catherine AL | 8.8 mi | 18 | Not published | Unknown | No record |
State inspection record1 rule section cited in 3 years
- Last annual licensure survey
- September 24, 2026
- Surveys in three years
- 9
- Complaint investigations in three years
- 2
- Facility reported incident investigations
- 1
- Statements of deficiencies
- 5
- Rule sections cited (all surveys)
- 1
- Current license term ends
- November 30, 2026
- No violations cited at the last 3 surveys (November 2025 to September 2026)
Surveys (newest first)
- September 24, 2026: Annual Licensure Only Survey, no rule sections cited
IDPH: Annual Licensure- No findings identified during this survey. - August 12, 2026: Complaint Original Investigation; Facility Reported Incident, no rule sections cited
IDPH: Facility Reported Incident to 7/30/26 IL203178- No findings identified during this survey. Complaint 26496601/IL203164- No findings identified during this survey. - November 26, 2025: Annual Licensure Only Survey, no rule sections cited
IDPH: Annual Licensure Survey For this survey, the Villas at St. James Breese is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act. - November 22, 2024: Annual Licensure Only Survey, 1 rule section cited
IDPH: Annual Licensure Survey Violation cited at 295.3020- Employee Orientation and Ongoing Training (Section 295.3020); Type 3 Violation
- October 25, 2024: Complaint Original Investigation, statement of deficiencies posted (scanned; read it on the IDPH lookup)
Show all 9
- July 10, 2024: Survey, no statement posted
- June 12, 2024: Survey, no statement posted
- May 22, 2024: Survey, no statement posted
- May 22, 2024: Survey, no statement posted
Search the IDPH facility lookup → (VILLAS AT ST. JAMES (THE); the statements of deficiencies are under Surveys)
What these terms mean
IDPH's facility lookup lists each survey it closed at the establishment, with the exit date and the survey type, and posts the Statement of Deficiencies (form 2567) when the survey found the rules were not met. Each cited item names the section of the state rules for assisted living and shared housing (77 Ill. Adm. Code Part 295) that was not met.
Survey types are IDPH's own: an Annual Licensure Only Survey is the yearly licensing inspection; a Complaint Original Investigation (COI) looks into a complaint; a Facility Reported Incident (FRI) looks into an incident the establishment reported. 24HR, 7D and 30D give how soon IDPH had to start.
IDPH's rules (77 Ill. Adm. Code 295.1050) define the violation types. “Type 1 violation - an act or omission by the establishment or its staff that causes severe harm or the death of a resident or creates a substantial probability of severe harm to a resident or residents.” “Type 2 violation - an act or omission by the establishment or its staff that causes harm to a resident or creates a substantial probability of harm to a resident or residents.” “Type 3 violation - an act or omission by the establishment or its staff, except by accidental means, that causes a significant negative impact on the delivery of services to the residents of the establishment.” Labels such as General Violation or Repeat Violation are shown as IDPH wrote them on the statement.
Each statement begins with IDPH's own summary of the survey, quoted here; for complaints and incidents it usually says whether the allegation was substantiated and whether a violation was cited. This establishment is licensed for 65 units; larger establishments are surveyed and cited more often, so read counts with size in mind. Source: Illinois Department of Public Health, Office of Health Care Regulation, data as of October 16, 2026. Always visit in person and ask the establishment about anything listed here.
License and ownership
- License type
- Assisted Living / Shared Housing Establishment
- License number
- 5104663
- License status
- Unknown
- Current license dated
- 2018-07-12
- Licensed capacity
- 65
- County
- Clinton County
Source: Illinois state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in Illinois, and other programs
How Medicaid pays for care in Illinois
- Supportive Living Program (SLP). The Supportive Living Program, run by the Illinois Department of Healthcare and Family Services, is a service-enriched housing option for Medicaid-eligible people 65 and older, and adults 22 to 64 with physical disabilities, who would otherwise need nursing facility care. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 0.3 mi, nursing home 1.6 mi, pharmacy 8.4 mi
- Nearest hospital with an emergency room
- St Josephs Hospital, Breese. 0.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Evercare of Breese, Breese. 1.6 miles away, straight line.
- Nearest home health agency office
- Bond County Health Department, Greenville. 18.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Family Pharmacy. 8.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 62230 as small town (small town core).
- Dialysis within 15 miles
- Fmc - Breese Dialysis, Breese, 1.5 miles away, straight line (CMS rating 2 of 5 stars)
Davita Northgrove Dialysis, Highland, 11.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 62230.
Ardent Hospice & Palliative Care Southern Illinois, Inc., office in O'Fallon, 19.5 miles away, straight line
Breeze Hospice, office in Shiloh, 22.0 miles away, straight line
Vitas Healthcare Corporation Midwest, office in Fairview Heights, 24.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Pai Participant 27, PC, Belleville. 31.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in November 2024. What was it, and how was it fixed?
- Your published starting price is a base rate. What would the total monthly cost be for my parent's needs?
- How much have prices gone up in each of the last three years?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Illinois Department of Public Health, Office of Health Care Regulation inspection records | Oct 16, 2026 | See above |
| Illinois Medicaid provider list | Sep 9, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Villas at St. James provide?
Villas at St. James is licensed by the state of Illinois for assisted living in Breese, Illinois. Its licensed capacity is 65 residents.
Does Lilisity rate Villas at St. James?
No. We publish state licensing details for Villas at St. James but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Villas at St. James cost?
Assisted Living in Illinois typically starts at $4,100 to $5,500 a month. Based on 101 communities that publish prices. These are area figures, not this community's price. The starting prices it publishes are in the Prices section on this page.
How do I contact Villas at St. James?
Use Villas at St. James's website, thevillasatstjames.com, or visit at 14335 Jamestown Road, Breese, IL 62230.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid