Nursing home
St James Living Center
415 Sidney Street,, Saint James, MO 65559 · Map
For profit - Corporation · Part of James & Judy Lincoln (58 facilities) · 90 certified beds
St James Living Center is a Medicare-certified nursing home in Saint James, Missouri. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.47 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Nov 17, 2025 cited 9 deficiencies.
- 1 fine totaling $21,645In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How St James Living Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.47 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.52 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.62 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 43.9% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 9.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 17, 2025 inspection was corrected by December 31, 2025
Penalties in CMS records: 1 fine totaling $21,645, 1 total penalty.
What inspectors found at St James Living Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 14, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 14, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 9, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Jul 17, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 17, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 415 Sidney Street,
Saint James, MO 65559 - CMS certification #
- 265225
- Ownership
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 45.2
- Provider type
- Medicare and Medicaid
- First certified
- 1984-02-14
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Rural
Part of James & Judy Lincoln
James & Judy Lincoln operates 58 nursing facilities across the United States. View all James & Judy Lincoln facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around St James Living Center using Google Maps.
Other public records
- Website says Works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What St James Living Center 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 hospice care on site or works with hospice providers.
We have registered nurses and certified nursing assistants as well as visits from psychiatrists, podiatrists, dentists and hospice.
(page, checked Oct 15, 2026) - Provides transportation.
To ensure your loved one does not miss an appointment, our home offers facility transportation through handicapped accessible vans.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Phelps County Regional Medical Center, Rolla. 10.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Aurora Health and Rehabilitation, Rolla. 8.3 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Rolla. 8.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Dr. Tim's Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 65559 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Davita Rolla Dialysis, Rolla, 8.2 miles away, straight line (CMS rating 1 of 5 stars)
Fkc Phelps County, Rolla, 10.7 miles away, straight line (CMS rating 1 of 5 stars)
Davita Rolla Home Training, Rolla, 11.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 65559.
Phelps Health Home Health And Hospice, office in Rolla, 10.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Hermann Area Hospital District, Hermann. 48.0 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 risk
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 moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake relatively moderate. 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.
What we checked
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 |
|---|---|---|
| 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 relatively 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 |
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Frequently asked questions
Is St James Living Center a good nursing home?
CMS gives St James Living Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is St James Living Center staffed?
St James Living Center reports 3.47 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has St James Living Center had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does St James Living Center have?
St James Living Center is certified for 90 beds.