Missouri › Phelps County › Saint James
St James Living Center
415 Sidney Street,, Saint James, MO 65559
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
St James Living Center is a For-profit, corporation nursing home in Saint James, Missouri, certified for 90 beds and caring for about 49 residents a day.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 3 and quality measures 1.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (7, 11, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 34.4 per 100 beds, about the same as the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 58.0%.
Compared with county, state and nation
| Measure | This facility | Phelps Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 31 | 33 | 31 | 28.7 |
| Citations per 100 beds | 34.4 | 34.4 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.8 | 0.4 | 0.7 |
| Nursing staff turnover | 58.0% | 58.0% | 56.1% | 45.8% |
| Fines listed | $14,069 | $0 | $0 | — |
County and state figures are medians across facilities (6 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Nov 2025, 17 Jul 2024.
Severity mix: J ×1 D ×11 E ×16 C ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 31 Dec 2025 |
| 14 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Sep 2025 |
| 14 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 10 Sep 2025 |
| 9 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Jul 2025 |
| 9 May 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 25 Apr 2025 |
| 17 Jul 2024 | F0584 | 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. | E | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0727 | 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. | E | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0625 | Notify 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. | D | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Aug 2024 |
| 17 Jul 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 30 Aug 2024 |
| 9 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 8 Dec 2023 |
| 9 Nov 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 8 Dec 2023 |
| 2 Jun 2023 | F0578 | 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. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0584 | 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. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0585 | 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. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0625 | Notify 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. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0761 | 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. | D | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0575 | 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. | C | Standard survey | 16 Jul 2023 |
| 2 Jun 2023 | F0881 | Implement a program that monitors antibiotic use. | C | Standard survey | 16 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Jul 2025 | Fine | $14,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 58.0%, RNs 66.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of St James Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LTC Management Services LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Phelps County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Phelps Health | Rolla | 20 | 5 | 5 | 5 | 1 | 5.0 | — | 28 Dec 2023 |
| Rolla Presbyterian Manor | Rolla | 30 | 5 | 4 | 5 | 8 | 26.7 | — | 6 Mar 2025 |
| Silverstone Place | Rolla | 110 | 3 | 4 | 1 | 33 | 30.0 | — | 20 Nov 2025 |
| Aurora Health and Rehabilitation | Rolla | 116 | 2 | 3 | 1 | 46 | 39.7 | $33K | 10 Dec 2025 |
| Cedar Pointe | Rolla | 102 | 1 | 3 | 1 | 40 | 39.2 | — | 12 Feb 2026 |
All 6 facilities in Phelps County
Questions and answers
How many deficiencies has St James Living Center been cited for?
31 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has St James Living Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at St James Living Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates St James Living Center?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.
When was St James Living Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Nov 2025; the most recent standard health survey was 17 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.