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St James Living Center
⌖ Saint James, MO · Phelps County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds90
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About St James Living Center
St James Living Center is a 90-bed for-profit nursing home in Saint James, MO. Medicare rates it 3 out of 5 stars overall (average); the average in Missouri is 2.5. At its last full inspection (Nov 2025), inspectors found 5 problems, fewer than the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 07 min a day with each resident, about the same as the Missouri average of 3 hr 26 min. About 58% of its nursing staff left in the past year. Medicare fined it $14,069 in the last three years. Its quality ratings are similar for short-term rehab (1 of 5) and long-term care (1 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameSt James Living Center
LocationPhelps County, Missouri
Phone(573) 265-8921
Address415 Sidney Street,, Saint James, MO 65559 · Phelps County
CMS provider number265225
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 14, 1984 (42 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Nov 2025.Strength
- Health citations at last inspection5 (Nov 2025)Missouri average: 11.4. Most citations are minor and corrected within weeks.Strength
About average
- Nurse staffing per resident3 hr 07 min a dayMissouri average: 3 hr 26 minAbout average
- Registered nurse time per resident26 min a dayMissouri average: 28 minAbout average
- Nursing staff turnover58% a yearMissouri average: 56%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 fine totaling $14,069Federal penalties from the last three years, most recently in Jul 2025 (about 1 year ago). The national average is $30,972 per home.Worth asking about
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital44.2%State average: 26.0%Worse than average
- Needed an emergency room visit14.7%State average: 13.7%About average
- Newly given antipsychotic drugs2.7%State average: 2.2%Worse than average
Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury7.9%State average: 4.1%Worse than average
- Pressure sores (bedsores)3.8%State average: 4.5%About average
- Given antipsychotic drugs21.4%State average: 23.5%About average
Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.
- 68% Medicaid
- 2% Medicare
- 30% Private pay, insurance and other
Beds in use, on average53%Missouri typical: 71%
Cost of care per resident day$236Missouri typical: $254
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, up from 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 17 times.
Overall rating3★
Health inspections4★
Staffing3★
Quality of care1★
Nurse hours per resident per day3.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 3 | 3 | 1 | 3.0 |
| Jan 2020 | 2 | 2 | 3 | 3 | 3.0 |
| Jan 2021 | 3 | 3 | 3 | 3 | 2.8 |
| Jan 2022 | 3 | 3 | 2 | 4 | 2.5 |
| Jan 2023 | 1 | 2 | 1 | 3 | 2.8 |
| Jan 2024 | 1 | 2 | 1 | 1 | 3.0 |
| Feb 2025 | 2 | 3 | 1 | 2 | 3.1 |
| Feb 2026 | 2 | 3 | 4 | 1 | 3.5 |
| Sep 2026 | 3 | 4 | 3 | 1 | 3.1 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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