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Assisted Living in USA

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

St. James Rehabilitation & Healthcare Center

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

St. James Rehabilitation & Healthcare Center

Inspection History

In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

3 inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

3 with citations, 0 without citations

New York average: 9 inspections (5 with citations)

41 complaints

17.8 complaints per 100 occupied beds

New York average: 49.9 complaints per 100 occupied beds

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

New York average: 79 complaints

Latest inspection

Date May 9, 2024
Complaint Investigation

10 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

New York average: 29 citations

9 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

New York average: 22 deficiencies

Inspection Report Summary for St. James Rehabilitation & Healthcare Center

The most recent inspection on May 9, 2024, identified deficiencies related to food sanitation, medication accuracy, environment safety, resident self-determination, fire drills, and physical environment, all of which were corrected by July 2024. Earlier inspections showed similar issues, including care planning, medication use, and physical environment concerns, which were also addressed promptly. Inspectors cited themes around maintaining a safe and sanitary environment and proper medication management. Complaint investigations did not result in any substantiated complaints. The facility appears to be responsive to identified issues, with corrections made in a timely manner following each inspection.

Health Inspection History

Inspections
Total health inspections 3

State average N/A


Last Health inspection on Dec 2023

Total health citations 9

State average N/A

Citations per inspection
3

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 9 citations resulted from standard inspections; and 1 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
In line with State average

State average: N/A


Serious Health citations More info 1
In line with State average

State average: N/A

0 critical citations More info State average: N/A

1 serious citation More info State average: N/A

8 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Dec 13, 2023
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Dec 13, 2023
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 29, 2020
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jan 29, 2020
Corrected

Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.

Filter by care type
St. James Rehabilitation & Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

St James -160 - --
Anton’s Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Boerne -10 - --
Job Haines Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bloomfield -40 - 85Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe -16 - 27Private / Semi-Private Suite
Countryside Manor Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe -12 - 8-

Places of interest near St. James Rehabilitation & Healthcare Center

Address 0.0 miles from city center Info Estimated distance in miles from St James's city center to St. James Rehabilitation & Healthcare Center's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 229
Employees 154
Contractors 75
Staff to resident ratio 1.70:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 85
Average shift 7.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 56,262
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 110
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

15.3%

8,592 contractor hours this quarter

Certified Nursing Assistant: 31 Licensed Practical Nurse: 15 Respiratory Therapy Technician: 7 Speech Language Pathologist: 6 Physical Therapy Aide: 6 Physical Therapy Assistant: 5 Qualified Social Worker: 3 Registered Nurse: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant793111026,40891100%7.2
Licensed Practical Nurse2615418,66291100%7.8
Registered Nurse191205,84791100%8.2
Mental Health Service Worker4041,8627077%7.4
Physical Therapy Aide0661,8467380%7.4
Respiratory Therapy Technician0771,6278593%7.3
Other Dietary Services Staff5051,42391100%7.3
Speech Language Pathologist0661,3638088%6.9
Clinical Nurse Specialist6061,2527987%7.1
Occupational Therapy Aide4041,1538391%5.9
RN Director of Nursing2021,0087582%8.2
Qualified Social Worker0338906571%7.3
Dietitian2027646167%7.8
Physical Therapy Assistant0555917178%6.1
Administrator1015126470%8
Nurse Practitioner1014285459%7.9
Qualified Activities Professional3032685763%4.2
Medical Director0111456369%2.3
Dental Services Staff1011313235%4.1
Other Social Services Staff101831112%7.5
110 Certified Nursing Assistant
% of Days 100%
41 Licensed Practical Nurse
% of Days 100%
20 Registered Nurse
% of Days 100%
4 Mental Health Service Worker
% of Days 77%
6 Physical Therapy Aide
% of Days 80%
7 Respiratory Therapy Technician
% of Days 93%
5 Other Dietary Services Staff
% of Days 100%
6 Speech Language Pathologist
% of Days 88%
6 Clinical Nurse Specialist
% of Days 87%
4 Occupational Therapy Aide
% of Days 91%
2 RN Director of Nursing
% of Days 82%
3 Qualified Social Worker
% of Days 71%
2 Dietitian
% of Days 67%
5 Physical Therapy Assistant
% of Days 78%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 59%
3 Qualified Activities Professional
% of Days 63%
1 Medical Director
% of Days 69%
1 Dental Services Staff
% of Days 35%
1 Other Social Services Staff
% of Days 12%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 135
Medicare
40
29.6% of residents
Medicaid
87
64.4% of residents
Private pay or other
8
5.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.6
In line with State average

State average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.7
19% worse than State average

State average: 18.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.8%
In line with State average

State average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.9%
In line with State average

State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.4%
51% worse than State average

State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.1%
63% better than State average

State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.3%
15% worse than State average

State average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
52% better than State average

State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.0%
In line with State average

State average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 10.9%
40% better than State average

State average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 2.5%
80% better than State average

State average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4%
7% better than State average

State average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.9%
13% better than State average

State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
52% better than State average

State average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.3%
7% better than State average

State average: 78.8%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $63K
In line with State average

State average: $66K

Number of fines 1
51% fewer fines than State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.1

Fines amount comparison
Fines amount comparison
This facility $63K
State average $66K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 13, 2023
$63K

Last updated: Jan 2026

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