Total health inspections
8
Missouri average 6.6
Last Health inspection on Aug 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
St James Living Center
Nursing Home
St James Living Center
Nursing Home
St. James Living Center is a long-term care facility located in St. James, Missouri. It provides a wide range of services including 24/7 professional medical care, rehabilitation services, and specialized care for Alzheimer's patients. The center emphasizes a homelike environment and personalized care for its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
90
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
58.3%
Residents per day (avg)
48
Occupancy rate
58.3%
Residents per day (avg)
48
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
39% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Proprietary home
Corporation
Home revenue
$4.6M
Operating loss
-$353.9K
Proprietary home
Corporation
Home revenue
$4,607,385.00
Operating loss
$-353,865.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.0M
90-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265225
Certification type:
Medicare/Medicaid
County:
PHELPS
Ownership & operating entity
St James Living Center is administrated by BRENDON BREWER.
Owner name:
N & R OF ST JAMES, LLC
Safety & Compliance
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Transportation, 24/7 Professional Medical Care, Housekeeping & Laundry, Daily Activities, Rehab Services, Special Care Unit
Dining & Nutrition
Food Description
The facility offers a complete dining service where residents can select their meals based on individual preferences.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
10
-
+42%-2%+18%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
29
2
-2%+5%-67%
St James Living Center
+40%
+9%
-13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65559-1070
90
No
-
-
58.3%
$4,418,295.00
$1,863,373.00
42.2%
47.50
4.0579
40
1
+40%+9%-13%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Pets Allowed:
No
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
53.70
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%
St James Living Center
Type of care:
SNF
AL
Community:
MO 65559-1070
Bed Count:
90
Pets Allowed:
No
CCN:
265225
Occupancy:
58.3%
Home Revenue:
$4,418,295.00
Payroll Costs:
$1,863,373.00
Payroll %:
42.2%
Avg Residents/Day:
47.50
Overall Rating:
Adj Nurse Hours:
4.0579
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
40
Severe Citations:
1
RN share vs State Avg:
+40%
+40%
Staffing vs State Avg:
+9%
+9%
Occupancy vs State Avg:
-13%
-13%Places of interest near St James Living Center
0.0 miles from city center
SAINT JAMES, MO 65559-1070
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
82
Total Staff
56
Employees
26
Contractors
16,475
Total Hours (Quarter)
24
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 7 | Yes |
| Licensed Practical Nurse | 6 | 7.8 | No |
| Certified Nursing Assistant | 18 | 8.1 | No |
Staff by Category
Administration ⓘ
1 staff
7.8hs shift avg
Nursing Staff ⓘ
53 staff
8.1hs shift avg
Physicians & Practitioners ⓘ
1 staff
7.5hs shift avg
Therapy Services ⓘ
19 staff
3.1hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
5 staff
1hs shift avg
Dietary Services ⓘ
1 staff
7.4hs shift avg
Other Services ⓘ
2 staff
7.5hs shift avg
Contractor Analysis
3.9%
of total hours from contractors
642 contractor hours this quarter
Respiratory Therapy Technician: 5
Physical Therapy Aide: 3
Registered Nurse: 2
Speech Language Pathologist: 6
Qualified Social Worker: 5
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Physical Therapy Assistant: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 18 | 0 | 18 | 5,512 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,960 | 91 | 100% | 9.8 |
| Nurse Aide in Training | 11 | 0 | 11 | 2,077 | 91 | 100% | 6.9 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,416 | 88 | 97% | 7.8 |
| Registered Nurse | 7 | 2 | 9 | 1,071 | 85 | 93% | 7 |
| Dental Services Staff | 2 | 0 | 2 | 1,027 | 75 | 82% | 7.5 |
| Administrator | 1 | 0 | 1 | 497 | 64 | 70% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 486 | 65 | 71% | 7.5 |
| Dietitian | 1 | 0 | 1 | 467 | 63 | 69% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 435 | 54 | 59% | 8.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 263 | 61 | 67% | 4 |
| Speech Language Pathologist | 0 | 6 | 6 | 134 | 48 | 53% | 2.7 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 59 | 33 | 36% | 1.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 29 | 4 | 4% | 7.2 |
| Qualified Social Worker | 0 | 5 | 5 | 20 | 20 | 22% | 1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 13 | 9 | 10% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 2 | 2% | 4.6 |
Health Inspection History
Inspections
Total health citations
40
Citations per inspection
5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
33 of 40 citations resulted from standard inspections; and 7 of 40 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
1 critical citation
0 serious citations
36 moderate citations
3 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Aug 14, 2025
Corrected
Resident Rights moderate citation
Aug 14, 2025
Corrected
Quality of Care critical citation
Jul 09, 2025
Corrected
Abuse/Neglect moderate citation
May 09, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: HEALTH SYSTEMS INC
Resident Census by Payment Source
48
Total Residents
Medicaid
29
(60.4%)
ⓘ
Private Pay/Other
19
(39.6%)
ⓘ
Specialized Care Beds
20
Total Specialty Beds
22.2%
of Bed Capacity
20
Alzheimer's / Dementia Beds ⓘ
22.2%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
25% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
9% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
In line with Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
28.9%
Percent of long-stay residents whose ability to move independently worsened
28.9%
40% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.5%
15% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
52% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
21% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.6%
Percent of long-stay residents with a urinary tract infection
5.6%
105% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.8%
Percent of long-stay residents who lose too much weight
9.8%
76% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.1%
Percent of long-stay residents who have depressive symptoms
3.1%
76% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.5%
Percent of long-stay residents who received an antipsychotic medication
18.5%
16% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
11% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.3%
In line with Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.7%
67% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
47% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for St James Living Center based on CMS SNF Cost Reports.
Occupancy Rate
58.3%
↓ 3.1pp vs 2022
Net Income
-$353,865
↑ ~$90K vs 2022
Total Payroll
$2,768,707
↑ ~$336K vs 2022
Profit Margin
-8.0%
↑ 1.2pp vs 2022
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