What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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St James Living Center | Missouri | Photos & Videos

Overview of St James Living Center

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.

(573) 265-8921

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.06/day

Overall rating

1/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

1/5

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.

58.3%

TYPE OF STAY

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.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

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

Home revenue

$4.6M

Operating loss

-$353.9K

Proprietary home Corporation

Home revenue

$4,607,385.00

Operating loss

$-353,865.00

Payroll costs

$1.9M

40.4% of revenue

Other operating costs

$3.1M

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

Skilled Nursing Care

Physical and Occupational Therapies

Behavioral and Alzheimer’s Care

Activities

Hospice

Amenities & Lifestyle

Transportation

24/7 Professional Medical Care

Housekeeping & Laundry

Daily Activities

Rehab Services

Special Care Unit

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

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

St James Living Center

SNF

MO 65559-1070

58.3%

$4,418,295.00

$1,863,373.00

42.2%

47.50

1/5

4.0579

2/5

3/5

1/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

Good Shepherd Care Community

Concordia

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: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

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: 1/5

Adj Nurse Hours: 4.0579

Health Insp Rating: 2/5

Staffing Rating: 3/5

QM Rating: 1/5

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

SAINT JAMES, MO 65559-1070

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Total Staff

Employees

Contractors

16,475

Total Hours (Quarter)

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

View All Staffing Data

Total Health inspections 8

21% above Missouri average

Missouri average: 6.6

Last Health inspection on Aug 2025

Total Health citations 40

10% above Missouri average

Missouri average: 36.5

5 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 33 citations

Complaint investigations 7 citations

Breakdown of citations

Critical Health citations 1

43% above Missouri average

Missouri average: 0.7

Serious Health citations 0

100% below Missouri average

Missouri average: 1.0

Moderate Health citations 36

Minor Health citations 3

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

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

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

High-risk clinical events score 13.6

25% worse than Missouri average

Missouri average: 10.9

Functional decline score 21.2

9% worse than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 19.3%

2% below Missouri average.

Walking Ability Worsened 28.9%

40% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 15.5%

15% below Missouri average.

Falls with Major Injury 6.2%

52% above Missouri average.

High Risk Residents with Pressure Ulcers 4.0%

21% below Missouri average.

Urinary Tract Infection 5.6%

105% above Missouri average.

Depressive Symptoms 3.1%

76% below Missouri average.

Antipsychotic Use 18.5%

16% below Missouri average.

Pneumococcal Vaccine 95.0%

11% above Missouri average.

Influenza Vaccine 100.0%

10% above Missouri average.

Lost Too Much Weight 9.8%

76% above Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 69.3%

Near Missouri average

Antipsychotic medication increase 3.7%

67% worse than Missouri average

Influenza Vaccine 93.1%

47% better than Missouri average

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

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	86.4%	86.0%	81.2%	79.6%	81.7%	81.1%	81.3%	79.1%	75.0%	71.5%	65.0%	61.4%	58.3%
Beds	90	90	90	90	90	90	90	90	90	90	90	90	90
Net Income	-$57,417	-$110,027	-$356,760	-$540,237	-$384,541	-$239,977	-$409,442	-$44,360	-$113,337	$552,714	$408,221	-$443,634	-$353,865
Gross Revenue	$6,072,639	$6,095,839	$5,278,195	$5,279,688	$5,136,529	$1,913,682	$5,569,122	$5,434,986	$5,418,591	$5,278,802	$4,951,507	$4,834,220	$4,418,295
Operating Expenses	$4,894,691	$4,969,297	$4,774,592	$4,893,192	$4,679,386	$1,782,569	$4,909,775	$4,720,465	$4,823,291	$4,882,410	$4,163,879	$4,490,809	$4,456,076
Net Patient Revenue	$4,806,160	$4,857,488	$4,352,912	$4,304,335	$4,237,576	$1,539,897	$4,494,438	$4,670,700	$4,704,455	$4,698,735	$4,260,465	$3,906,484	$3,913,121
Total Payroll	$2,809,383	$2,867,586	$2,676,310	$2,650,486	$2,658,558	$1,002,661	$2,746,489	$2,551,985	$2,572,563	$2,691,248	$2,198,709	$2,433,135	$2,768,707
Profit Margin %	-1.0%	-1.8%	-6.8%	-10.2%	-7.5%	-12.5%	-7.4%	-0.8%	-2.1%	10.5%	8.2%	-9.2%	-8.0%
Medicare %	12.6%	13.6%	10.1%	11.0%	6.7%	7.8%	7.7%	7.3%	8.9%	8.6%	8.2%	8.6%	4.9%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	79.4%	75.7%	75.3%	70.4%	70.4%	69.3%	74.5%	74.7%
Private %	87.4%	86.4%	89.9%	89.0%	93.3%	12.7%	16.6%	17.4%	20.7%	21.0%	22.4%	16.9%	20.4%
Revenue/Day	$169	$172	$163	$165	$158	$173	$168	$180	$191	$199	$200	$194	$204
Cost/Day	$172	$176	$179	$187	$174	$200	$184	$182	$196	$207	$195	$223	$233
Avg Length of Stay	215.0 days	167.5 days	166.8 days	163.3 days	195.9 days	79.5 days	152.6 days	254.6 days	99.8 days	107.1 days	101.1 days	97.5 days	101.9 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

St James Living Center

St James Living Center is a Nursing Home in Missouri

St James Living Center is a Nursing Home in Missouri

St James Living Center

St James Living Center is a Nursing Home in Missouri

St James Living Center is a Nursing Home in Missouri

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Safety & Compliance

Care Services

All Levels of Care

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Compare Nursing Homes around Missouri

Places of interest near St James Living Center

Calculate Travel Distance to St James Living Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Specialized Care Beds

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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