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1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located at 415 Sidney St in Saint James, Missouri, St James Living Center is a nursing home with 90 beds. The facility is operated by N & R Of St James, LLC, under the administration of Anita Carroll. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.
Residents stay for an average of 102 days, including post-acute rehabilitation stays alongside longer-term placements. The facility’s current occupancy rate is 48%. Clinically, St James focuses on rehabilitation services. There’s 24-hour staffing and a doctor on-site, as it is an active rehabilitation setting for patients recovering from surgery, an acute illness, or a hospital stay.
Total nurse staffing averages 4 hours per resident each day. They are supported by registered nurses, nurse aides, and licensed practical nurses working across the schedule.
The neighborhood has a Walkability Score of 65 out of 100, which means some errands can be done on foot while most trips require a short drive. This may suit families who want easier access when visiting or running nearby errands.
The Department of Health and Senior Services regularly examines care processes at St James. It has focused on areas such as care documentation, physician communication and incident response, resident supervision and safety measures, medication handling and security, and related clinical protocols. These examinations help ensure the home maintains standards in resident care and administrative operations.
Residents can choose meals through a complete dining program made from their individual preferences. Transportation, housekeeping, laundry services, 24-hour medical care, and a dedicated special care unit are also available. Together, these services make it easier for residents and families by reducing some of the daily tasks they might otherwise need to do on their own.
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.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 84th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 31m per day | ▲ 11% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 20m per day | ▼ 51% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 37m per day | ▲ 13% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | ■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▲ 35% State avg: 20m per day · National avg: 28m per day |
Lower than the Missouri average: 66.6%St James Living Center is legally operated by N & R Of St James, Llc, and administrated by Anita Carroll.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 128 | 35 | This facility has 266% more total deficiencies than a typical Missouri nursing home (128 vs. MO avg 35).↑ 266% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 16 | 4.4 | This facility has 264% more deficiencies per year than a typical Missouri nursing home (16 vs. MO avg 4.4).↑ 264% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 7.1 | 5 | This facility has 42% more deficiencies per inspection than a typical Missouri nursing home (7.1 vs. MO avg 5).↑ 42% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 7 | This facility has 157% more total inspections than a typical Missouri nursing home (18 vs. MO avg 7).↑ 157% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Aug 2025
Missouri average 36.5
Missouri average 5.67
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.
43% worse than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Missouri average
9% worse than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
7 total: 6 full-time employees and 1 contractor.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
All 19 CNA Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
784 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 0 | 19 | 5,582 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,873 | 92 | 100% | 9.4 |
| Nurse Aide in Training | 10 | 0 | 10 | 1,997 | 92 | 100% | 7 |
| Registered Nurse | 6 | 1 | 7 | 1,828 | 89 | 97% | 7.3 |
| Licensed Practical Nurse | 5 | 0 | 5 | 842 | 66 | 72% | 9.6 |
| Dental Services Staff | 3 | 0 | 3 | 586 | 65 | 71% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 492 | 62 | 67% | 7.9 |
| Administrator | 1 | 0 | 1 | 460 | 56 | 61% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 442 | 57 | 62% | 7.8 |
| Dietitian | 1 | 0 | 1 | 382 | 64 | 70% | 6 |
| Physical Therapy Aide | 0 | 3 | 3 | 313 | 55 | 60% | 5.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 284 | 68 | 74% | 4.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 47 | 31 | 34% | 1.5 |
| Qualified Social Worker | 0 | 3 | 3 | 37 | 18 | 20% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 31 | 4 | 4% | 7.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 17 | 5 | 5% | 3.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 15 | 9 | 10% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
In line with Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
28.9%
40% worse than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
52% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
21% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
5.6%
105% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
9.8%
76% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.1%
76% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
18.5%
16% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
11% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.3%
In line with Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.7%
67% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
47% better than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.6%
25% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.2%
51% worse than Missouri averageMissouri average: 13.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
38% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for St James Living Center from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #195 / 286Payroll — State benchmarkedThis home is ranked 195th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (39% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Saint James's city center to St James Living Center's address, calculated via Google Maps.
Add your location
St James Living Center is located in SAINT JAMES, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Facility
50
MO AVG
97
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#390 / 454 |
74.9%
Facility
74.9%
MO AVG
66.6%
Rank
#146 / 428 | +12% | 5.01
Facility
5.01
MO AVG
3.74
Rank
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MO AVG
$76.9k
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#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
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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).
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MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Jefferson City | 42
Facility
42
MO AVG
97
Rank
#413 / 454 |
71.4%
Facility
71.4%
MO AVG
66.6%
Rank
#173 / 428 | +7% | - | -60% | - | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 21
Facility
21
MO AVG
36.5
Rank
#80 / 281 | 3.5
Facility
3.5
MO AVG
5.7
Rank
#57 / 281 | 1 | 32 | - |
27
Facility
27
MO AVG
45
Rank
#414 / 563 | Ricky Doerhoff | $5.0M
Facility
$5.0M
MO AVG
$8.4M
Rank
#203 / 286 | $2.3M
Facility
$2.3M
MO AVG
$3.3M
Rank
#231 / 286 | 46.9%
Facility
46.9%
MO AVG
45.6%
Rank
#208 / 286 | 265819 | ||||
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Facility
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MO AVG
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Rank
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100.0%
Facility
100.0%
MO AVG
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MO AVG
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#1 / 283 | 39
Facility
39
MO AVG
36.5
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#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
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73
Facility
73
MO AVG
45
Rank
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Facility
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MO AVG
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Rank
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Facility
$2.4M
MO AVG
$3.3M
Rank
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Facility
81.6%
MO AVG
45.6%
Rank
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| St James Living 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. | Saint James | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
47.8%
Facility
47.8%
MO AVG
66.6%
Rank
#342 / 428 | -28% | 4.06
Facility
4.06
MO AVG
3.74
Rank
#84 / 276 | +29% | +9% | $14.1k
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$14.1k
MO AVG
$76.9k
Rank
#1 / 283 | 40
Facility
40
MO AVG
36.5
Rank
#185 / 281 | 5.0
Facility
5.0
MO AVG
5.7
Rank
#125 / 281 | 1 | 46 | - |
65
Facility
65
MO AVG
45
Rank
#124 / 563 | N & R Of St James, LLC | $4.6M
Facility
$4.6M
MO AVG
$8.4M
Rank
#217 / 286 | $2.8M
Facility
$2.8M
MO AVG
$3.3M
Rank
#195 / 286 | 60.1%
Facility
60.1%
MO AVG
45.6%
Rank
#98 / 286 | 265225 | ||||
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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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Facility
102
MO AVG
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Rank
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72.5%
Facility
72.5%
MO AVG
66.6%
Rank
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Facility
3.50
MO AVG
3.74
Rank
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Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
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Facility
7.9
MO AVG
5.7
Rank
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50
Facility
50
MO AVG
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Rank
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Facility
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MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of St James Living Center is N & R Of St James, Llc.
St James Living Center has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, St James Living Center's license number is 053468.
According to MO state health department records, St James Living Center's license expires on March 17, 2028.
St James Living Center's occupancy is 48%.
Anita Carroll is the administrator of St James Living Center.
St James Living Center has 90 beds.
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