St James Living Center
Nursing Home, Hospice Care & Memory Care · Saint James, MO
CMS overall rating Info 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.

St James Living Center

Nursing Home, Hospice Care & Memory Care · Saint James, MO
CMS overall rating Info 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.
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St James Living Center accepts Medicare, Medicaid, and private pay.

Inspection History

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.

Since 2018 · 8 years of data 128 deficiencies 18 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2018 vs. Missouri state average
Overall vs. MO average 4 Worse Metrics worse than Missouri average:
• Total deficiencies (266% above)
• Deficiencies per year (264% above)
• Deficiencies per inspection (42% above)
• Total inspections (157% above)
0 Better No metrics in this bucket.
Latest Inspection November 17, 2025 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 12835 This facility has 266% more total deficiencies than a typical Missouri assisted living residence (128 vs. MO avg 35).↑ 266% worse
Deficiencies per year Info Average deficiencies per year since 2018. 164.4 This facility has 264% more deficiencies per year than a typical Missouri assisted living residence (16 vs. MO avg 4.4).↑ 264% worse
Deficiencies per inspection Info Average deficiencies per inspection. 7.15 This facility has 42% more deficiencies per inspection than a typical Missouri assisted living residence (7.1 vs. MO avg 5).↑ 42% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 187 This facility has 157% more total inspections than a typical Missouri assisted living residence (18 vs. MO avg 7).↑ 157% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • November 17, 2025 annual inspection found five deficiencies including failure to update care plans after falls, missing neurological assessments, unsafe shower drain cover, and delayed catheter care.
  • Substantiated complaints in 2025 revealed failure to notify physicians after a resident overdose and lack of investigation, plus a resident smoking with oxygen causing severe burns due to inadequate supervision.
  • Multiple prior investigations confirmed medication misappropriation by staff in 2023 and 2025, with corrective actions taken but recurring issues in medication security and narcotic count reconciliation.

Health Inspection History

Inspections since 2021
Total health inspections 8

State average N/A


Last Health inspection on Aug 2025

Total health citations
40 Rank #188 / 287Health citations — State benchmarkedThis home is ranked 188th out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5 Rank #127 / 287Citations per inspection — State benchmarkedThis home is ranked 127th out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 5 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

36 moderate citations State average: N/A

3 minor citations State average: N/A
Citations history (last 5 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 71
Employees 54
Contractors 17
Staff to resident ratio 1.48 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 24
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,239

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 7 total: 6 full-time employees and 1 contractor. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 5 LPN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 19 CNA Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.8%

784 contractor hours this quarter

Qualified Social Worker: 3 Physical Therapy Aide: 3 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Registered Nurse: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant190195,58292100%7.6
Medication Aide/Technician6062,87392100%9.4
Nurse Aide in Training100101,99792100%7
Registered Nurse6171,8288997%7.3
Licensed Practical Nurse5058426672%9.6
Dental Services Staff3035866571%7.9
RN Director of Nursing1014926267%7.9
Administrator1014605661%8.2
Nurse Practitioner1014425762%7.8
Dietitian1013826470%6
Physical Therapy Aide0333135560%5.5
Speech Language Pathologist0222846874%4.2
Respiratory Therapy Technician033473134%1.5
Qualified Social Worker033371820%2
Occupational Therapy Aide0113144%7.6
Other Dietary Services Staff1011755%3.4
Physical Therapy Assistant03315910%1.7
Occupational Therapy Assistant0111333%4.3
19 Certified Nursing Assistant
% of Days 100%
6 Medication Aide/Technician
% of Days 100%
10 Nurse Aide in Training
% of Days 100%
7 Registered Nurse
% of Days 97%
5 Licensed Practical Nurse
% of Days 72%
3 Dental Services Staff
% of Days 71%
1 RN Director of Nursing
% of Days 67%
1 Administrator
% of Days 61%
1 Nurse Practitioner
% of Days 62%
1 Dietitian
% of Days 70%
3 Physical Therapy Aide
% of Days 60%
2 Speech Language Pathologist
% of Days 74%
3 Respiratory Therapy Technician
% of Days 34%
3 Qualified Social Worker
% of Days 20%
1 Occupational Therapy Aide
% of Days 4%
1 Other Dietary Services Staff
% of Days 5%
3 Physical Therapy Assistant
% of Days 10%
1 Occupational Therapy Assistant
% of Days 3%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 13.6
25% worse than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.2
9% worse than State average

State average: 19.5

Long-stay resident measures
Significantly below average State avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.3%
In line with State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.9%
40% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.5%
15% better than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.2%
52% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.0%
21% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.6%
105% worse than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.8%
76% worse than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.1%
76% better than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.5%
16% better than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.0%
11% better than State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than State average

State average: 90.9%

Short-stay resident measures
Significantly below average State avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.3%
In line with State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.7%
67% worse than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.1%
47% better than State average

State average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 31.6%
25% worse than State average

State average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 20.2%
51% worse than State average

State average: 13.4%

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

Facility Characteristics

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

Total residents 48
Medicaid
29
60.4% of residents
Private pay or other
19
39.6% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$543.0K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9M Rank #223 / 292Revenue — State benchmarkedThis home is ranked 223rd out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$543.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$189.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #200 / 292Payroll — State benchmarkedThis home is ranked 200th out of 292 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.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.1M 53.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #98 / 292Payroll % — State benchmarkedThis home is ranked 98th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.5M

Who this home usually serves

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.

New residents most often arrive under private pay (39% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
142 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 39%
Medicaid 38%
Discharges
188 total

Coverage residents most often leave under.

Medicare 9%
Private pay 41%
Medicaid 50%

Places of interest near St James Living Center

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

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Frequently Asked Questions about St James Living Center

Who is the owner of St James Living Center?

St James Living Center is legally operated by N & R Of St James, Llc, and administered by Anita Carroll.

Is St James Living Center in a walkable area?

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.

What is the license number of St James Living Center?

According to MO state health department records, St James Living Center's license number is 053468.

When does St James Living Center's license expire?

According to MO state health department records, St James Living Center's license expires on March 17, 2028.

What is the occupancy rate at St James Living Center?

St James Living Center's occupancy is 48%.

Does St James Living Center operate as a for-profit or non-profit?

St James Living Center is registered as a for-profit in MO.

Who is the administrator of St James Living Center?

Anita Carroll is the administrator of St James Living Center.

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