St James Living Center
Nursing home in St. James, Missouri, CMS certification number 265225
415 Sidney Street, St. James, MO 65559 · Phelps County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 90
- Certified for
- Medicare and Medicaid
- Last standard inspection
- November 17, 2025
- Deficiencies at that inspection
- 5
- Fines in 3 years
- $14,069 (1)
Does St James Living Center take Medicare and Medicaid?
Yes to both. St James Living Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours St James Living Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.28
- Registered nurse hours
- 0.42
- Licensed practical nurse hours
- 0.37
- Nurse aide hours
- 2.49
- Weekend total hours
- 3.13
- Nursing staff turnover
- 52.7%
- Registered nurse turnover
- 42.9%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on November 17, 2025 and cited 5 deficiencies, plus 0 from complaint visits.
The visit before, on July 17, 2024, found 9.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined St James Living Center 1 time in the past 3 years, for $14,069 in total.
Beds and residents
On an average day 49.8 residents live here, about 55% of its 90 certified beds.
- Certified beds
- 90
- Average residents per day
- 49.8
- Certified since
- February 14, 1984
- Resident or family council
- Resident
Who owns St James Living Center
- Legal business name
- N & R of St James LLC
- Ownership type
- For profit - Corporation
- Chain
- 55 homes nationally under James & Judy Lincoln, 2.6-star chain average
Other nursing homes near St James Living Center
- Aurora Health and Rehabilitation1200 McCutchen Road, Rolla 65401
- Rolla Presbyterian Manor1200 Homelife Plaza, Rolla 65401
- Silverstone Place2735 Eagleson Dr, Rolla 65401
- Cedar Pointe1800 White Columns Drive, Rolla 65401
- Phelps Health1000 W Tenth St, Rolla 65401
Who inspects nursing homes in Missouri
Missouri's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Missouri, or see how assisted living and nursing homes differ.
Is this your facility?
If you run St James Living Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about St James Living Center
What is the CMS star rating of St James Living Center?
4 out of 5 stars overall.
Does St James Living Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at St James Living Center?
5 cited at the last standard visit.
Who owns St James Living Center?
N & R of St James LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.