St James Living Center
Saint James, MO · Medicare and Medicaid-certified nursing home (CCN 265225) · 90 certified beds
Health inspection: 4 · Quality measures: 1 · Staffing: 3
Federal fines: 1 totaling $14,069
Phone: (573) 265-8921 · Verify on Medicare Care Compare ↗
St James Living Center has a CMS overall star rating of 3 out of 5, which is above the Missouri state average of 2.51. Its health inspection rating is 4 stars and its staffing rating is 3 stars.
St James Living Center reports total nurse staffing of about 3.12 hours per resident per day, including 0.43 RN hours per resident per day, with a staffing star rating of 3. CMS also reports a nursing staff turnover rate of 58.0% for this facility.
St James Living Center has 1 federal fine on record totaling $14,069.00, with 0 payment denials. CMS does not display an abuse icon for this facility, and it is not currently in CMS's Special Focus Facility program.
About this facility
St James Living Center is a for-profit nursing home in Saint James, Phelps County, Missouri, certified for both Medicare and Medicaid since February 1984. The facility is licensed for 90 beds and currently serves an average of 49.3 residents.
According to CMS Care Compare data, St James Living Center holds an overall star rating of 3 out of 5, which is above the Missouri state average of 2.51. The facility's four component ratings are: health inspection rating of 4 stars, staffing rating of 3 stars, and quality measure (QM) rating of 1 star.
Nurse staffing levels total 3.12 hours per resident per day, including 0.43 RN hours per resident per day. The facility reports a nursing staff turnover rate of 58.0%.
Regarding penalties, CMS records show 1 federal fine totaling $14,069.00 for this facility. There have been 0 payment denials on record. CMS does not display an abuse icon for this facility, and it is not currently listed under CMS's Special Focus Facility program, which designates homes CMS considers persistently underperforming and subject to increased inspection oversight.
St James Living Center is part of a small chain, James & Judy Lincoln, which operates 56 facilities nationally with an average rating of 2.4 stars across the chain. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Data sourced from CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
St James Living Center has an overall CMS rating of 3 out of 5 stars, above the Missouri state average of 2.51.
Does this facility accept Medicare, Medicaid, or both?
The facility accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.12 hours per resident per day, with 0.43 RN hours per resident per day, and a nursing staff turnover rate of 58.0%. Its CMS staffing star rating is 3.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 federal fine totaling $14,069.00, and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No, CMS does not display an abuse icon for this facility, and it is not part of the Special Focus Facility program.
How large is this facility and how many residents live there?
St James Living Center is certified for 90 beds and has an average of 49.3 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit corporation and is part of the James & Judy Lincoln chain, which operates 56 facilities with an average rating of 2.4 stars.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for Medicare/Medicaid certification on February 14, 1984.
What do the four different CMS star ratings mean?
CMS publishes an overall rating along with three component ratings: health inspection, staffing, and quality measures; for this facility these are 4, 3, and 1 stars respectively, combining into an overall 3-star rating.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at (573) 265-8921 and verify details on Medicare Care Compare.
What should I look for when touring this facility?
This data does not cover tour details; contact the facility at (573) 265-8921 to arrange a visit and review the full inspection record on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current ratings and inspection reports at https://www.medicare.gov/care-compare/details/nursing-home/265225?state=MO.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.