St James Living Center
415 Sidney Street, · Saint James, MO · 65559 · 5732658921
90 certified beds For profit - Corporation Chain: James & Judy Lincoln
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $14,069 |
Inspection citations (31 in the current record)
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Potential for harm · D November 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 17, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 31, 2025 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 31, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 10, 2025 · Resident Rights
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Potential for harm · D August 14, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J July 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 17, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 30, 2024 · Resident Rights
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Potential for harm · D July 17, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected August 30, 2024 · Resident Rights
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Potential for harm · D July 17, 2024
Assess the resident when there is a significant change in condition
Corrected August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2024
Ensure each resident receives an accurate assessment.
Corrected August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 17, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 17, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · E July 17, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected August 30, 2024 · Nursing and Physician Services
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Potential for harm · E July 17, 2024
Provide and implement an infection prevention and control program.
Corrected August 30, 2024 · Infection Control
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No harm found · C July 17, 2024
Post nurse staffing information every day.
Corrected August 30, 2024 · Nursing and Physician Services
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Potential for harm · D November 9, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 9, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 8, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 2, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 16, 2023 · Resident Rights
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Potential for harm · E June 2, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 16, 2023 · Resident Rights
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Potential for harm · E June 2, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 16, 2023 · Resident Rights
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Potential for harm · E June 2, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 16, 2023 · Resident Rights
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Potential for harm · E June 2, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 16, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 9, 2025 | Fine | $14,069 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265225 · certified since February 14, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.