ST James Living Center
Nursing Home · Saint James, MO
CMS certification number265225
Contact & location
415 Sidney Street,Saint James, MO 65559
Phelps County
- Phone
- (573) 265-8921
- ZIP code
- 65559 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 49.3 (55% occupied)
- Ownership
- For profit - Corporation
- Legal name
- N & R of ST James LLC
- Chain
- James & Judy Lincoln (56 facilities, avg 2.4★)
- Medicare certified since
- February 14, 1984
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.12 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.43 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.34 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.35 (state 2.29 · U.S. 2.32)
- Weekend total
- 2.89 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 58.0 (state 56.0 · U.S. 45.8)%
- RN turnover
- 66.7 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- November 17, 2025
- Health deficiencies (last cycle)
- 7.0 (state 11.5 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 31 health · 34 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-11-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-11-17 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-11-17 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-11-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-11-17 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-08-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-10 |
| 2025-08-14 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-10 |
| 2025-07-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-07-07 |
| 2025-05-09 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2024-07-17 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | 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. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-17 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-08-30 |
| 2023-11-09 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-11-09 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-06-02 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | 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. F0625 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. F0575 · Resident Rights Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2023-07-16 |
| 2023-06-02 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2023-07-16 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $14,069 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-09 | Fine | $14,069 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Lincoln, James (individual) | 5%+ Direct Ownership Interest · 50% | |
| Lincoln, Judy (individual) | 5%+ Direct Ownership Interest · 50% | |
| Lincoln, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| LTC Management Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of ST James Living Center?
ST James Living Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does ST James Living Center have?
It has 90 certified beds and cares for about 49 residents per day.
Has ST James Living Center been fined?
Yes. CMS lists 1 penalty totaling $14,069 in the last three years.
Who owns ST James Living Center?
It is part of James & Judy Lincoln and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of ST James Living Center?
(573) 265-8921. The facility is located at 415 Sidney Street,, Saint James, MO 65559.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.