Nursing home report
SAINT JAMES, MO · Medicare-certified · 90 beds
ST JAMES LIVING CENTER in Saint James, MO has an overall rating of 1 out of 5 stars. Its staffing and quality measures are also 1 star, health inspections are 3 stars, and it has had $14,069 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited November 2025 — limited pattern, potential for harm.
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited November 2025 — limited pattern, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2024 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2024 — limited pattern, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: E
Health inspection found 5 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $14,069 was recorded.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $14,069 in total fines.
Federal fine
Jul 9, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
