Nursing home report
SAINT JAMES, MO · Medicare-certified · 90 beds
ST JAMES LIVING CENTER in Saint James, MO has a 2-star overall rating, with 1-star quality measures and 3-star staffing and health inspection ratings. Reported staffing is 3.12 hours per resident per day, below the 4.1 federal benchmark, and the facility had $14,069 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.1163 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1163.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
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
Now operated by St. James Living Center, previously Golden Livingcenter St James.
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.
