St James Living Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1984-02-14. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (573) 265-8921 or your local Medicaid office to verify current eligibility.

St James Living Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (4★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 53.0/100, placing it #13608 of 14703 facilities nationally and #364 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at St James Living Center receives a reported average of 3 hours 28 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 31 minutes; Licensed Practical Nurse (LPN) — 20 minutes; Nurse Aide — 2 hours 37 minutes. On weekends, total nurse staffing is 3 hours 19 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 43.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $21,645. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $21,645, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 61.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, St James Living Center ranks 13608th out of 14,703 facilities (composite score: 53.0/100), placing it in the bottom 25% nationwide. Within MO, it ranks 364th out of 487 nursing homes. For 2026 staffing: total nurse hours rank #9,369 nationally and RN hours rank #8,332 nationally (#127 in MO). Our composite quality score of 53.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Saint James, visit: https://nursinghomesnearme.org/missouri/saint-james/