Home›Browse›Missouri›Saint James›St James Living Center

Nursing homeFAID #7016

St James Living Center

415 SIDNEY STREET,, SAINT JAMES, MO, 65559

(573) 265-8921

90 licensed beds

★★★★★3/5CMS Five-Star overall4/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

415 Sidney Street,

Saint James, MO 65559

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Public record summary

What we can show you for free.

Bed capacity

State license

053468

CMS facility ID

265225

Care type

Nursing home

Facility name

St James Living Center

Street address

415 SIDNEY STREET,

City / state / ZIP

Saint James, MO 65559

Phone

(573) 265-8921

State license #

053468

About this facility — St James Living Center

St James Living Center is a Medicare/Medicaid-certified skilled nursing facility in Saint James, Missouri. It is licensed for 90 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 5 senior care facilities in Saint James and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited St James Living Center 65 times across 10 inspections in the last three years, and CMS has imposed $14,069 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

N & R of St James, Llc

Parent company

James & Judy Lincoln

Ownership type

For profit - Corporation

Administrator

Anita Carroll

Registered owners & officers

Lincoln, James

Direct owner · Operational control — 50% stake — since 2016

Lincoln, Judy

Direct owner — 50% stake — since 2016

Ltc Management Services Llc

Operational control — since 2016

Regulatory standing

Licensed / certified since

1984-02-14

License expires

2028-03-17

CMS overall rating

3 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$14,069 total

Last standard inspection

2025-11-17

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$231 per day (≈ $7,020/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

75% Medicaid · 5% Medicare · 20% private/other

Occupancy

58% (fiscal year 2023)

Vs. state median

10% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Memory care

Yes — dedicated memory care

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2025-11-17Health inspection5 citations

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-12-31

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-12-31

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-31

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-31

F-0690

D · No harm found

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 2025-12-31

2025-08-14Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-10

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-09-10

8 earlier / fire-safety inspections (58 citations)

2025-07-09Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-07

2025-05-09Health inspectionComplaint-triggered1 citation

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-04-25

2024-07-17Health inspection9 citations

F-0584

E · No harm found

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 2024-08-30

F-0625

D · No harm found

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 2024-08-30

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-08-30

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-30

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-08-30

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-30

F-0727

E · No harm found

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 2024-08-30

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2024-08-30

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-30

2023-11-09Health inspectionComplaint-triggered2 citations

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-12-08

F-0658

E · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-08

2023-06-02Health inspection11 citations

F-0575

C · No harm found

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.

Corrected 2023-07-16

F-0578

E · No harm found

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 2023-07-16

F-0584

E · No harm found

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 2023-07-16

F-0585

E · No harm found

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 2023-07-16

F-0625

E · No harm found

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 2023-07-16

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-16

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-07-16

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-07-16

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-16

F-0761

D · No harm found

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.

Corrected 2023-07-16

F-0881

C · No harm found

Implement a program that monitors antibiotic use.

Corrected 2023-07-16

2025-11-17Fire-safety inspection3 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-31

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-12-31

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-12-31

2024-07-17Fire-safety inspection16 citations

E-0031

F · No harm found

Provide emergency officials' contact information.

Corrected 2024-08-30

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2024-08-30

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-08-30

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-08-30

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-30

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-30

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-08-30

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-30

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-08-30

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-30

K-0911

F · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-08-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-30

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-08-30

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-08-30

2023-06-02Fire-safety inspection15 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-16

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2023-07-16

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-07-16

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-07-16

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-16

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-16

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-07-16

K-0500

D · No harm found

Meet other general requirements that are deficient.

Corrected 2023-07-16

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-16

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-07-16

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-07-16

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-16

K-0914

E · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-07-16

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-16

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-07-16

Federal penalties

2025-07-09Fine$14,069

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265225.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 65 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered