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Data / Nursing homes / Missouri / St James Living Center

St James Living Center, Saint James, MO: 4 star rating, fined $14,069 across 1 fine

St James Living Center in Saint James, MO is owned by 2 individuals whom CMS lists (names not shown), is rated 4 of 5 stars by Medicare, and was fined $14,069 across 1 fine in the three years to October 1, 2026. CMS lists 20 health citations from inspections in that time, the latest survey on November 17, 2025, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Missouri
Address
415 Sidney Street, Saint James, MO 65559
Overall rating
4 of 5 stars
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measure rating
2 of 5
Certified beds
90
Residents per day
50 on average
Ownership type
For profit, corporation
Legal business name
N & R of St James LLC
Chain
James & Judy Lincoln, 55 facilities
Fines
$14,069 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
20, of which 1 with actual harm or immediate jeopardy
Latest survey
November 17, 2025
CMS Certification Number
265225
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 9, 2025Fine$14,069Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
November 17, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2025data.cms.gov
November 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2025data.cms.gov
November 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2025data.cms.gov
November 17, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2025data.cms.gov
November 17, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2025data.cms.gov
August 14, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
August 14, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
July 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJuly 7, 2025data.cms.gov
May 9, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 25, 2025data.cms.gov
July 17, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
July 17, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2024data.cms.gov
November 9, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2023data.cms.gov
November 9, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (2 owners, 1 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
LTC Management Services LLCOperational or managerial controlNot listedSeptember 1, 2016data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.