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C
Below Standard

ST JAMES LIVING CENTER

415 SIDNEY STREET, · SAINT JAMES, MO 65559

5732658921 · For profit - Corporation

90 beds45.2 residents73 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ST JAMES LIVING CENTER receives an overall staffing grade of C (Below Standard). With 3.4734 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5202 HPRD, below the recommended 0.75. It is 0.42 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 5.78% compared to weekdays. The facility has low agency staff usage (1.08% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4734 HPRD — needs 0.01 more hours per resident per day.
⚠️RN staffing (0.5202 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.08%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 5.78% drop-off
Total Nurse HPRD
3.4734hrs/resident/day▼ 0.42
CMS benchmark: 3.48
RN HPRD
0.5202hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
5.78%
3.5311 weekday → 3.3269 weekend
Agency Staff
1.08%
7.2% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4469hrs/resident/day
Direct care aides
LPN HPRD
0.3346hrs/resident/day
Licensed practical nurses
Consistency
0.3576std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Phelps County Average-0.78 HPRD
4.25
03.47 HPRD
vs. Missouri State Average-0.01 HPRD
3.48
03.47 HPRD
vs. National Average-0.42 HPRD
3.90
03.47 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ST JAMES LIVING CENTER ★
SAINT JAMES · This facility
—
C
3.47340.5202★★☆☆☆
CEDAR POINTE
ROLLA
9.8 mi
D
3.22250.3061★☆☆☆☆
PHELPS HEALTH
ROLLA
10.2 mi
A+
7.99415.2684★★★★★
MARIES MANOR
VIENNA
22.2 mi
F
2.33380.1307★★★☆☆
LIFE CARE CENTER OF SULLIVAN
SULLIVAN
27.2 mi
B
3.49380.5811★★★☆☆
LIFE CARE CENTER OF WAYNESVILLE
WAYNESVILLE
35.9 mi
D
3.31190.367★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
39
Total Deficiencies
$21,645
Fines Assessed
Aug 14, 2025Health
2 deficiencies cited
▼
Jul 9, 2025Health
1 deficiency cited· Includes actual harm
▼
May 9, 2025Health
1 deficiency cited
▼
Jul 17, 2024Health
9 deficiencies cited
▼
Nov 9, 2023Health
2 deficiencies cited
▼
Jun 2, 2023Health
11 deficiencies cited
▼
Dec 8, 2021Health
13 deficiencies cited
▼

Penalty History

Jul 9, 2025Fine
$21,645
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.