St James Living Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 15 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- High RN turnover (80%)
Below average in MO · Below recommended RN staffing · Above average staffing · $21,645 in fines
What this means for your family
While the therapy and hospice teams have received some positive feedback, the facility is currently facing multiple serious allegations regarding financial misconduct and neglect. We strongly advise families to look elsewhere, or if considering this facility, to conduct an unannounced visit to inspect cleanliness and demand clear policies on personal property and financial management.
Google Reviews
Google Reviews
15 reviews on Google“St. James Living Center faces severe and consistent criticism regarding patient care, cleanliness, and administrative integrity. While the therapy department receives occasional praise, families frequently report issues with theft, neglect, and unprofessional staff behavior. The facility's reputation is heavily tarnished by serious allegations of financial misconduct and poor hygiene standards.”
Quality Themes
Tap a score for detailsStrengths
- Helpful and compassionate therapy department
- Professional hospice care staff
- Effective transport services
Concerns
- Theft of personal property and financial exploitation (mentioned by 4 reviewers)
- Poor hygiene and lack of cleanliness in patient rooms (mentioned by 3 reviewers)
- Inattentive or unfriendly nursing and support staff (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that the facility has 90 residents, what specific protocols are in place to ensure the security of personal belongings and financial assets for each individual?
- 2I noticed some concerns regarding room maintenance; could you walk me through your daily cleaning schedule and how you ensure consistent hygiene standards in resident living spaces?
- 3With a 4-star staffing rating, how do you foster a culture of attentiveness and friendliness among the nursing and support staff to ensure residents feel truly cared for?
- 4Since the therapy and hospice teams are highly regarded here, how do they coordinate with the rest of the nursing staff to provide a seamless experience for residents?
- 5What steps are you taking to improve the quality and variety of the dining experience for residents, as we understand this is an area you are currently focusing on?
- 6In the event of a medical emergency, what is the exact chain of communication to ensure family members are notified promptly and accurately?
Personalized based on this facility's data
Key Review Excerpts
“The therapy department did a great job with my mom and the transport diver's were also great. The social worker did not do anything and they never updated me on her discharge so there was no planning meeting and no plan for her to transfer.”
“The rooms r dirty,Items have came up missing nothing done about it,Most of the staff is very unfriendly ,Many pics to show conditions of room..And I sure don't like seeing my mother in clothes with dried food on be shirt and food In The bed ....And face not Evan washed pathetic.”
“When she passed they were caring and professional. They handled her with dignity and gentleness. Its a down home kind of feel. Perfect for mom.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
4
measures
7
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
St. James Living Center shows concerning patterns with families filing six complaints about serious issues including financial exploitation of residents and inadequate response to alleged violations. The facility has recurring problems across fire safety systems, care planning, and accident prevention that persist across multiple years of inspections. While the facility corrects deficiencies when cited, the repeated issues in the same areas suggest ongoing operational challenges that families should carefully evaluate.
Nov 17, 2025Routine8
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Aug 14, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jul 9, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 9, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Jul 17, 2024Routine25
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nov 9, 2023Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Federal Penalties
Fine
Jul 9, 2025
$14,069
Ownership & Operations
Who Operates This Facility
St James Living Center
for profit
Chain Affiliation
James & Judy Lincoln
56 facilities nationwide
Chain avg rating: 2.5/5 · Rank 30 of 56
Ownership & Management
Owners
Lincoln, James
Owner
Lincoln, Judy
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
15 reviews from families & visitors
Official Website
Visit stjameslivingcenter.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.