St James Living Center faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 51th percentile among Missouri nursing homes, suggesting significant room for improvement.
Staffing at St James Living Center is near the national average, with 3.47 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 31 deficiencies at St James Living Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.47 | 3.8 | Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.33 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.62 | 2.4 | Average |
| Weekend Total Nursing | 3.32 | 3.8 | Below Average |
| Weekend RN Hours | 0.46 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Nov 16, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Nov 16, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedNov 16, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventNov 16, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.4% | 4.5% | Average |
| Falls with major injury | 6.9% | 3.0% | Worse |
| On antipsychotic medication | 16.7% | 14.5% | Worse |
| Urinary tract infections | 4.0% | 2.5% | Worse |
| ADL decline (daily activities) | 17.4% | 14.0% | Worse |
| Excessive weight loss | 9.7% | 7.5% | Worse |
| New/worsened incontinence | 12.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $21,645
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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