9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Saint James, MO
2-star overall rating with 3-star inspections with $21,645 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
415 Sidney Street,, Saint James, MO
(573) 265-8921
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
James & Judy Lincoln
Operator or chain grouping
Approved since
1984-02-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
58 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.52
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.33
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.85
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
4.39
CMS adjusted total nurse staffing hours
Case-mix index
1.08
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
12,605
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 54.05% · Performance 64.81% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.30
Baseline 3.34 hours · Performance 3.73 hours · Measure score 2.30 · Achievement 2.30 · Improvement 1.11
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.4% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 22.58% · Lower 95% interval 7.53% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 13 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 61 |
| Staff flu vaccination coverage | 51.06% |
42%
9.1 pts better
|
Numerator 48 · Denominator 94 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
84.8%
11.7 pts better
|
93.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 100.0% · Q3 100.0% · Q4 92.9% · 4Q avg 96.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.9% |
4.1%
2.8 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.0% · Q3 7.0% · Q4 7.1% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
14.7%
12.2 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 9.7% |
5.5%
4.2 pts worse
|
5.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 8.3% · Q3 8.3% · Q4 5.4% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.1% |
25.3%
5.2 pts better
|
19.6%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 16.7% · Q3 13.9% · Q4 24.3% · 4Q avg 20.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.7% |
25.0%
8.3 pts better
|
16.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 16.7% · Q3 22.2% · Q4 17.2% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.3% |
20.3%
8 pts worse
|
16.3%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.4% |
19.8%
2.4 pts better
|
14.9%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 8.3% · Q3 13.9% · Q4 24.3% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.8% |
1.4%
2.4 pts worse
|
1.0%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.8% · Q3 1.7% · Q4 1.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
2.6%
1.4 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.3% · Q3 9.3% · Q4 2.4% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.4% |
18.1%
5.7 pts better
|
19.8%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 9.4% · Q3 13.0% · Q4 10.9% · 4Q avg 12.4% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
5.0%
0.6 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.2% · Q3 8.0% · Q4 3.1% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.3% |
66.4%
17.9 pts better
|
81.7%
2.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 85.7% · Q3 97.0% · Q4 90.0% · 4Q avg 84.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.2% |
13.4%
6.8 pts worse
|
12.0%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 25.0% · Expected 13.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
2.2%
0.9 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.1% |
63.5%
29.6 pts better
|
79.7%
13.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.6% |
25.3%
6.3 pts worse
|
23.9%
7.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.6% · Observed 40.0% · Expected 30.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Resident Rights (5 deficiencies)
15 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-31
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-12-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-12-31
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-08-30
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-08-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-30
Fire Safety
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
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-08-30
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-08-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-30
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-08-30
Fire Safety
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
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-30
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-07-16
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-07-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-16
Fire Safety
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
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-16
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-16
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-07-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-07-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-07-16
Inspection history
Health
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-31
Health
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-31
Health
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
Health
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
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-07
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-04-25
Health
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
Health
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-30
Health
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-30
Health
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
Health
Assess the resident when there is a significant change in condition
Corrected 2024-08-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-30
Health
Post nurse staffing information every day.
Corrected 2024-08-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-08
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-12-08
Health
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
Health
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
Health
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
Health
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
Health
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-16
Health
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
Health
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
Health
Implement a program that monitors antibiotic use.
Corrected 2023-07-16
Penalties and ownership
Fine · fine $21,645
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
Rolla, MO
1-star overall rating with 2-star inspections with $64,893 in total fines with 19 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Rolla, MO
5-star overall rating with 4-star inspections with 2 recent health deficiencies
Rolla, MO
2-star overall rating with 4-star inspections with 4 recent health deficiencies
Jump out