GOLDEN LIVINGCENTER-ST JAMES

The information listed below provides an in-depth look into the type and quality of care offered at Golden Livingcenter-St James. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

GOLDEN LIVINGCENTER-ST JAMES
415 SIDNEY STREET, PO BOX 69
SAINT JAMES, MO 65559
(573) 265-8921

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

84%

Number of Residents and Certified Beds

  • Residents: 76
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Rolla | Cuba | Steelville

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Golden Livingcenter-St James. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-160.6%
ADL Index Range: 6-108.4%
ADL Index Range: 0-57.5%
Total Percent:16.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1619.3%
ADL Index Range: 6-106.1%
ADL Index Range: 0-528.4%
Total Percent:53.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.8%
ADL Index Range: 6-104.3%
ADL Index Range: 0-55.5%
Total Percent:13.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.9%
ADL Index Range: 0-54.6%
Total Percent:8.5%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-163.4%
ADL Index Range: 0-100.4%
Total Percent:3.8%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.0%
Total Percent:1.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.4%
Total Percent:0.4%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Two or more restorative nursing on 6+ days/wk
0.8%
ADL Index Range: 0-1
- Less restorative nursing
1.9%
Total Percent:2.6%
 

Rating Details For Golden Livingcenter-St James

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours53 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours21 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 14 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 43 Minutes
Total Nurse Hours3 Hours and 28 Minutes4 Hours and 4 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder36%38%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious33%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight6%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain-20%
Percent of Short-Stay Residents Who Have Pressure Sores5%11%
Percent of Short-Stay Residents Who Have Delirium-4%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/18/2010
  • Correction Date: 04/04/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/18/2010
  • Correction Date: 04/04/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011
Keep Sound Levels Comfortable.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/18/2010
  • Correction Date: 04/04/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Golden Livingcenter-St James, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 01/31/2011
  • Correction Date: 03/02/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/15/2008
  • Correction Date: 10/17/2008

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/20/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 01/31/2011
  • Correction Date: 03/02/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/20/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Golden Livingcenter-St James had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Portable Fire Extinguishers.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Approved Construction Type or Materials.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/18/2010
  • Correction Date: 04/04/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/18/2010
  • Correction Date: 04/04/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/18/2010
  • Correction Date: 04/04/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/25/2011
  • Correction Date: 05/06/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/17/2009
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011