About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Nursing Homes in St James, MO

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St James is home to many senior care options, including nursing homes. The term “nursing home” is often used as a catchall for any type of senior care. But it can also refer to actual nursing homes, or skilled nursing facilities, which provide the highest level of medical and rehabilitative care outside of a hospital. Of the 47 nursing homes, assisted living, and memory care communities in St James, the best fit for your loved one will depend on their budget and needs. The cost of nursing home care in St James is about $3,589, but costs tend to increase as care needs increase. To learn more, browse our 84 reviews and explore the services and amenities available in your area.

 

As you consider nursing homes near you, you may also want to expand your search to areas like You may also consider nearby communities such as Lois, Hayden and Stickney.

Nursing Homes Facilities near St James, MO

Showing 31 communities
Last Updated: 12/4/25
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Photo of StoneBridge Westphalia Hills - RCF
44 Photos available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Westphalia Hills, a StoneBridge Senior Living community, is located a short distance from Jefferson City, MO. Residents enjoy the quiet surroundings of Westphalia Hills in the heart of historic Westphalia. Our all inclusive, maintenance-free living with private apartments in the beautiful...
Photo of Licking Residential Care
55 Photos available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of St Elizabeth Care Ctr
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Crab Apple Village Senior Estates
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Victorian Place of Union
44 Photos available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Best Value in the St. Louis Metro AreaAt Victorian Place of Union, residential care by Americare, our focus is on you. Our person-centered approach to care puts residents and their families at the heart of everything we do.You'll find a warm, friendly community where folks can thrive and connect....
Photo of Victorian Place of Hermann
33 Photos available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
When you visit Victorian Place of Hermann, you'll find a warm, friendly community where folks can thrive and connect. It's a place full of friendly local faces where you and your loved one will feel right at home, whether that's in our inviting community spaces or homey 1-bedrom suites, each with...
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Cost of nursing homes in St James, MO

The average cost of senior living in St James is $3,589 per month. Cheaper nearby regions include Owensville, MO with an average of $3,406 per month.

Nursing homes costs in St James, MO, vs. nearby cities

St James, MO
$3,589/mo
$3,451/mo
$3,801/mo

Nursing homes costs in St James, MO, vs. state and national averages

St James, MO
$3,589/mo
U.S. national average
$4,982/mo

Nursing homes costs in St James, MO, vs. other senior living options

$4,661/mo
Nursing Homes
$3,589/mo

Nursing homes costs in St James, MO, by floor plan type

Semi-Private
$4,650/mo
Studio
$5,557/mo
1 Bedroom
$5,318/mo
2 Bedroom
$4,143/mo
Detached Cottage/Bungalow
$3,505/mo

Senior living costs in St James vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 4 rows of data across 4 columns.
Column communityType: Community type
Column destination: St James, MO
Column state: Missouri
Column national: U.S.
Community typeSt James, MOMissouriU.S.
Nursing Homes$3,589/mo$4,154/mo$4,982/mo
Assisted Living$3,377/mo$4,008/mo$4,770/mo
Memory Care$4,661/mo$5,473/mo$5,523/mo
Independent Living$4,191/mo$3,714/mo$4,167/mo
Nursing Homes
St James, MO:$3,589/mo
Missouri:$4,154/mo
U.S.:$4,982/mo
Assisted Living
St James, MO:$3,377/mo
Missouri:$4,008/mo
U.S.:$4,770/mo
Memory Care
St James, MO:$4,661/mo
Missouri:$5,473/mo
U.S.:$5,523/mo
Independent Living
St James, MO:$4,191/mo
Missouri:$3,714/mo
U.S.:$4,167/mo
Table showing 5 of 4 items. Click to show less.
Table showing 5 of 4 items. Click to show less.

Nursing homes costs in St James, MO, over time

The line graph below shows how monthly nursing homes costs have shifted over the past five years in St James and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

St James, MOMO stateNational

Nursing homes cost trends in St James, MO

The table below shows how monthly nursing homes costs in St James have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
St James, MO$5,879/mo$6,159/mo-4.5%
Missouri$5,022/mo$5,000/mo+0.5%
National$5,026/mo$4,817/mo+4.3%
St James, MO
2024 average cost:$5,879/mo
2023 average cost:$6,159/mo
Percent change:-4.5%
Missouri
2024 average cost:$5,022/mo
2023 average cost:$5,000/mo
Percent change:+0.5%
National
2024 average cost:$5,026/mo
2023 average cost:$4,817/mo
Percent change:+4.3%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Discover the many ways to pay for senior living

Planning ahead can better position you to make good choices for your loved one’s care in the future. But if your aging family member needs care now, there are ways to finance the cost of long-term care through a combination of approaches.

What families are saying about nursing homes in St James

Recent reviews for nursing homes in St James

Oak Pointe of Rolla, a Viva Community

4.5
The staff at Oak Pointe of Rolla are very caring. I feel like I don't have to worry too much that my dad's needs are being met. Overall, we are pretty happy with everything. On the weekends and evenings it is difficult to get ahold of staff to assist my dad and then I don't get a follow up call. ...
Read more

The Homestead at Hickory View Retirement Community in Washington, MO

3.8
The experience for my mother has been very good. They are overpriced compared to others in a 50 mile radius. But my mother wanted to stay in that town. They are friendly and always helpful. The facility is very clean and well-kept.

Victorian Place of Washington and Arbors of Washington

5.0
The staff at this community are helpful and we have good communication with them. The food is good and they keep the community well maintained. They offer a variety of activities. I would recommend going to the different communities to see which one might be the right fit for your loved one.

St James nursing homes services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in St James nursing homes communities. They don’t represent all possible services and amenities available at assisted living communities in St James, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in St James nursing homes

Nursing homes communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of nursing homes partners in St James that offer these care services compared to the percentage of partners that offer them nationally.
St James, MONational
Full medication management
Full medication management
51.6%
2.5%
Doctor on call
Doctor on call
38.7%
9.8%
24-Hour awake staff
24-Hour awake staff
77.4%
23.5%
Diabetic care
Diabetic care
83.9%
23.9%
*Visiting health care professionals
*Visiting health care professionals
61.3%
10%
Home care agency on-site
Home care agency on-site
22.6%
0.8%
Non-ambulatory care
Non-ambulatory care
83.9%
20.3%
Respite or short term stays
Respite or short term stays
58.1%
7%
Hospice available on-site
Hospice available on-site
45.2%
17.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in St James nursing homes

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of St James Nursing Homes partners offer the selected dementia care services compared to the percentage of partners nationally.
St James, MONational
Dementia behaviors care
Dementia behaviors care
48.4%
4%
Specialized memory care training for staff
Specialized memory care training for staff
9.7%
0.2%
Secured community and/or wander guard
Secured community and/or wander guard
29%
5.5%
Memory care only community
Memory care only community
16.1%
1.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in St James nursing homes

Nursing homes communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of St James partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
St James, MONational
Nutritionist / dietician
Nutritionist / dietician
25.8%
0.6%
Low / no sodium
Low / no sodium
22.6%
1.4%
No sugar
No sugar
29%
1.4%
Vegetarian
Vegetarian
25.8%
3.6%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in St James nursing homes

Our nursing homes communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of St James communities that offer dining options to their discerning residents compared to our partners nationally.
St James, MONational
Professional chef
Professional chef
9.7%
0.2%
Restaurant style dining
Restaurant style dining
41.9%
0.5%
Room service
Room service
12.9%
0.4%
Anytime dining
Anytime dining
29%
0.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in St James nursing homes

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered nursing homes communities in St James offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
St James, MONational
Activity director
Activity director
35.5%
0.4%
Pet-focused programs
Pet-focused programs
19.4%
0.3%
Community service programs
Community service programs
19.4%
0.3%
Devotional activities on-site
Devotional activities on-site
64.5%
6.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
54.8%
0.4%
Outings / off-site activities
Outings / off-site activities
51.6%
6.7%
Piano or organ
Piano or organ
32.3%
0.4%
Arts and crafts center
Arts and crafts center
16.1%
0.3%
Educational speakers / life long learning
Educational speakers / life long learning
35.5%
0.3%
Clubs / games / karaoke
Clubs / games / karaoke
45.2%
0.4%
Live performances
Live performances
41.9%
0.4%
Dances
Dances
16.1%
0.2%
Fitness center
Fitness center
16.1%
0.3%
Fitness classes
Fitness classes
48.4%
0.4%
0.0%20.0%40.0%60.0%80.0%100%

Frequently Asked Questions

Oak Pointe of Washington, a Viva Community, Oak Pointe of Rolla, a Viva Community and Victorian Place of Cuba are the top-rated nursing homes facilities near St James, Missouri. See full list of communities.
There are 47 nursing homes facilities near St James, Missouri. See the full list.
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