Nursing HomeInspections

Pin Oaks Living Center

Nursing home in Mexico, MO

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (573) 581-7261Send a messageMap ↗

Public-record details

Address
1525 West Monroe, Mexico, MO 65265
Phone
(573) 581-7261
Listed under
For-profit
Medicare CCN
265481
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
124
Average residents per day
82
Ownership
For-profit, corporation
Legal business name
N & R of Mexico LLC
Chain
James & Judy Lincoln (56 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265481. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 14, 2024. CMS lists 58 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 9, 2019 to Jun 16, 2026): 13 from complaint inspections, 4 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jun 16, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 5, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jan 7, 2026Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection		C
Potential for minimal harm, widespread
Jan 7, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 7, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		G
Actual harm, isolated
Nov 18, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection		C
Potential for minimal harm, widespread
Nov 18, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 18, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 18, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Nov 18, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		G
Actual harm, isolated
Nov 14, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 14, 2024Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 58. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $26,650 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 18, 2025Fine: $26,650
Nov 18, 2025Payment denial for 34 days from Feb 11, 2026

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.58 hours
Registered nurse (RN) time per resident per day
0.57 hours
Nurse aide time per resident per day
2.64 hours
Total nurse staffing on weekends
3.35 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
11%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.