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Medicare-certifiedSkilled Nursing

Pin Oaks Living Center

(573) 581-7261

About Pin Oaks Living Center

Pin Oaks Living Center brings skilled nursing and rehabilitation care to Mexico, Missouri families with compassionate clinical support and personalized recovery plans. Our team focuses on helping residents regain independence through evidence-based therapy and attentive daily care.

Community at a glance

Capacity

124 residents

Location

Mexico, MO

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1525 WEST MONROE, Mexico, Missouri 65265

(573) 581-7261

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Pin Oaks Living Center for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on November 14, 2024, state inspectors cited 28 health deficiencies (the Missouri average is 11.4).

Nurses and nurse aides spend 3 hours 35 minutes with each resident a day, about the same as the Missouri average.

Medicare fined Pin Oaks Living Center once in the last three years, $17,323 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 35 minutes
Registered nurse time per resident, per day34 minutesAbove the Missouri average
Nursing staff who left in the past year45%Below the Missouri average

1 administrator has left the home in the past year.

Inspections

31 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 16, 2026 · Complaint investigation · 1 citation

  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspection

February 5, 2026 · Complaint investigation · 1 citation

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 10, 2026
January 7, 2026 · Complaint investigation · 3 citations+
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Residents were harmed, a few residents (level G)Nursing and Physician ServicesFrom a complaintCorrected Jan 28, 2026
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 10, 2026
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Jan 28, 2026
November 18, 2025 · Complaint investigation · 5 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 17, 2026
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Residents were harmed, a few residents (level G)Nursing and Physician ServicesFrom a complaintCorrected Jan 28, 2026
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 17, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 18, 2025
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Jan 28, 2026
November 14, 2024 · Standard inspection · 18 citations+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Dec 23, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Dec 23, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 23, 2024
  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Dec 23, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 23, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 23, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 23, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 23, 2024
  • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 23, 2024
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 23, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Dec 23, 2024
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 23, 2024
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 23, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Dec 23, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 23, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 23, 2024
  • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 23, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Dec 23, 2024
October 1, 2024 · Complaint investigation · 2 citations+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Oct 10, 2024
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 10, 2024
November 8, 2023 · Complaint investigation · 1 citation+
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Nov 24, 2023

Fines and payment denials

1 fine totaling $17,323 and 1 Medicare payment denial in the last three years.

  • November 18, 2025Fine: $17,323
  • November 18, 2025Payment denial, 34 days

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
N & R of Mexico LLC
Medicare-certified beds
124
Average residents per day
82
Accepts
Medicare and Medicaid
First certified
March 1, 1992
Part of a chain
James & Judy Lincoln, 56 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265481

Location

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1525 WEST MONROEMexico, MO 65265

7 other communities within 10 miles

Senior living near Mexico

Questions about Pin Oaks Living Center

How did Pin Oaks Living Center do on its last inspection?+

State inspectors visited on November 14, 2024 and cited 28 health deficiencies, 10 of them from complaint investigations. The Missouri average is 11.4.

How much nursing care does each resident get at Pin Oaks Living Center?+

Nurses and aides spend 3 hours 35 minutes with each resident per day, including 34 minutes from registered nurses. 45% of nursing staff left over the past year.

Has Pin Oaks Living Center been fined by Medicare?+

Yes. Medicare fined Pin Oaks Living Center once in the last three years, totaling $17,323.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Mexico Skilled Nursing in Missouri Skilled Nursing guide Information last updated October 2026