Audrain County, Missouri · Nursing home
Pin Oaks Living Center
1 of 5 overall from CMS
1525 West Monroe, Mexico, MO 65265
At a glance
- Overall rating 1 of 5 Below the state average of 2.5
- Nurse time per resident, per day 3.58 hours Above the state average of 3.43
- Nursing staff who left in a year 44.7% Below the state average of 56.0%
- Health citations, last 3 inspection cycles 58 4 at the harm level or above
- Fines in 3 years $17,323 1 fine
- Certified beds in use 65.8% of 124 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Pin Oaks Living Center is a 124-bed nursing home in Mexico, Missouri (Audrain County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.58 nurse staffing hours per resident per day, above the Missouri average of 3.43. CMS lists 1 fine totaling $17,323 in the past three years.
- Certified beds
- 124
- Residents per day (average)
- 81.6
- Certified since
- 1992 (34 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of James & Judy Lincoln (56 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Pin Oaks Living Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $17,323 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 28 health deficiencies in the latest inspection cycle (the standard inspection on Nov 14, 2024 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
- About 65.8% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Missouri average 2.5
- Health inspections 1 of 5 Missouri average 2.8
- Staffing 4 of 5 Missouri average 2.2
- Quality measures 2 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.58 h Missouri average 3.43
- Nurse aides 2.64 h Missouri average 2.29
- Licensed practical nurses 0.37 h Missouri average 0.68
- Registered nurses 0.57 h Missouri average 0.46
- All staff, weekends 3.35 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover44.7%
- Missouri average56.0%
- Registered nurse turnover11.1%
- Missouri average47.8%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 21.0% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.7% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.7% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.0% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.0% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.8% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.3% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 32.2% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.3% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 3.2% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.2% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.9% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 58 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 13 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 5, 2026: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 14, 2024 | 28 | 2 |
| Feb 23, 2023 | 17 | 15 |
| Aug 9, 2019 | 13 | 13 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (58)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 10, 2026)
-
GActual harm, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 28, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 10, 2026)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 28, 2026)
Show 25 more
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 17, 2026)
-
GActual harm, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 28, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 17, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 18, 2025)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 28, 2026)
-
FPotential for more than minimal harm, widespread
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 23, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 23, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 23, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
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.
Environmental · Deficient, Provider has date of correction (Dec 23, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 10, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 10, 2024)
Showing the 30 most recent of 58.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 18, 2025 | Fine | $17,323 |
| Nov 18, 2025 | Payment Denial | 34 days |
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size93 of 487 by certified beds
- Missouri average residents per day73.0
- ChainJames & Judy Lincoln
- Chain average overall rating2.5 of 5
- Resident or family councilResident
- Homes in Audrain County2
Common questions
What is the CMS star rating for Pin Oaks Living Center?
Pin Oaks Living Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 2.
How many beds does Pin Oaks Living Center have?
Pin Oaks Living Center has 124 certified beds. It averages 81.6 residents per day, about 65.8% of its certified beds.
How much nursing care do residents get at Pin Oaks Living Center?
The home reports 3.58 hours of nurse staffing per resident per day, including 0.57 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Pin Oaks Living Center been fined?
Yes. CMS lists 1 fine totaling $17,323 in the past three years. It also lists 1 payment denial.
Does Pin Oaks Living Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Heritage Hall Nursing Center 60beds 71.3%in use 3.26nurse hours a day
- 1 of 5 Wellsville Health Care Center 112beds 58.7%in use 2.12nurse hours a day
- 5 of 5 Monroe Manor 119beds 68.8%in use 3.46nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Audrain County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265481. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.