Missouri › Audrain County › Mexico
Pin Oaks Living Center
1525 West Monroe, Mexico, MO 65265
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pin Oaks Living Center is a For-profit, corporation nursing home in Mexico, Missouri, certified for 124 beds and caring for about 82 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 58 health deficiencies across the three most recent survey cycles (28, 17, 13 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 46.8 per 100 beds, more than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $27K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 44.7%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Audrain Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 58 | 70 | 31 | 28.7 |
| Citations per 100 beds | 46.8 | 77.8 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.9 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 44.7% | 60.0% | 56.1% | 45.8% |
| Fines listed | $26,650 | $26,650 | $0 | — |
County and state figures are medians across facilities (2 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Nov 2024, 23 Feb 2023.
Severity mix: G ×4 D ×25 E ×21 F ×1 B ×4 C ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | Past Non-Compliance |
| 5 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 10 Feb 2026 |
| 7 Jan 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | Complaint investigation | 28 Jan 2026 |
| 7 Jan 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 10 Feb 2026 |
| 7 Jan 2026 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 28 Jan 2026 |
| 18 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 17 Mar 2026 |
| 18 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | Complaint investigation | 28 Jan 2026 |
| 18 Nov 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 17 Mar 2026 |
| 18 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Dec 2025 |
| 18 Nov 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 28 Jan 2026 |
| 14 Nov 2024 | F0727 | 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. | F | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0758 | 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. | E | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0761 | 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. | E | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0578 | 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. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0700 | 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. | D | Standard survey | 23 Dec 2024 |
| 14 Nov 2024 | F0909 | 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. | D | Standard survey | 23 Dec 2024 |
| 1 Oct 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 10 Oct 2024 |
| 1 Oct 2024 | F0761 | 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. | D | Complaint investigation | 10 Oct 2024 |
| 8 Nov 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 24 Nov 2023 |
| 23 Feb 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 10 Apr 2023 |
| 23 Feb 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 10 Apr 2023 |
| 9 Aug 2019 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 10 Oct 2019 |
| 9 Aug 2019 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 10 Oct 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Nov 2025 | Payment denial | — | 34 days |
| 18 Nov 2025 | Fine | $26,650 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 44.7%, RNs 11.1%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.3% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.2% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Mexico Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LTC Management Services LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Audrain County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Baptist Homes, Tri-County | Vandalia | 90 | 1 | 1 | 3 | 70 | 77.8 | — | 5 Mar 2026 |
All 2 facilities in Audrain County
Questions and answers
How many deficiencies has Pin Oaks Living Center been cited for?
58 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Pin Oaks Living Center been fined?
Yes. CMS lists fines totalling $27K in the period covered, plus 1 payment denial.
How does staffing at Pin Oaks Living Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Pin Oaks Living Center?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.
When was Pin Oaks Living Center last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 14 Nov 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.