Nursing home · Mexico, MO
Pin Oaks Living Center
1525 West Monroe, Mexico, MO 65265 · 124 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 16, 2026, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Nov 14, 2024) it had 28 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.58 hours per resident per day here, 4% more than the Missouri average (3.43) and 7% less than the U.S. average (3.86). Registered nurses account for 0.57 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 45% over the past year, 11 points lower than Missouri (56%) and 1 points lower than the U.S. (46%).
How Pin Oaks Living Center compares
This home's latest CMS figures next to the averages for Fulton-area homes (13), Missouri (487) and the U.S. (14,680).
| This home | Fulton area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.58 | 2.86 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.57 | 0.37 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.35 | 2.50 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 45% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 11% | 43% | 48% | 43% |
| Citations at the most recent standard inspection | 28 | 12.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 58 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 16, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Feb 5, 2026 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Jan 7, 2026 | Provide 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 | G actual harm | Deficient, Provider has date of correction |
| Jan 7, 2026 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jan 7, 2026 | Post nurse staffing information every day. Nursing and physician services · complaint | C | Deficient, Provider has date of correction |
| Nov 18, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Nov 18, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Nov 18, 2025 | Post nurse staffing information every day. Nursing and physician services · complaint | C | Deficient, Provider has date of correction |
| Nov 18, 2025 | Provide 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 | G actual harm | Deficient, Provider has date of correction |
| Nov 18, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Nov 14, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Nov 14, 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Provide activities to meet all resident's needs. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | 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 | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | 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 | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | 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 | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Nov 14, 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. Resident rights | D | Deficient, Provider has date of correction |
| Nov 14, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Nov 14, 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Nov 14, 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Nov 14, 2024 | 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 | F | Deficient, Provider has date of correction |
| Nov 14, 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. Environmental | D | Deficient, Provider has date of correction |
| Oct 1, 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. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Oct 1, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Nov 8, 2023 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Feb 23, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 23, 2023 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | B | Deficient, Provider has date of correction |
| Feb 23, 2023 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Feb 23, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | B | Deficient, Provider has date of correction |
| Feb 23, 2023 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 23, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 23, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 23, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | B | Deficient, Provider has date of correction |
| Feb 23, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Nov 18, 2025 | Fine | $17,323 |
| Nov 18, 2025 | Payment Denial | 34 days |
Location
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Reviews
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Questions about Pin Oaks Living Center
Answers computed from CMS data for this facility.
What is Pin Oaks Living Center's Medicare rating?
Medicare rates Pin Oaks Living Center 1 out of 5 stars overall (much below average). The average for Fulton-area nursing homes is 2.2, for Missouri 2.51 and for the U.S. 2.99.
How did Pin Oaks Living Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 16, 2026, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Nov 14, 2024) it had 28 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.
Has Pin Oaks Living Center been fined?
Yes. CMS reports 1 fine totaling $17,323 in the past three years.
Does Pin Oaks Living Center accept Medicaid?
Pin Oaks Living Center is certified for both Medicare and Medicaid. Call (573) 581-7261 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.