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Nursing home report card · Mexico, MO

Pin Oaks Living Center

1525 West Monroe, Mexico, MO 65265

Call this home: (573) 581-7261

View this home on Medicare.gov ↗

Medicare abuse warningInfection-control problems noted

Quick summary

Medicare shows an abuse warning

Medicare’s Care Compare site shows an abuse icon here. That is one of the strongest public warnings CMS publishes — dig into the inspection history and talk with an attorney if a loved one was hurt.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Nov 14, 2024

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
1out of 5

Combines inspection, staffing, and care measures.

Among the lowest Medicare ratings

Health inspections
1out of 5

Based on problems found during health inspections.

Among the lowest Medicare ratings

Nursing staff
4out of 5

Based on staffing levels and related measures.

Above average

Health and care results
2out of 5

Based on reported health and care results.

Below-average Medicare rating

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
58

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$26,650

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 265481

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Caused actual harm · isolated case

    Feb 5, 2026 · Inspection rule 0684

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

  • Caused actual harm · isolated case

    Jan 7, 2026 · Inspection rule 0725

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • Caused actual harm · isolated case

    Nov 18, 2025 · Inspection rule 0684

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

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.57hours per resident per day

about 34 minutes per resident per day

All nursing staff
3.58hours per resident per day

about 3 hr 35 min per resident per day

Registered nurse time on weekends
0.42hours per resident per day

about 25 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 1 stars
  • Health inspection rating: 1 stars
  • Staffing rating: 4 stars
  • Registered nurse time per resident: 0.57 hours/day
  • Total nurse time per resident: 3.58 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Missouri averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Medicare shows an abuse warning icon for this home
  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Caused actual harm4 citations
  • Could have caused harm47 citations
  • Low risk of harm7 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
58
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

  • We do not have individual owner names for this home.

Other homes in this group: All James & Judy Lincoln nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

June 16, 20261 finding
  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0602 · code D

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

February 5, 20261 finding
  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code G

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

January 7, 20263 findings
  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0565 · code E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • Nursing and Physician Services problems
    Low risk of harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0732 · code C

    Post nurse staffing information every day.

  • Nursing and Physician Services problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0725 · code G

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

November 18, 20255 findings
  • Nursing and Physician Services problems
    Low risk of harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0732 · code C

    Post nurse staffing information every day.

  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code G

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

  • Nursing and Physician Services problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0725 · code G

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0565 · code E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

    Ensure services provided by the nursing facility meet professional standards of quality.

November 14, 202418 findings
  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code E

    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.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0610 · code D

    Respond appropriately to all alleged violations.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0758 · code E

    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…

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0554 · code D

    Allow residents to self-administer drugs if determined clinically appropriate.

  • Infection Control problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code E

    Provide and implement an infection prevention and control program.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0578 · code D

    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 problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0582 · code D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0609 · code D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

    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 problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0661 · code D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0679 · code D

    Provide activities to meet all resident's needs.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0698 · code D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0700 · code D

    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 r…

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0909 · code D

    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.

  • Nursing and Physician Services problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0727 · code F

    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.

October 1, 20242 findings
  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code D

    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.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0602 · code D

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

November 8, 20231 finding
  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0557 · code E

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

February 23, 202315 findings
  • Resident Rights problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0625 · code B

    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.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code E

    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.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0677 · code E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0695 · code E

    Provide safe and appropriate respiratory care for a resident when needed.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Infection Control problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code E

    Provide and implement an infection prevention and control program.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0558 · code D

    Reasonably accommodate the needs and preferences of each resident.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0604 · code D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

    Ensure services provided by the nursing facility meet professional standards of quality.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0690 · code D

    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 problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0699 · code D

    Provide care or services that was trauma informed and/or culturally competent.

  • Resident Rights problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0582 · code B

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • Resident Rights problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0623 · code B

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

August 9, 201912 findings
  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code E

    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 Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code E

    Ensure services provided by the nursing facility meet professional standards of quality.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0677 · code E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0804 · code E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0809 · code E

    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.

  • Infection Control problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code E

    Provide and implement an infection prevention and control program.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0657 · code D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • Resident Rights problems
    Low risk of harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0577 · code C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  • Resident Rights problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0625 · code B

    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.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0565 · code E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0725 · code E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Nov 18, 2025$26,650
  • Payment Denial · Nov 18, 2025Unavailable

Other homes in this chain

James & Judy Lincoln · other locations in Missouri

Related topics

Questions about Pin Oaks Living Center

What is Pin Oaks Living Center's Medicare star rating?
As of August 1, 2026, Pin Oaks Living Center in Mexico, Missouri has an overall CMS rating of 1 out of 5 stars. Other CMS scores: health inspection 1 of 5, staffing 4 of 5, quality measures 2 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Pin Oaks Living Center been fined?
As of August 1, 2026, the imported penalty records list $26,650 in reported fines for Pin Oaks Living Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Pin Oaks Living Center have a Medicare abuse warning?
Yes. Medicare Care Compare shows an abuse warning icon for Pin Oaks Living Center in Mexico, Missouri. CMS uses that icon after citations involving abuse, neglect, or exploitation.
How does Pin Oaks Living Center compare with other nursing homes in Missouri?
Its overall CMS rating is 1 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Missouri report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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