Nursing home
Pin Oaks Living Center
1525 West Monroe, Mexico, MO 65265 · Map
For profit - Corporation · Part of James & Judy Lincoln (58 facilities) · 124 certified beds
Pin Oaks Living Center is a Medicare-certified nursing home in Mexico, Missouri. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.72 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Nov 14, 2024 cited 26 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $21,450In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pin Oaks Living Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.72 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.62 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.83 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 38.8% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 26.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $21,450, 1 total penalty.
What inspectors found at Pin Oaks Living Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 5, 2026 · Full report (PDF) - Actual harm
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 Deficiencies · Jan 7, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Jan 7, 2026 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jan 7, 2026 · Full report (PDF) - Actual harm
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 Deficiencies · Nov 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 18, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 14, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 14, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 14, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1525 West Monroe
Mexico, MO 65265 - CMS certification #
- 265481
- Ownership
- For profit - Corporation
- Certified beds
- 124
- Avg residents/day
- 88.8
- Provider type
- Medicare and Medicaid
- First certified
- 1992-03-01
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Rural
Part of James & Judy Lincoln
James & Judy Lincoln operates 58 nursing facilities across the United States. View all James & Judy Lincoln facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pin Oaks Living Center using Google Maps.
Other public records
- Website says Works with hospice, transportation
- Staff pay 1 federal wage case with violations found, since 2024
Full public records, with dates and sources
Care and services
From the community’s website
What Pin Oaks Living Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
We have registered nurses and certified nursing assistants as well as visits from psychiatrists, podiatrists, dentists and hospice.
(page, checked Oct 15, 2026) - Provides transportation.
To ensure your loved one does not miss an appointment, our home offers facility transportation through handicapped accessible vans.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Aug 6, 2024 to Aug 5, 2026. Violations found: Family and medical leave. Employer as DOL recorded it: Pin Oaks Living Center (N & R of Mexico, LLC). Case 5104457.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Boone Hospital Center, Columbia. 27.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Heritage Hall Nursing Center, Centralia. 13.0 miles away, straight line.
- Nearest home health agency office
- Montgomery County Health Department, Montgomery City. 25.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 65265 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Dialysis Clinics, Inc - Mexico, Mexico, 1.8 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 65265.
- Nearest geriatric medicine practice
- The Curators Of The University Of Missouri, Columbia. 26.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Pin Oaks Living Center a good nursing home?
CMS gives Pin Oaks Living Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pin Oaks Living Center staffed?
Pin Oaks Living Center reports 3.72 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Pin Oaks Living Center had inspection problems?
Its most recent CMS inspection cited 26 deficiencies.
How many beds does Pin Oaks Living Center have?
Pin Oaks Living Center is certified for 124 beds.