Pin Oaks Living Center
1525 West Monroe, Mexico, MO 65265 · (573) 581-7261
For profit - Corporation · 124 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Pin Oaks Living Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2024, found 18 citations (the Missouri average is 11.4). It was fined 1 time in the last three years, $17,323 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 14, 2024 found 18 citations. What an inspection citation means
- 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.November 14, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.November 14, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.November 14, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 14, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.November 14, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 14, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.November 14, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 14, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 14, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.November 14, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 14, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.November 14, 2024 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.November 14, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 14, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 14, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.November 14, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 14, 2024 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 14, 2024 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 13 citations.
- Protect each resident from the wrongful use of the resident's belongings or money.June 16, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 5, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Honor the resident's right to organize and participate in resident/family groups in the facility.January 7, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 7, 2026 · F0725 · Level of harm: Actual harm · Residents affected: Few
- Post nurse staffing information every day.January 7, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Honor the resident's right to organize and participate in resident/family groups in the facility.November 18, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.November 18, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 18, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- 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, 2025 · F0725 · Level of harm: Actual harm · Residents affected: Few
- Post nurse staffing information every day.November 18, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Protect each resident from the wrongful use of the resident's belongings or money.October 1, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 1, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.November 8, 2023 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $17,323November 18, 2025
- Medicare payment denial for 34 daysStarting February 11, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.58 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.57 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.37 | 0.68 | 0.86 |
| Nurse aides | 2.64 | 2.29 | 2.32 |
| Total nursing staff turnover | 44.7% | 56% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 124 |
| Average residents per day | 81.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Baptist Homes, Tri-County Vandalia · ★★★★★ 1 out of 5 stars
- Ashley Manor Health & Rehabilitation Boonville · ★★★★★ 4 out of 5 stars
- Lakeview Health Care & Rehabilitation Center Boonville · ★★★★★ 2 out of 5 stars
- Riverdell Care Center Boonville · ★★★★★ 2 out of 5 stars
- Brunswick Health Care Center Brunswick · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Pin Oaks Living Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.