Pin Oaks Living Center

Nursing Home · Mexico, MO

CMS overall rating 1/5 Abuse citation For profit - Corporation

CMS certification number265481

This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1525 West Monroe
Mexico, MO 65265
Audrain County

Phone: (573) 581-7261
ZIP code: 65265 – all care providers

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Facility details

Certified beds: 124
Residents per day: 81.6 (66% occupied)
Ownership: For profit - Corporation
Legal name: N & R of Mexico LLC
Chain: James & Judy Lincoln (56 facilities, avg 2.4★)
Medicare certified since: March 1, 1992
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 1/5

State avg 2.5

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 2.2

Quality measures★★★★★ 2/5

State avg 2.7

Long-stay quality★★★★★ 1/5

Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.58 (state 3.43 · U.S. 3.86)
Registered nurses (RN): 0.57 (state 0.46 · U.S. 0.69)
Licensed practical nurses: 0.37 (state 0.68 · U.S. 0.86)
Nurse aides: 2.64 (state 2.29 · U.S. 2.32)
Weekend total: 3.35 (state 3.02 · U.S. 3.42)
Nursing staff turnover: 44.7 (state 56.0 · U.S. 45.8)%
RN turnover: 11.1 (state 47.8 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: November 14, 2024
Health deficiencies (last cycle): 28.0 (state 11.5 · U.S. 9.3)
From complaints: 10
Citations on record (3 years): 58 health · 22 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-06-16	Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Past Non-Compliance
2026-02-05	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2026-02-10
2026-01-07	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	G Actual harm	Corrected 2026-01-28
2026-01-07	Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-02-10
2026-01-07	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection	C No actual harm, potential for minimal harm	Corrected 2026-01-28
2025-11-18	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2026-03-17
2025-11-18	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	G Actual harm	Corrected 2026-01-28
2025-11-18	Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-03-17
2025-11-18	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-12-18
2025-11-18	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection	C No actual harm, potential for minimal harm	Corrected 2026-01-28
2024-11-14	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. F0727 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	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. F0758 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	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. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	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. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	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. F0700 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-11-14	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. F0909 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-23
2024-10-01	Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-10
2024-10-01	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. F0761 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-10
2023-11-08	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2023-11-24
2023-02-23	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. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-04-10
2023-02-23	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2023-04-10
2023-02-23	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2023-04-10
2023-02-23	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. F0625 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2023-04-10
2019-08-09	Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-10-10
2019-08-09	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. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-10-10
2019-08-09	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-10-10
2019-08-09	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-10-10

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $26,650 in fines.

Date	Type	Amount
2025-11-18	Payment Denial	34 days payment denial
2025-11-18	Fine	$26,650

Ownership & management

Name	Role	Since
Lincoln, James (individual)	5%+ Direct Ownership Interest · 50%
Lincoln, Judy (individual)	5%+ Direct Ownership Interest · 50%
Lincoln, James (individual)	Operational/managerial Control · NOT APPLICABLE
LTC Management Services LLC (organization)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Pin Oaks Living Center?

Pin Oaks Living Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Pin Oaks Living Center have?

It has 124 certified beds and cares for about 82 residents per day.

Has Pin Oaks Living Center been fined?

Yes. CMS lists 2 penalties totaling $26,650 in the last three years.

Who owns Pin Oaks Living Center?

It is part of James & Judy Lincoln and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Pin Oaks Living Center?

(573) 581-7261. The facility is located at 1525 West Monroe, Mexico, MO 65265.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.