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Nursing homeFAID #7154

Pin Oaks Living Center

1525 WEST MONROE, MEXICO, MO, 65265
(573) 581-7261
124 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
124
State license
053354
CMS facility ID
265481
Care type
Nursing home
Facility name
Pin Oaks Living Center
Street address
1525 WEST MONROE
City / state / ZIP
Mexico, MO 65265
Phone
(573) 581-7261
State license #
053354

Pin Oaks Living Center is a Medicare/Medicaid-certified skilled nursing facility in Mexico, Missouri. It is licensed for 124 beds — above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 8 senior care facilities in Mexico and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Pin Oaks Living Center 88 times across 12 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $26,650 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
N & R of Mexico, Llc
Parent company
James & Judy Lincoln
Ownership type
For profit - Corporation
Administrator
Caleigh Wager

Registered owners & officers

Lincoln, James
Direct owner · Operational control — 50% stake — since 2016
Lincoln, Judy
Direct owner — 50% stake — since 2016
Ltc Management Services Llc
Operational control — since 2016

Regulatory standing

Licensed / certified since
1992-03-01
License expires
2028-01-31
CMS overall rating
1 of 5 stars
Health deficiencies
28 at the last standard inspection
Federal fines
$26,650 total
Last standard inspection
2024-11-14
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$270 per day (≈ $8,210/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 10% Medicare · 25% private/other
Occupancy
55% (fiscal year 2023)
Vs. state median
5% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
124
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-16Health inspectionComplaint-triggered1 citation
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
2026-02-05Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-10
10 earlier / fire-safety inspections (86 citations)
2026-01-07Health inspectionComplaint-triggered3 citations
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2026-02-10
F-0725
G · Actual harmFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-01-28
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-01-28
2025-11-18Health inspectionComplaint-triggered5 citations
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2026-03-17
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-18
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-17
F-0725
G · Actual harmFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-01-28
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-01-28
2024-11-14Health inspection18 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-12-23
F-0578
D · No harm found
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.
Corrected 2024-12-23
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-12-23
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-23
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-23
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2024-12-23
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-23
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-12-23
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-12-23
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-23
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-23
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-23
F-0700
D · No harm found
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.
Corrected 2024-12-23
F-0727
F · No harm found
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.
Corrected 2024-12-23
F-0758
E · No harm found
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.
Corrected 2024-12-23
F-0761
E · No harm found
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.
Corrected 2024-12-23
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-23
F-0909
D · No harm found
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.
Corrected 2024-12-23
2024-10-01Health inspectionComplaint-triggered2 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-10-10
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2024-10-10
2023-11-08Health inspectionComplaint-triggered1 citation
F-0557
E · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-11-24
2023-02-23Health inspection15 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-10
F-0582
B · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-10
F-0584
E · No harm found
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.
Corrected 2023-04-10
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-04-10
F-0623
B · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-10
F-0625
B · No harm found
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.
Corrected 2023-04-10
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-10
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-10
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-10
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-10
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-04-10
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-10
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-04-10
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-10
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-04-10
2019-08-09Health inspection12 citations
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2019-10-10
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2019-10-10
F-0584
E · No harm found
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.
Corrected 2019-10-10
F-0625
B · No harm found
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.
Corrected 2019-10-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-10-10
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-10-10
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-10-10
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-10-10
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2019-10-10
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-10-10
F-0809
E · No harm foundFood safety
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.
Corrected 2019-10-10
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-10-10
2024-11-14Fire-safety inspection2 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-12-23
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-23
2023-02-23Fire-safety inspection15 citations
E-0020
E · No harm found
Establish policies and procedures including evacuation.
Corrected 2023-04-10
E-0039
E · No harm found
Conduct testing and exercise requirements.
Corrected 2023-04-10
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2023-04-10
K-0100
E · No harm found
Meet other general requirements.
Corrected 2023-04-10
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-04-10
K-0311
E · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2023-04-10
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-04-10
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-04-10
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-04-10
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-10
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-04-10
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-10
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-10
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-04-10
2019-08-09Fire-safety inspection13 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-10-10
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2019-10-10
E-0030
E · No harm found
List the names and contact information of those in the facility.
Corrected 2019-10-10
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2019-10-10
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2019-10-10
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2019-10-10
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2019-10-10
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-10-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-10-10
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-10-10
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-10-10
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-10-10
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-10-10

Federal penalties

2025-11-18Fine$26,650
2025-11-18Medicare payment denial — 34 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265481.
What people say on Google.
2.413 ratings on Google
★Sharon Floyd · 2026-02-28 · via Google

“It is a shame that you can't put more stars than 1 but and actually that is more than they deserve!! I had a really close friend from years and years that had no other choice but to end up here because of her insurance which is another sad thing..when I would go see her she was always laying in her bed half covered and uncomfortable..she couldn't move her one side do anything so her arm on that si…”

★Misty Gargus · 2025-12-14 · via Google

“My father had been put here for 20 day to rehabilitate so maybe he could learn things to survive at home but they barley even did much and on top that my father has called me crying over and over because he waits over 2 hours to be changed. He tells them price dont take to bathroom just makes him go on himself... his leg is suppose to be changed twice a day and i have kept dates and they changes i…”

★★★★★Deanna Roberts · 2026-05-17 · via Google

“This has so many memories of my family then and my family now great people with a caring soul !”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered