# Pin Oaks Living Center

Pin Oaks Living Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Mexico, MO, CMS Certification Number 265481, with 124 certified beds and about 81 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 3/5, quality measures 2/5).

## Key facts
- Status: Active CMS certification
- Address: 1525 West Monroe, Mexico, MO 65265 (Audrain County)
- Ownership type: For profit - Corporation
- State license: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation; license 053354 (facility ID 05804), active, 124 licensed beds, licensee N & R OF MEXICO, LLC, as of 2026-11-04

- Operator (legal business name): [N & R of Mexico LLC](https://carefield.site/operator/op-n-and-r-of-mexico-llc)
- CMS chain: [James & Judy Lincoln](https://carefield.site/chain/cms-chain-290) — 55 facilities

- CMS abuse icon: yes (cited for abuse in the recent window)

- Phone: 5735817261
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/265481

## Inspection record
12 inspections in the CMS window (latest 2026-06-16); 88 citations (58 health, 30 fire safety); 4 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-02-05 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-01-07 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2025-11-18 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2025-11-18 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-06-16 — [F-0602](https://carefield.site/deficiency/cms-f0602) Protect each resident from the wrongful use of the resident's belongings or money. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2026-01-07 — [F-0565](https://carefield.site/deficiency/cms-f0565) Honor the resident's right to organize and participate in resident/family groups in the facility. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-11-18 — [F-0565](https://carefield.site/deficiency/cms-f0565) Honor the resident's right to organize and participate in resident/family groups in the facility. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-11-18 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-11-14 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0554](https://carefield.site/deficiency/cms-f0554) Allow residents to self-administer drugs if determined clinically appropriate. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0578](https://carefield.site/deficiency/cms-f0578) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0582](https://carefield.site/deficiency/cms-f0582) Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0661](https://carefield.site/deficiency/cms-f0661) Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0679](https://carefield.site/deficiency/cms-f0679) Provide activities to meet all resident's needs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-14 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- …and 68 more on the source page.

## Penalties
- 2025-11-18 — Denial of payment for new admissions (34 days)
- 2025-11-18 — Civil money penalty (fine): $17,323

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.36077 (state avg 3.39922, US 3.90085)
- RN: 0.47142
- Nursing staff turnover: 54.3%

## Owners and managers of record (CMS disclosures)
- James Lincoln — Direct owner, 50%, since 2016-09-01
- Judy Lincoln — Direct owner, 50%, since 2016-09-01
- [Ltc Management Services LLC](https://carefield.site/owner/org-ltc-management-services-llc) — Operational / managerial control, since 2016-09-01
- James Lincoln — Operational / managerial control, since 2016-09-01

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265481&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265481&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265481&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265481&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265481&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265481&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-265481 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.