Pin Oaks Living Center

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Feb 10, 2026

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jan 28, 2026

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 10, 2026

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Jan 28, 2026

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jan 28, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 17, 2026

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 17, 2026

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 18, 2025

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Jan 28, 2026

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 23, 2024

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 23, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 23, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Provide activities to meet all resident's needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 23, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Protect each resident from the wrongful use of the resident's belongings or money.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 24, 2023

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 12, 2023

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 12, 2023

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2023

• Implement emergency and standby power systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2023

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Meet other general requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Conduct testing and exercise requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Establish policies and procedures including evacuation.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Have proper medical gas storage and administration areas.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Provide properly protected cooking facilities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Have an enclosure around a vertical opening shaft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 10, 2023

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2023

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2023

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2023

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2023

• Provide care or services that was trauma informed and/or culturally competent.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2023

• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2023

• 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.

  Severity B of L: potential for minimal harm, patternCorrected Apr 10, 2023

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity B of L: potential for minimal harm, patternCorrected Apr 10, 2023

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity B of L: potential for minimal harm, patternCorrected Apr 10, 2023

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2019

• Implement emergency and standby power systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2019

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2019

• Address subsistence needs for staff and patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2019

• Establish emergency prep training and testing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2019

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• List the names and contact information of those in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Use approved construction type or materials.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2019

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 10, 2019

• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  Severity C of L: potential for minimal harm, widespreadCorrected Oct 10, 2019

• 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.

  Severity B of L: potential for minimal harm, patternCorrected Oct 10, 2019

Pin Oaks Living Center offers Skilled Nursing / Long Term Care.

Pin Oaks Living Center is located at 1525 West Monroe in Mexico, Missouri.

Reviews for Pin Oaks Living Center describe serious concerns about staffing responsiveness, cleanliness, and management, with several accounts of delayed care and neglect. One reviewer praised the staff as friendly and helpful, but this was outweighed by multiple reports of troubling incidents. Families should approach with caution and ask direct questions about staffing levels and care protocols.

Pin Oaks Living Center had 9 government inspection visits in the last three years, with 89 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Pin Oaks Living Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.