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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pin Oaks Living Center is a senior living facility located in Mexico, MO. It provides comprehensive long-term care services under physician supervision, ensuring the highest practicable physical, mental, and psychosocial well-being for its residents. The center offers a variety of services including 24/7 medical care, rehabilitation services, and resident transportation.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 20th out of 251 homes in Missouri.Offers a balance of services and community atmosphere.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
37% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Missouri average
Pin Oaks Living Center is legally operated by N & R Of Mexico, Llc, and administrated by Haylee Lunsford.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Missouri average 6.6
Last Health inspection on Nov 2024
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
32 of 56 citations resulted from standard inspections; 11 of 56 resulted from complaint investigations; and 13 of 56 came from combined inspections (standard and complaint).
0
100% better than Missouri average
Missouri average: 0.7
2
100% worse than Missouri average
Missouri average: 1
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 14, 2024
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 14, 2024
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 14, 2024
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Nov 14, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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| Pin Oaks Living Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Mexico | 124 | 55.2% | -17% | 5.10 | -25% | +36% | 2 | 56 | 7.0 | 2 | 84 | - | - | N & R Of Mexico, Llc | $6.7M | $2.9M | 42.8% | 265481 |
0.0 miles from city center
Estimated distance in miles from MEXICO's city center to Pin Oaks Living Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Missouri average
Missouri average ratio: 1.71:1
0% compared with Missouri average
Missouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
No contractors work on this role.
Total hours from contractors
2,191 contractor hours this quarter
| Certified Nursing Assistant | 42 | 0 | 42 | 12,636 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 15 | 0 | 15 | 6,866 | 91 | 100% | 9.3 |
| Nurse Aide in Training | 19 | 0 | 19 | 5,162 | 91 | 100% | 7.7 |
| Registered Nurse | 7 | 0 | 7 | 2,765 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 4 | 0 | 4 | 2,236 | 89 | 98% | 10.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,016 | 66 | 73% | 8 |
| Dietitian | 2 | 0 | 2 | 1,005 | 70 | 77% | 8 |
| Speech Language Pathologist | 0 | 6 | 6 | 836 | 66 | 73% | 6.4 |
| Nurse Practitioner | 2 | 0 | 2 | 822 | 74 | 81% | 8.7 |
| Physical Therapy Aide | 0 | 5 | 5 | 616 | 72 | 79% | 6.8 |
| Dental Services Staff | 1 | 0 | 1 | 555 | 68 | 75% | 8.2 |
| Administrator | 2 | 0 | 2 | 482 | 63 | 69% | 7.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 424 | 62 | 68% | 6.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 175 | 68 | 75% | 2.4 |
| Occupational Therapy Aide | 0 | 2 | 2 | 77 | 10 | 11% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 39 | 27 | 30% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 4 | 4% | 6.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
71
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.7
11% better than Missouri average
Missouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.2
In line with Missouri average
Missouri average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
15.9%
19% better than Missouri average
Missouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
20.5%
In line with Missouri average
Missouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
33% worse than Missouri average
Missouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
29% better than Missouri average
Missouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
40% worse than Missouri average
Missouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.7%
39% better than Missouri average
Missouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.4%
58% better than Missouri average
Missouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri average
Missouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
21.7%
In line with Missouri average
Missouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
9% better than Missouri average
Missouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
7% better than Missouri average
Missouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
62.7%
6% worse than Missouri average
Missouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
11% better than Missouri average
Missouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.2%
9% better than Missouri average
Missouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
57% lower than Missouri average
Missouri average: $73K
18% fewer fines than Missouri average
Missouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri average
Missouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 23, 2023
Last updated: Jan 2026
Historical financial and operational data for Pin Oaks Living Center based on CMS SNF Cost Reports.
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