Occupancy rate
55%
In line with Missouri averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
Pin Oaks Living Center
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
124
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
55.2%
Residents per day (avg)
84
Occupancy rate
55.2%
Residents per day (avg)
84
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
43% of new residents, often for short stays.
Typical stay
2 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.0M
Operating loss
-$614.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$6,984,531.00
Operating loss
$-613,956.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.6M
124-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
68 / 124
Average residents
72 per day
License details
Facility type
Snf
County:
AUDRAIN
Additional licensing details
CMS Certification Number:
265481
Certification type:
Medicare/Medicaid
Ownership & operating entity
Pin Oaks Living Center is administrated by HAYLEE LUNSFORD.
Owner name:
N & R OF MEXICO, LLC
Safety & Compliance
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Transportation, 24/7 Professional Medical Care, Housekeeping & Laundry, Daily Activities, Rehab Services
Dining & Nutrition
Food Description
The facility offers a complete dining service where residents can select their meals based on individual preferences.
Health Inspection History
Inspections
Total health inspections
8
Missouri average 6.6
Last Health inspection on Nov 2024
Total health citations
56
Citations per inspection
7
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
2
2
100% worse than Missouri averageMissouri average: 1
0 critical citations
2 serious citations
49 moderate citations
5 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Nov 14, 2024
Corrected
Abuse/Neglect moderate citation
Nov 14, 2024
Corrected
Abuse/Neglect moderate citation
Nov 14, 2024
Corrected
Environmental moderate citation
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.
Compare Nursing Homes around Mexico
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Pin Oaks Living Center
-25%
+36%
-17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65265-1201
124
55.2%
$6,731,292.00
$2,880,888.00
42.8%
84
5.0971
2
56
2
-25%+36%-17%
Pin Oaks Living Center
Type of care:
SNF
AL
Community:
MO 65265-1201
Bed Count:
124
CCN:
265481
Occupancy:
55.2%
Home Revenue:
$6,731,292.00
Payroll Costs:
$2,880,888.00
Payroll %:
42.8%
Avg Residents/Day:
84
Overall Rating:
Adj Nurse Hours:
5.0971
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
56
Severe Citations:
2
RN share vs State Avg:
-25%
-25%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
-17%
-17%Places of interest near Pin Oaks Living Center
0.0 miles from city center
MEXICO, MO 65265-1201
Calculate Travel Distance to Pin Oaks Living Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
118
Total Staff
96
Employees
22
Contractors
35,735
Total Hours (Quarter)
49
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 9.4 | No |
| Licensed Practical Nurse | 4 | 10.7 | No |
| Certified Nursing Assistant | 42 | 7.7 | No |
Staff by Category
Administration ⓘ
2 staff
7.7hs shift avg
Nursing Staff ⓘ
87 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.3hs shift avg
Therapy Services ⓘ
20 staff
5.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
1.4hs shift avg
Dietary Services ⓘ
2 staff
8hs shift avg
Other Services ⓘ
1 staff
8.2hs shift avg
Contractor Analysis
6.1%
of total hours from contractors
2,191 contractor hours this quarter
Qualified Social Worker: 2
Respiratory Therapy Technician: 4
Physical Therapy Aide: 5
Speech Language Pathologist: 6
Physical Therapy Assistant: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
71 residents
Residents by payment source
Medicare
15 residents (21.1%)
Medicaid
44 residents (62%)
Private pay or other
12 residents (16.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.7
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 averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.2
In line with Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.9%
Percent of long-stay residents whose need for help with daily activities has increased
15.9%
19% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.5%
Percent of long-stay residents whose ability to move independently worsened
20.5%
In line with Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
33% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
29% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
40% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
39% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.4%
Percent of long-stay residents who lose too much weight
2.4%
58% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.7%
Percent of long-stay residents who received an antipsychotic medication
21.7%
In line with Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
9% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
7% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
62.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
62.7%
6% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
11% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.2%
9% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$31K
57% lower than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$31K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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.
Jun 13, 2023
$21K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2023
$10K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 23, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 23, 2023
10 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Pin Oaks Living Center based on CMS SNF Cost Reports.
Occupancy Rate
55.2%
↑ 3.9pp vs 2022
Net Income
-$613,956
↓ ~$208K vs 2022
Total Payroll
$3,830,893
↑ ~$590K vs 2022
Profit Margin
-9.1%
↓ 2.6pp vs 2022
Loading trend charts...
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