Pin Oaks Living Center

Pin Oaks Living Center is a Nursing Home in Missouri

Pin Oaks Living Center is a Nursing Home in Missouri

Pin Oaks Living Center

MEXICO, MO 65265-1201 View Map

Pin Oaks Living Center is a Nursing Home in Missouri

Pin Oaks Living Center is a Nursing Home in Missouri

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Overview of 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.
(573) 581-7261

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.10/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5

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.

Lower demand than the Missouri average
Occupancy rate 55.2%
Residents per day (avg) 84
Occupancy rate
55.2%
Residents per day (avg)
84

Who this home usually serves

TYPE OF STAY

Mix 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.

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

Proprietary home
Corporation
Home revenue
$7.0M
Operating loss
-$614.0K
Proprietary home Corporation
Home revenue
$6,984,531.00
Operating loss
$-613,956.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
41.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
Total costs $7.6M
Bed community size
124-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265481
Certification type: Medicare/Medicaid
County: AUDRAIN

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

Skilled Nursing Care
Physical and Occupational Therapies
Dietitians
Behavioral and Alzheimer’s Care
Activities
Hospice

Amenities & Lifestyle

Transportation
24/7 Professional Medical Care
Housekeeping & Laundry
Daily Activities
Rehab Services

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.

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
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
No
-
55.2%
$6,731,292.00
$2,880,888.00
42.8%
83.70
2/5
5.0971
2/5
4/5
4/5
2
Teal Lake Senior Living
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

RC

Respite Care

Mexico
42
Yes
3
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Pin Oaks Living Center

Address 0.0 miles from city center

Address MEXICO, MO 65265-1201

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Address

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 Nurse79.4 No
Licensed Practical Nurse410.7 No
Certified Nursing Assistant427.7 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 Assistant4204212,63691100%7.7
Medication Aide/Technician150156,86691100%9.3
Nurse Aide in Training190195,16291100%7.7
Registered Nurse7072,76591100%9.4
Licensed Practical Nurse4042,2368998%10.7
Clinical Nurse Specialist2021,0166673%8
Dietitian2021,0057077%8
Speech Language Pathologist0668366673%6.4
Nurse Practitioner2028227481%8.7
Physical Therapy Aide0556167279%6.8
Dental Services Staff1015556875%8.2
Administrator2024826369%7.7
Physical Therapy Assistant0224246268%6.8
Respiratory Therapy Technician0441756875%2.4
Occupational Therapy Aide022771011%7.7
Qualified Social Worker022392730%1.4
Occupational Therapy Assistant0112544%6.2

Health Inspection History

Total Health inspections 8
21% above Missouri average
Missouri average: 6.6

Last Health inspection on Nov 2024

Total Health citations 56
53% above Missouri average
Missouri average: 36.5

7 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 45 citations
Complaint investigations 24 citations
Breakdown of citations
Critical Health citations 0
100% below Missouri average
Missouri average: 0.7
Serious Health citations 2
100% above Missouri average
Missouri average: 1.0
Moderate Health citations 49

Minor Health citations 5
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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Resident Census by Payment Source
71 Total Residents
Medicare 15 (21.1%)
Medicaid 44 (62%)
Private Pay/Other 12 (16.9%)
Specialized Care Beds
13 Total Specialty Beds
10.5% of Bed Capacity
3
Alzheimer's / Dementia Beds
2.4%
3
Dialysis Beds
2.4%
7
Hospice Beds
5.6%
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 9.7
11% better than Missouri average
Missouri average: 10.9
Functional decline score 20.2
Near Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 15.9%
19% below Missouri average.

Walking Ability Worsened 20.5%
1% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 24.1%
33% above Missouri average.
Safety & clinical stability

Falls with Major Injury 2.9%
29% below Missouri average.

High Risk Residents with Pressure Ulcers 7.0%
40% above Missouri average.

Urinary Tract Infection 1.7%
39% below Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Missouri average.

Antipsychotic Use 21.7%
1% below Missouri average.
Preventive care

Pneumococcal Vaccine 93.1%
9% above Missouri average.

Influenza Vaccine 97.1%
7% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 2.4%
58% below Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 62.7%

6% worse than Missouri average
Antipsychotic medication increase 2.0%

11% better than Missouri average
Influenza Vaccine 69.2%

9% better than Missouri average

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
This home paid 57% less in fines than the state average.
Missouri average: $73K
Number of Fines 2
This home received 18% fewer fines than the state average.
Missouri average: 2.4
Payment Denials 1
This home had 45% more payment denials than the state average.
Missouri average: 0.7
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Jun 13, 2023
$21K
Civil Money Penalty Feb 23, 2023
$10K
Payment Denial Feb 23, 2023
10 days

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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