Pin Oaks Living Center: Staffing, Turnover, and Inspection Record
Pin Oaks Living Center is a 124-bed for-profit nursing home in Mexico, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 2.64 nurse aide hours per resident per day, 15% above the Missouri average of 2.29, and 44.7% nursing staff turnover (Missouri average 56.0%).
Pin Oaks Living Center
1525 West MonroeMexico, MO 65265
Audrain County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Pin Oaks Living Center, nurse aides logged 2.64 hours per resident per day, 15% above the Missouri average. With about 82 residents a day, that works out to roughly 215 aide hours a day, or about 27 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.64 | 2.29 | 2.32 |
| Licensed practical nurses | 0.37 | 0.68 | 0.86 |
| Registered nurses | 0.57 | 0.46 | 0.69 |
| All nursing staff | 3.58 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.35 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
44.7% of nursing staff at Pin Oaks Living Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 11.1%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 14, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 28 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $26,650 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 18, 2025 | Fine | $26,650 |
| Nov 18, 2025 | Payment Denial | 34 days from Feb 11, 2026 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pin Oaks Living Center holds 1 of 5 overall; the Missouri average is 2.5.
About Pin Oaks Living Center
- Ownership: For profit - Corporation
- Chain: James & Judy Lincoln, 56 homes
- Legal name: N & R of Mexico LLC
- Medicare and Medicaid certified since: Mar 1, 1992
- Councils: resident council
- Area: rural
Nursing homes near Pin Oaks Living Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Heritage Hall Nursing Center Centralia | 13.0 | 60 | 2.08 | 3.26 | 62.8% | 4 | None |
| Wellsville Health Care Center Wellsville | 19.6 | 112 | 1.37 | 2.12 | 62.2% | 1 | $20,642 |
| Monroe Manor Paris | 21.2 | 119 | 2.23 | 3.46 | 61.4% | 5 | $35,360 |
| Fulton Manor Care Center Fulton · abuse citation | 21.4 | 52 | 1.71 | 2.60 | 85.9% | 1 | None |
| Fulton Nursing & Rehab Fulton | 22.0 | 100 | 2.05 | 2.76 | 63.6% | 2 | $8,018 |
| Kingdom Care Senior Living Fulton | 22.5 | 36 | 2.37 | 3.89 | — | 4 | None |
| Baptist Homes, Tri-County Vandalia | 23.5 | 90 | 2.91 | 3.93 | 60.0% | 1 | None |
| Columbia Post Acute Columbia | 25.5 | 70 | 2.03 | 4.05 | 52.9% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.