Pin Oaks Living Center
PIN OAKS LIVING CENTER in MEXICO, MO — inspection on November 18, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 11/18/25 at 4:30 P.M., RN F said the following: -He/She did not specifically recall taking care of the resident;-He/She was unsure if the resident had a fall while he/she was assigned to care for the resident;-If he/she completed neurological checks on the resident, there must have been a reason to do them, but he/she was unsure of what the reason was;-Neurological checks were usually completed with an unwitnessed fall or a fall with a head injury and should have a nurses note documented when doing neurological checks;-If a resident has a fall, there should be a fall event and nurses notes completed, physician notified if needed and responsible party notified;-If the resident had a fall while he/she was the charge nurse, he/she was unsure why the fall event, nurses note, and notifications were not completed.
During an interview on 11/18/25 at 2:22 P.M., the RN Educator said the following:-She was notified the resident had a fall while at the facility after the resident had been discharged home;-A fall event had not been created by the charge nurse LPN J; -She created a fall event for the fall that occurred on 09/18/25 when he/she was made aware of the fall on 10/02/25;-She would expect the charge nurse to make a progress note, notify the responsible party, notify the physician and notify the DON with any fall with injury.
During an interview on 11/18/25, at 5:19 P.M., the DON said the following:-She was unaware the resident had a fall at the facility until after the resident was discharged ;-She would expect the charge nurse to complete a fall event for any fall and complete treatment as necessary;-If a resident falls and receives an injury, she would expect to be notified, as well as notifying the physician for orders and notifying the emergency contact.
During an interview on 11/18/25 at 5:20 P.M., the administrator said the following:-If a resident falls, or has a condition change, she would expect nursing staff to notify the physician, emergency contact, DON and the Quality Assurance (QA) nurse;-Any resident fall should be documented in the electronic health record. #2626059
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pin Oaks Living Center
1525 West Monroe Mexico, MO 65265
SUMMARY STATEMENT OF DEFICIENCIES