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
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.