Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PIN OAKS LIVING CENTER

MEXICO, MO · 124 certified beds · Last Life Safety survey November 14, 2024

CMS Certification Number 265481 · first certified March 1992

Ownership

Operated by JAMES & JUDY LINCOLN · For profit - Corporation

Ownership changed September 1, 2016 (change of ownership)from GGNSC MEXICO LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

30 citations — more than 79% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 14. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (January 2026 to August 2026). Most MO facilities have been surveyed by October 2026. This facility’s last Life Safety survey was November 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 30 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

9 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 30 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	30
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
August 9, 2019	13
February 23, 2023	15
November 14, 2024	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0041	Implement emergency and standby power systems.	2	2023-02-23
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2023-02-23
K-0363	Install corridor and hallway doors that block smoke.	2	2023-02-23
E-0039	Conduct testing and exercise requirements.	2	2023-02-23
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	2	2023-02-23
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	2	2024-11-14
K-0920	Ensure proper usage of power strips and extension cords.	2	2023-02-23
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2023-02-23

What the citations cover

Citations by CMS category

Smoke Deficiencies 10
Emergency Preparedness Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 3
Miscellaneous Deficiencies 3
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	10
Emergency Preparedness Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	3
Miscellaneous Deficiencies	3
Egress Deficiencies	2
Construction Deficiencies	2
Services Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 14, 2024 — 2 citations

Citations issued on November 14, 2024
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (December 23, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (December 23, 2024)

February 23, 2023 — 15 citations

Citations issued on February 23, 2023
Tag	What the surveyor checks	Status
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (April 10, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (April 10, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (April 10, 2023)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (April 10, 2023)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Waiver has been granted (April 10, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (April 10, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (April 10, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 10, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 10, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 10, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 10, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 10, 2023)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (April 10, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 10, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (April 10, 2023)

August 9, 2019 — 13 citations

Citations issued on August 9, 2019
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (October 10, 2019)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 10, 2019)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (October 10, 2019)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (October 10, 2019)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 10, 2019)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (October 10, 2019)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (October 10, 2019)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 10, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 10, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 10, 2019)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (October 10, 2019)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (October 10, 2019)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 10, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.