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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriTwin Pines Adult Care Center

Twin Pines Adult Care Center

1900 S Jamison, Kirksville, MO 635016606652887
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
2/5
Beds
120
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 120 certified beds with an average of 72.4 residents per day (60% occupancy)

• Last health inspection found 11 deficiencies (inspected Oct 11, 2024)

• No fines on record

• Total nursing staff: 3.82 hours per resident per day

• Staff turnover rate: 42.0%

Twin Pines Adult Care Center is a 2-star Medicare and Medicaid certified nursing home in Kirksville, Missouri with 120 certified beds. It has been operating since 1983. The facility scored below average compared to Missouri facilities.

Beds
120
Avg Residents/Day
72.4
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 1983
Sprinklers
Yes
Council
Resident
County
Adair
Last Inspection
Oct 11, 2024
Deficiencies (Cycle 1)
11
Weighted Score
128.5
Infection Citations
0

Deficiency Citations (32)

F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0606Potential for Harm

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0944Potential for Harm

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 11, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0728Potential for Harm

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Jan 30, 2023Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Jun 7, 2019Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 7, 2019Corrected: NoCycle: 3

+ 2 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.63 hrs
National avg: 2.35 hrs
LPN0.81 hrs
National avg: 0.86 hrs
RN0.37 hrs
National avg: 0.68 hrs
Total Nursing3.82 hrs
National avg: 3.89 hrs
Weekend Total3.23 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
42.0%
RN Turnover
16.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Other
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
ADAIR COUNTY NURSING HOME DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 15, 2018
BELL, AURORAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2023
BESLER, WENDYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2008
RICHARDSON, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2012
RICHARDSON, JAMESCORPORATE DIRECTORIndividualN/ADec 1, 2012

Nearby Nursing Homes

All Missouri facilities

Kirksville Manor Care Center

Kirksville, MO · 119 beds

For profit$250,823 in fines
Health
Staffing
Quality
2260 ft

Frequently Asked Questions

What is the CMS rating for Twin Pines Adult Care Center?▾
Twin Pines Adult Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Twin Pines Adult Care Center had any health inspection violations?▾
Twin Pines Adult Care Center had 11 deficiency citations in its most recent health inspection (Oct 11, 2024). The facility has no fines on record.
What are the staffing levels at Twin Pines Adult Care Center?▾
Twin Pines Adult Care Center provides 3.82 total nursing staff hours per resident per day, including 0.37 RN hours, 0.81 LPN hours, and 2.63 nurse aide hours. The total staff turnover rate is 42.0%.
How many beds does Twin Pines Adult Care Center have?▾
Twin Pines Adult Care Center has 120 certified beds with an average of 72.4 residents per day, resulting in approximately 60% occupancy. The facility is Non profit - Other owned.
Are there other nursing homes near Twin Pines Adult Care Center?▾
Yes, there are 1 other nursing home in Kirksville, Missouri with an average rating of 1.5/5. You can compare all facilities on the Kirksville nursing homes page.