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HomeMissouriTwin Pines Adult Care Center

Twin Pines Adult Care Center

1900 S Jamison, Kirksville, MO 635016606652887Google Maps
4.0on Google(5 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
2/5
Beds
120
certified

How Twin Pines Adult Care Center Compares in Missouri

Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
MO average
2.5/5
Below state average
Health inspection rating
2/5
MO average
2.8/5
Below state average
Staffing rating
4/5
MO average
2.2/5
Above state average
Nursing hours per resident
3.42 hrs/day
MO average
3.43 hrs/day
Close to state average
RN hours per resident
0.38 hrs/day
MO average
0.46 hrs/day
Close to state average
Staff turnover
44.3%
MO average
56.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Missouri average of 2.5/5.
Its 2/5 health inspection rating is below the Missouri average of 2.8/5.
Staff turnover is 44.3%, lower than the Missouri average of 56.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
10
deficiency citations
Inspected Jan 30, 2023
Most recent cycle
14
deficiency citations
Inspected Oct 11, 2024
The most recent cycle recorded 4 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,540/mo
Missouri median
Private Room
$6,236/mo
Missouri median
Adair County 65+
3,760
14.9% of county
County Population
25,299
Adair County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 2 out of 5.

Beds
120
Avg Residents/Day
71.2
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)
14
Weighted Score
151.0
Infection Citations
0

Deficiency Citations (35)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 24, 2026Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Feb 24, 2026Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 24, 2026Corrected: 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
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
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
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
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
F0554Potential for Harm

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

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
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
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
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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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
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
F0883Potential for Harm

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

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

Post nurse staffing information every day.

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: Jun 7, 2019Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 7, 2019Corrected: NoCycle: 3
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
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

+ 5 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 Aide2.30 hrs
National avg: 2.32 hrs
LPN0.73 hrs
National avg: 0.86 hrs
RN0.38 hrs
National avg: 0.69 hrs
Total Nursing3.42 hrs
National avg: 3.86 hrs
Weekend Total2.88 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
44.3%
RN Turnover
0.0%
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 (9)

NameRoleTypeOwnership %Since
RICHARDSON, JAMESCORPORATE DIRECTORIndividualN/ADec 1, 2012
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
ADAIR COUNTY NURSING HOME DISTRICTADP OF THE SNFOrganizationN/ANov 15, 2018
BELL, AURORAADP OF THE SNFIndividualN/AOct 1, 2023
BESLER, WENDYADP OF THE SNFIndividualN/AJun 1, 2008
RICHARDSON, JAMESADP OF THE SNFIndividualN/ADec 1, 2012

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Twin Pines Adult Care Center and nearby alternatives.

All Missouri facilities
Twin Pines Adult Care Center
Kirksville, MOCurrent facility
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Kirksville Manor Care Center
Kirksville, MO2,112 ft
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $250,823
La Plata Nursing Home
La Plata, MO11.5 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
Schuyler County Nursing Home District
Queen City, MO20.4 mi
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: None
Knox County Nursing Home District
Edina, MO22.0 mi
CMS
1/5
Health
2/5
Staffing
3/5
Recorded fines: $93,280
Macon Health Care Center
Macon, MO29.7 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Milan Health Care Center
Milan, MO30.4 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $49,897
FacilityDistanceCMSHealthStaffingRecorded fines
Twin Pines Adult Care Center
Kirksville, MO · Current facility
—2/52/54/5None recorded
Kirksville Manor Care Center
Kirksville, MO
2,112 ft1/51/51/5$250,823
La Plata Nursing Home
La Plata, MO
11.5 mi3/53/53/5None recorded
Schuyler County Nursing Home District
Queen City, MO
20.4 mi1/52/54/5None recorded
Knox County Nursing Home District
Edina, MO
22.0 mi1/52/53/5$93,280
Macon Health Care Center
Macon, MO
29.7 mi5/54/55/5None recorded
Milan Health Care Center
Milan, MO
30.4 mi1/51/51/5$49,897

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Twin Pines Adult Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Missouri is $5,540/month for a semi-private room and $6,236/month for a private room (Genworth/CareScout 2024). Twin Pines Adult Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Twin Pines Adult Care Center had any health inspection violations?▾
Twin Pines Adult Care Center had 14 deficiency citations in its most recent health inspection (Oct 11, 2024). The current CMS dataset records no fines for this facility.
What are the staffing levels at Twin Pines Adult Care Center?▾
Twin Pines Adult Care Center provides 3.42 total nursing staff hours per resident per day, including 0.38 RN hours, 0.73 LPN hours, and 2.30 nurse aide hours. The total staff turnover rate is 44.3%.
How many beds does Twin Pines Adult Care Center have?▾
Twin Pines Adult Care Center has 120 certified beds with an average of 71.2 residents per day, resulting in approximately 59% occupancy. The facility is Non profit - Other owned.
Are there other nursing homes near Twin Pines Adult Care Center?▾
Yes. This page lists 6 nearby nursing homes in Missouri, including 1 in Kirksville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Twin Pines Adult Care Center?▾
On Google Maps, Twin Pines Adult Care Center has a rating of 4.0 out of 5 based on 5 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.