Twin Pines Adult Care Center
1900 S Jamison, Kirksville, MO 63501 · (660) 665-2887
Non profit - Other · 120 certified beds
Twin Pines Adult Care Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in October 2024, found 11 citations (the Missouri average is 11.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on October 11, 2024 found 11 citations. What an inspection citation means
- 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.October 11, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 11, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.October 11, 2024 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Not hire anyone with a finding of abuse, neglect, exploitation, or theft.October 11, 2024 · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.October 11, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.October 11, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.October 11, 2024 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.October 11, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.October 11, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 11, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.October 11, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 4 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 24, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 24, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 24, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 11, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.42 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.38 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.73 | 0.68 | 0.86 |
| Nurse aides | 2.30 | 2.29 | 2.32 |
| Total nursing staff turnover | 44.3% | 56% | 45.8% |
About this home
| Ownership | Non profit - Other |
| Certified beds | 120 |
| Average residents per day | 71.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Kirksville Manor Care Center Kirksville · ★★★★★ 1 out of 5 stars
- Knox County Nursing Home District Edina · ★★★★★ 1 out of 5 stars
- La Plata Nursing Home La Plata · ★★★★★ 3 out of 5 stars
- Macon Health Care Center Macon · ★★★★★ 5 out of 5 stars
- Loch Haven Macon · ★★★★★ 2 out of 5 stars
Compare every nursing home in Kirksville, MO · Nursing homes in Missouri
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Data from Medicare (CMS), updated October 2026, from Twin Pines Adult Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.