Nursing home
Twin Pines Adult Care Center
1900 S Jamison, Kirksville, MO 63501 · Map
Non profit - Other · 120 certified beds
Twin Pines Adult Care Center is a Medicare-certified nursing home in Kirksville, Missouri. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.82 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Oct 11, 2024 cited 11 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Twin Pines Adult Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.82 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.37 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.63 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 42.0% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 11.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 24, 2026 inspection was corrected by April 3, 2026
What inspectors found at Twin Pines Adult Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Oct 11, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential 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.
Resident Rights Deficiencies · Oct 11, 2024 · Full report (PDF) - Potential 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.
Nursing and Physician Services Deficiencies · Oct 11, 2024 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Oct 11, 2024 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · Oct 11, 2024 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Oct 11, 2024 · Full report (PDF) - Potential for harm
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 11, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 11, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1900 S Jamison
Kirksville, MO 63501 - CMS certification #
- 265198
- Ownership
- Non profit - Other
- Certified beds
- 120
- Avg residents/day
- 72.4
- Provider type
- Medicare and Medicaid
- First certified
- 1983-09-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Twin Pines Adult Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Northeast Regional Medical Center, Kirksville. 1.9 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Kirksville Manor Care Center, Kirksville. 0.4 miles away, straight line.
- Nearest home health agency office
- Northeast Regional Home Health, Kirksville. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63501 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Dialysis Clinics, Inc - Kirksville, Kirksville, 2.3 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 63501.
Hospice Of Northeast Missouri, office in Kirksville, 1.2 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Quincy Physicians And Surgeons Clinic, PLLC, Quincy. 63.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado very high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Twin Pines Adult Care Center a good nursing home?
CMS gives Twin Pines Adult Care Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Twin Pines Adult Care Center staffed?
Twin Pines Adult Care Center reports 3.82 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Twin Pines Adult Care Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Twin Pines Adult Care Center have?
Twin Pines Adult Care Center is certified for 120 beds.