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Twin Pines Adult Care Center

Nursing Home Facility

1900 South Jamison Street, Kirksville, MO 63501

Nursing Home Care Senior Living
Twin Pines Adult Care Center

Twin Pines Adult Care Center is a senior care community located in Kirksville, MO. It provides nursing home care and senior living for older adults in the Kirksville area. To learn more or schedule a tour, call (660) 665-2887.

Twin Pines Adult Care Center is licensed for 120 beds, about typical for the area, where senior care communities in Kirksville average about 94 beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in October 2024 and recorded 14 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 44%.

The community is located in Adair County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 35 problems at Twin Pines Adult Care Center. None of them caused harm to a resident. 4 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected February 2026, after a complaint. Corrected by April 3, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected February 2026, after a complaint. Corrected by April 3, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected February 2026, after a complaint. Corrected by April 3, 2026.

  • Could cause more than minimal harm, widespread Resident Rights

    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.

    Inspected October 2024. Corrected by November 19, 2024.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected October 2024. Corrected by December 13, 2024.

  • Could cause more than minimal harm, widespread Administration

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

    Inspected October 2024. Corrected by November 19, 2024.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

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

    Inspected October 2024. Corrected by November 19, 2024.

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected October 2024. Corrected by November 19, 2024.

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  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected October 2024. Corrected by November 19, 2024.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected October 2024. Corrected by November 19, 2024.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

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

    Inspected October 2024. Corrected by November 19, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected October 2024. Corrected by November 19, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected October 2024, after a complaint. Corrected by November 19, 2024.

  • Could cause more than minimal harm, one or a few residents Environmental

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

    Inspected October 2024. Corrected by November 19, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Twin Pines Adult Care Center offers nursing home care and senior living.

Facility details

  • Organization type Government - County
  • Beds / units 120
  • Nursing hours per resident/day 3.4
  • Annual staff turnover 44%
  • Last health inspection October 2024

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