Nursing HomeInspections

Twin Pines Adult Care Center

Nursing home in Kirksville, MO

Medicare & Medicaid certified2★ overall (CMS)

Call (660) 665-2887Send a messageMap ↗

Public-record details

Address
1900 S Jamison, Kirksville, MO 63501
Phone
(660) 665-2887
Listed under
Nonprofit, No fines in 3 years
Medicare CCN
265198
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
120
Average residents per day
71
Ownership
Nonprofit, other
Legal business name
Adair County Nursing Home District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1983
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265198. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 11, 2024. CMS lists 35 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 7, 2019 to Feb 24, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 24, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 24, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 11, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Oct 11, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 11, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		D
Potential for more than minimal harm, isolated
Oct 11, 2024Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Oct 11, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Oct 11, 2024Notify 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		E
Potential for more than minimal harm, pattern
Oct 11, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Oct 11, 2024Ensure 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		E
Potential for more than minimal harm, pattern
Oct 11, 2024Honor 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		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 35. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.42 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
2.30 hours
Total nurse staffing on weekends
2.88 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
0%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Kirksville

Kirksville Manor Care Center1705 East Laharpe · Kirksville, MO 63501 · (660) 665-3774 · For-profit54 health citations in 3 inspection cycles · last standard inspection Mar 18, 2026 · $250,823 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Kirksville →