Nursing home · Kirksville, MO
Twin Pines Adult Care Center
1900 S Jamison, Kirksville, MO 63501 · 120 certified beds · non profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Feb 24, 2026, when they cited 3 problems from complaint investigations. The most common area was resident rights (2 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Oct 11, 2024) it had 14 citations, compared with an average of 12.2 for Moberly-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.42 hours per resident per day here, about the same as the Missouri average (3.43) and 11% less than the U.S. average (3.86). Registered nurses account for 0.38 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 44% over the past year, 12 points lower than Missouri (56%) and 2 points lower than the U.S. (46%).
How Twin Pines Adult Care Center compares
This home's latest CMS figures next to the averages for Moberly-area homes (12), Missouri (487) and the U.S. (14,680).
| This home | Moberly area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.42 | 3.27 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.38 | 0.38 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.88 | 2.87 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 44% | 48% | 56% | 46% |
| Registered nurse turnover (past year) | 0% | 41% | 48% | 43% |
| Citations at the most recent standard inspection | 14 | 12.2 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 35 of 35 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Feb 24, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Feb 24, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Feb 24, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Oct 11, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| Oct 11, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental | D | Deficient, Provider has date of correction |
| Oct 11, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 11, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Oct 11, 2024 | 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 | E | Deficient, Provider has date of correction |
| Oct 11, 2024 | Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Oct 11, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| Oct 11, 2024 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Oct 11, 2024 | Conduct mandatory training, for all staff, on the facilityâs Quality Assurance and Performance Improvement Program. Administration | F | Deficient, Provider has date of correction |
| Oct 11, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Oct 11, 2024 | 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 | F | Deficient, Provider has date of correction |
| Jan 30, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 30, 2023 | Post nurse staffing information every day. Nursing and physician services | B | Deficient, Provider has date of correction |
| Jan 30, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | D | Deficient, Provider has date of correction |
| Jan 30, 2023 | 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. Nursing and physician services | D | Deficient, Provider has date of correction |
| Jan 30, 2023 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 30, 2023 | 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Jan 30, 2023 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jan 30, 2023 | 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. Quality of life and care | E | Deficient, Provider has date of correction |
| Jan 30, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jan 30, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jun 7, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jun 7, 2019 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Jun 7, 2019 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Jun 7, 2019 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 7, 2019 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 7, 2019 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 7, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 7, 2019 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jun 7, 2019 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Jun 7, 2019 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 7, 2019 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Twin Pines Adult Care Center
Answers computed from CMS data for this facility.
What is Twin Pines Adult Care Center's Medicare rating?
Medicare rates Twin Pines Adult Care Center 2 out of 5 stars overall (below average). The average for Moberly-area nursing homes is 2.3, for Missouri 2.51 and for the U.S. 2.99.
How did Twin Pines Adult Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Feb 24, 2026, when they cited 3 problems from complaint investigations. The most common area was resident rights (2 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Oct 11, 2024) it had 14 citations, compared with an average of 12.2 for Moberly-area homes, 11.4 in Missouri and 9.2 nationally.
Has Twin Pines Adult Care Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Twin Pines Adult Care Center accept Medicaid?
Twin Pines Adult Care Center is certified for both Medicare and Medicaid. Call (660) 665-2887 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.