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Twin Pines Adult Care Center

Kirksville, MO · Medicare and Medicaid-certified nursing home (CCN 265198) · 120 certified beds

CMS overall rating: 2★ (state average 2.51★ — below state average)
Health inspection: 2 · Quality measures: 2 · Staffing: 4
Federal fines: none on current record
Phone: (660) 665-2887 · Verify on Medicare Care Compare ↗

Twin Pines Adult Care Center has a CMS overall star rating of 2 out of 5, which is below the Missouri state average of 2.51. Its health inspection rating is 2 stars and its staffing rating is 4 stars.

Twin Pines Adult Care Center reports total nurse staffing of 3.42 hours per resident per day, including 0.38 RN hours per resident per day, with a nursing staff turnover rate of 44.3%. CMS gives the facility a staffing rating of 4 out of 5 stars.

Twin Pines Adult Care Center has no federal fines on record, with 0 fines totaling $0.00 and 0 payment denials reported by CMS. The provided data does not indicate an abuse icon or Special Focus status for this facility.

Overall rating vs. benchmarks
Twin Pines Adult Care… Twin Pines Adult Care…: 2★ 2★ MO average MO average: 2.51★ 2.51★

About this facility

Twin Pines Adult Care Center is a non-profit nursing home in Kirksville, Adair County, Missouri, certified for 120 beds with an average of 71.2 residents. The facility has been Medicare and Medicaid certified since September 1983 and accepts both Medicare and Medicaid payment.

According to CMS Care Compare, Twin Pines holds an overall star rating of 2 out of 5, which is below the Missouri state average of 2.51. Its health inspection rating is 2 stars, its quality measure rating is 2 stars, and its staffing rating is 4 stars. These four ratings are reported separately by CMS and reflect different aspects of care.

Nurse staffing data show total nurse hours of 3.42 per resident per day, including 0.38 RN hours per resident per day. Nursing staff turnover is reported at 44.3%.

On penalties, CMS records show 0 fines totaling $0.00, and 0 payment denials — that is, no federal fines are on record for this facility. CMS does not list an abuse icon or Special Focus program status in the provided data for Twin Pines. Ownership has not changed in the past 12 months, so current ratings reflect the present operator. No chain affiliation is indicated in the data provided.

This profile is built from CMS Care Compare data; families should verify current details and the full inspection record directly on Medicare Care Compare before making a decision.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Twin Pines has a CMS overall rating of 2 out of 5 stars, below the Missouri state average of 2.51.

Does this facility accept Medicare, Medicaid, or both?

Twin Pines accepts both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 3.42 hours per resident per day, including 0.38 RN hours, with a 44.3% nursing turnover rate and a 4-star CMS staffing rating.

Does this facility have federal fines or penalties on record?

No, CMS records show 0 fines totaling $0.00 and 0 payment denials for this facility.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The data provided does not indicate an abuse icon or Special Focus program status for Twin Pines.

How large is this facility and how many residents live there?

Twin Pines is certified for 120 beds and has an average daily census of 71.2 residents.

Who owns this facility — and is it part of a chain?

Twin Pines is operated under a non-profit (other) ownership type; no chain affiliation is indicated in the available data.

How long has this facility been Medicare/Medicaid certified?

Twin Pines has been certified since September 1, 1983.

What do the four different CMS star ratings mean?

CMS rates facilities on overall, health inspection, quality measures, and staffing; Twin Pines scores 2, 2, 2, and 4 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided data does not specify rehabilitation services; please contact the facility at 660-665-2887 or verify on Medicare Care Compare.

What should I look for when touring this facility?

The data does not cover tour details; contact the facility at 660-665-2887 and review the inspection record on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the latest inspection, staffing, and quality data at https://www.medicare.gov/care-compare/details/nursing-home/265198?state=MO.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.