Twin Pines Adult Care Center
Nursing home in Kirksville, Missouri, CMS certification number 265198
1900 S Jamison, Kirksville, MO 63501 · Adair County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- October 11, 2024
- Deficiencies at that inspection
- 14
- Fines in 3 years
- No fines
Does Twin Pines Adult Care Center take Medicare and Medicaid?
Yes to both. Twin Pines Adult Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Twin Pines Adult Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.64
- Registered nurse hours
- 0.35
- Licensed practical nurse hours
- 0.80
- Nurse aide hours
- 2.49
- Weekend total hours
- 3.06
- Nursing staff turnover
- 44.6%
- Registered nurse turnover
- 0%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on October 11, 2024 and cited 14 deficiencies, plus 4 from complaint visits.
The visit before, on January 30, 2023, found 10.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Twin Pines Adult Care Center in the past 3 years.
Beds and residents
On an average day 67.8 residents live here, about 56% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 67.8
- Certified since
- September 1, 1983
- Resident or family council
- Resident
Who owns Twin Pines Adult Care Center
- Legal business name
- Adair County Nursing Home District
- Ownership type
- Non profit - Other
Other nursing homes near Twin Pines Adult Care Center
- Kirksville Manor Care Center1705 East Laharpe, Kirksville 63501
- La Plata Nursing Home100 Old Stagecoach Road, La Plata 63549
- Schuyler County Nursing Home District1306 US Highway 63, Queen City 63561
- Knox County Nursing Home District55774 State Highway 6, Edina 63537
- Macon Health Care Center29612 Kellogg Avenue,, Macon 63552
Who inspects nursing homes in Missouri
Missouri's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Missouri, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Twin Pines Adult Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Twin Pines Adult Care Center
What is the CMS star rating of Twin Pines Adult Care Center?
2 out of 5 stars overall.
Does Twin Pines Adult Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Twin Pines Adult Care Center?
14 cited at the last standard visit.
Who owns Twin Pines Adult Care Center?
Adair County Nursing Home District, non profit - other.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.