Overview
Twin Pines Adult Care Center has a Medicare overall rating of 2 out of 5, below the Missouri average of 2.6. Among the 2 nursing homes in Kirksville, it ranks first. Its strongest area is staffing (4 of 5), and its weakest is health inspections (2 of 5).
Residents receive about 3.6 hours of nursing care per day, more than at 69% of nursing homes in Missouri (the state average is 3.4 hours). Of that, 0.4 hours come from registered nurses.
Its most recent standard inspection, on October 11, 2024, found 14 health deficiencies, more than the Missouri average of 11.4. 4 of them came from complaint investigations. It has no fines on record for the past three years, while 41% of Missouri nursing homes have been fined.
Twin Pines Adult Care Center is a nonprofit facility with 120 certified beds, caring for about 68 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1983.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 50%
Top 57%
Top 64%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- October 11, 2024
- Health deficiencies cited
- 14
- Complaint-related deficiencies
- 4
- Fines in the last 3 years
- 0
- Payment denials
- 0
- Total penalties
- 0
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.64 hrs
- Registered nurses (RN)0.35 hrs
- Licensed practical nurses (LPN)0.80 hrs
- Nurse aides2.49 hrs
- Physical therapists0.00 hrs
Facility details
- Ownership
- Non profit - Other
- Certified beds
- 120
- Average residents per day
- 68
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- September 1, 1983
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes