Twin Pines Adult Care Center
1900 S Jamison · Kirksville, MO · 63501 · 6606652887
120 certified beds Non profit - Other
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.95 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Potential for harm · E February 24, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D February 24, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · E February 24, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 3, 2026 · Nutrition and Dietary
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Potential for harm · D October 11, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 19, 2024 · Resident Rights
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Potential for harm · F October 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.
Corrected November 19, 2024 · Resident Rights
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Potential for harm · E October 11, 2024
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected November 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 11, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 19, 2024 · Resident Rights
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Potential for harm · E October 11, 2024
Notify 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.
Corrected November 19, 2024 · Resident Rights
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Potential for harm · E October 11, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · F October 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 13, 2024 · Nutrition and Dietary
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Potential for harm · D October 11, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected November 19, 2024 · Environmental
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Potential for harm · F October 11, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected November 19, 2024 · Administration
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Potential for harm · E October 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.
Corrected November 19, 2024 · Nursing and Physician Services
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Potential for harm · D October 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 19, 2024 · Quality of Life and Care
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Potential for harm · E January 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.
Corrected March 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 16, 2023 · Quality of Life and Care
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Potential for harm · E January 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.
Corrected March 16, 2023 · Quality of Life and Care
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Potential for harm · D January 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.
Corrected March 16, 2023 · Nursing and Physician Services
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Potential for harm · E January 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.
Corrected March 16, 2023 · Pharmacy Service
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Potential for harm · F January 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2023 · Nutrition and Dietary
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Potential for harm · E January 30, 2023
Provide and implement an infection prevention and control program.
Corrected March 16, 2023 · Infection Control
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Potential for harm · D January 30, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 16, 2023 · Infection Control
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No harm found · B January 30, 2023
Post nurse staffing information every day.
Corrected March 16, 2023 · Nursing and Physician Services
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Potential for harm · E June 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.
Corrected July 17, 2019 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265198 · certified since September 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.