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DBelow average · score 41/100 · #322 of 482 in Missouri

Twin Pines Adult Care Center

1900 S Jamison, Kirksville, MO 63501 · 120 certified beds · Non profit - Other

Staffing 3.4 nurse hours per resident-dayabove median in Missouri
14 health deficiencies at the last standard survey (CMS severity score 180)bottom quarter
No fines or payment denials in 3 years

Why Twin Pines Adult Care Center is graded D

Each metric below is percentile-ranked against Missouri nursing homes in the same size band (medium, 120 beds), then weighted. The score is the weighted sum; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Nothing here can be edited or paid for.

Twin Pines Adult Care Center at a Glance

D 41/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 3.42 h.
56<small style="font-size:12px;color:var(--muted)">th pct</small>
Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 180.
12<small style="font-size:12px;color:var(--muted)">th pct</small>
Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 2.
38<small style="font-size:12px;color:var(--muted)">th pct</small>
Penalties · weight 15Fines and payment denials in the last three years. Raw: $0 fines, 0 denials.
71<small style="font-size:12px;color:var(--muted)">th pct</small>
CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
2/5

Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Missouri, medium facilities · CMS record 265198 · How we grade.

Facility details

Address1900 S Jamison, Kirksville, MO 63501
Phone6606652887
CountyAdair
OwnershipNon profit - Other
Certified beds120
AcceptsMedicare Medicaid
Special Focus FacilityNo

Higher-graded nursing homes nearby

1

Kirksville Manor Care Center - Kirksville, MO · 119 beds

  • Staffing 4.1 nurse hours per resident-day — top quarter in Missouri
  • 11 health deficiencies at the last standard survey (CMS severity score 92) — below median
1

Mason Pointe Care Center - Chesterfield, MO · 63 beds

  • Staffing 4.3 nurse hours per resident-day — top 10% in Missouri
  • 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
1

Lutheran Home, The - Cape Girardeau, MO · 274 beds

  • Staffing 4.5 nurse hours per resident-day — top 10% in Missouri
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%

A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.