Twin Pines Adult Care Center: Staffing, Turnover, and Inspection Record
Twin Pines Adult Care Center is a 120-bed nonprofit nursing home in Kirksville, Missouri. In the CMS August 2026 release it reported 2.30 nurse aide hours per resident per day, about the same as the Missouri average of 2.29, and 44.3% nursing staff turnover (Missouri average 56.0%).
Twin Pines Adult Care Center
1900 S JamisonKirksville, MO 63501
Adair County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Twin Pines Adult Care Center, nurse aides logged 2.30 hours per resident per day, about the same as the Missouri average. With about 71 residents a day, that works out to roughly 164 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.30 | 2.29 | 2.32 |
| Licensed practical nurses | 0.73 | 0.68 | 0.86 |
| Registered nurses | 0.38 | 0.46 | 0.69 |
| All nursing staff | 3.42 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.88 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
44.3% of nursing staff at Twin Pines Adult Care Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 0.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Oct 11, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Twin Pines Adult Care Center holds 2 of 5 overall; the Missouri average is 2.5.
About Twin Pines Adult Care Center
- Ownership: Non profit - Other
- Legal name: Adair County Nursing Home District
- Medicare and Medicaid certified since: Sep 1, 1983
- Councils: resident council
- Area: rural
Nursing homes near Twin Pines Adult Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Kirksville Manor Care Center Kirksville · many days without an RN | 0.4 | 119 | 2.98 | 4.08 | 57.4% | 1 | $250,823 |
| La Plata Nursing Home La Plata | 11.5 | 52 | 2.63 | 3.52 | 30.0% | 3 | None |
| Schuyler County Nursing Home District Queen City | 20.4 | 60 | 2.89 | 4.08 | 38.3% | 1 | None |
| Knox County Nursing Home District Edina | 22.0 | 60 | 2.65 | 3.83 | — | 1 | $93,280 |
| Macon Health Care Center Macon | 29.7 | 84 | 2.09 | 3.50 | 20.6% | 5 | None |
| Milan Health Care Center Milan · abuse citation | 30.4 | 100 | 1.42 | 2.01 | 58.8% | 1 | $49,897 |
| Loch Haven Macon | 30.4 | 100 | 2.86 | 3.57 | 29.8% | 2 | $77,841 |
| Putnam County Care Center Unionville | 31.4 | 60 | 2.66 | 3.50 | — | 2 | $72,664 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.