Home›Missouri›Adair County›TWIN PINES ADULT CARE CENTER
D
Poor

TWIN PINES ADULT CARE CENTER

1900 S JAMISON · KIRKSVILLE, MO 63501

6606652887 · Non profit - Other

120 beds72.4 residents76 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TWIN PINES ADULT CARE CENTER receives an overall staffing grade of D (Poor). With 3.8176 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3744 HPRD, below the recommended 0.75. It is 0.08 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.45% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.3744 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8176hrs/resident/day▼ 0.08
CMS benchmark: 3.48
RN HPRD
0.3744hrs/resident/day▼ 0.31
Recommended: 0.75
Weekend Drop-off
20.45%
4.0517 weekday → 3.2233 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8254hrs/resident/day
Direct care aides
LPN HPRD
0.8123hrs/resident/day
Licensed practical nurses
Consistency
0.4413std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Adair County Average-0.02 HPRD
3.84
03.82 HPRD
vs. Missouri State Average+0.34 HPRD
3.48
03.82 HPRD
vs. National Average-0.08 HPRD
3.90
03.82 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TWIN PINES ADULT CARE CENTER ★
KIRKSVILLE · This facility
—
D
3.81760.3744★★☆☆☆
KIRKSVILLE MANOR CARE CENTER
KIRKSVILLE
0.4 mi
F
3.86710.1501★☆☆☆☆
MACON HEALTH CARE CENTER
MACON
29.7 mi
C
3.19790.8359★★★★☆
MILAN HEALTH CARE CENTER
MILAN
30.3 mi
F
2.26470.2415★☆☆☆☆
LOCH HAVEN
MACON
30.3 mi
D
3.52080.3836★★★☆☆
LIFE CARE CENTER OF BROOKFIELD
BROOKFIELD
38.2 mi
B
3.61560.5728★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
32
Total Deficiencies
$0
Fines Assessed
Oct 11, 2024Health
11 deficiencies cited
▼
Jan 30, 2023Health
10 deficiencies cited
▼
Jun 7, 2019Health
11 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.