The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: F
Nursing home report
TWIN PINES ADULT CARE CENTER
KIRKSVILLE, MO · Medicare-certified · 120 beds
Needs attention
Non-profit
1 of 5 overall
TWIN PINES ADULT CARE CENTER has an overall rating of 1 out of 5 stars, with the lowest overall rating flag and low quality measures (1 star) plus a 2-star health inspection rating. Staffing is rated 4 stars, but reported nurse staffing is 3.57 hours per resident per day, below the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5717 hrs/resident/day
Quality measures
Last inspection: February 24, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5717.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.41
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15%Worsening
Residents with a fall causing major injury
3.6%Improving
Residents with pressure ulcers (bedsores)
9.7%Worsening
Residents with a urinary tract infection
3.3%Improving
Residents who lost too much weight
0.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.4%Worsening
Residents whose ability to walk got worse
17.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22%Steady
Short-stay residents newly given an antipsychotic
4.6%Improving
Residents with a long-term catheter
3.4%Improving
Residents with new or worsening incontinence
11.9%Improving
Residents with depressive symptoms
1.3%Improving
Long-stay residents given the seasonal flu vaccine
96.8%Steady
Long-stay residents given the pneumonia vaccine
93.2%Worsening
Short-stay residents given the seasonal flu vaccine
60.8%Steady
Short-stay residents given the pneumonia vaccine
70.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure all staff got required training on its quality improvement program. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 944 — 42 CFR §483.95 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Other
- Occupancy
- 71.8 residents on an average day (60% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.