Twin Pines Adult Care Center
Cost data not yet available
Nursing Homes · Medicare certified
1705 East Laharpe · Kirksville, MO 63501 · 119 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1255436747. Look this up in the CMS NPPES registry (opens in a new tab)
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In Kirksville, Missouri, Kirksville Manor Care Center is listed as a nursing home. Its reported capacity is 119 beds. It is recorded as a for-profit operator, part of Juckette Family Homes. Federal records list it as Medicare certified. Our copy of the inspection record holds 54 citations, the newest dated 18 March 2026. Federal enforcement records add 4 fine or payment denial actions. Staffing reports put it at 4.08 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
40
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
40
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
40
Records from March 2020 to March 2026.
October 4, 2024 · J
Citation F0684Federal surveyors cited this nursing home on 2024-10-04 under CMS tag F0684 (CMS scope/severity J: isolated, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 4, 2024 · G
Citation F0689Federal surveyors cited this nursing home on 2024-10-04 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 4, 2024 · E
Citation F0557Federal surveyors cited this nursing home on 2024-10-04 under CMS tag F0557 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. The deficiency was recorded as corrected on 2025-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 4, 2024 · E
Citation F0725Federal surveyors cited this nursing home on 2024-10-04 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · D
Citation F0636Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0636 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · G
Citation F0740Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0740 (CMS scope/severity G: isolated, actual harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · F
Citation F0803Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0803 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · E
Citation F0695Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · E
Citation F0585Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · D
Citation F0638Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0638 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · E
Citation F0582Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0582 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · E
Citation F0812Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 16, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-02-16 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 20, 2023 · G
Citation F0689Federal surveyors cited this nursing home on 2023-12-20 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 20, 2023 · G
Citation F0684Federal surveyors cited this nursing home on 2023-12-20 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 4, 2023 · E
Citation F0550Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $250,823
October 4, 2024 · Fine
Citation FINE-90656CMS recorded a civil money penalty of $204,432 against this nursing home on 2024-10-04 (Fine ID: 90656). Source: CMS Care Compare Penalties (as of 2026-07-01).
October 4, 2024 · Payment Denial
Citation PAYDEN-2024-12-28CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-12-28, lasting 11 days (triggered by inspection on 2024-10-04). Source: CMS Care Compare Penalties (as of 2026-07-01).
December 20, 2023 · Fine
Citation FINE-90488CMS recorded a civil money penalty of $46,391 against this nursing home on 2023-12-20 (Fine ID: 90488). Source: CMS Care Compare Penalties (as of 2026-07-01).
December 20, 2023 · Payment Denial
Citation PAYDEN-2024-02-24CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-02-24, lasting 48 days (triggered by inspection on 2023-12-20). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 4.08 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.20 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Juckette Family Homes
Chain ID 295 · 6 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Juckette Management Services INC
chain · PAC 2961311048
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MO$6,741/moOther licensed providers in Kirksville, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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