Twin Pines Adult Care Center
Cost data not yet available
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Nursing Homes · Medicare certified
1705 East Laharpe · Kirksville, MO 63501 · 119 certified beds
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CMS Care Compare · Updated Jul 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
October 4, 2024 · E
Citation F0838Federal surveyors cited this nursing home on 2024-10-04 under CMS tag F0838 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. 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 · 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 · 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).
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 · 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 · 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 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 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 · 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 · 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 · 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 · 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).
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).
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).
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
Latest: 3.88 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Corporation
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: Kirksville Manor INC
parent · PAC 7113190414
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
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$6,076/moNursing Homes
Median · MO$6,741/moOther licensed providers in Kirksville, with their own public records.
Cost data not yet available
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