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.
March 3, 2020 · E
Citation F0803Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0803 (CMS scope/severity E: pattern, 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 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0758Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0761Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · D
Citation F0558Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0700Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0909Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0909 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0727Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0727 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · F
Citation F0812Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0812 (CMS scope/severity F: widespread, 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 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0655Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0684Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0881Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0623Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0623 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0656Federal surveyors cited this nursing home on 2020-03-03 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 2020-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2020 · E
Citation F0760Federal surveyors cited this nursing home on 2020-03-03 under CMS tag F0760 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2020-04-08. 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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