Twin Pines Adult Care Center

CMS star ratings

Overall★★★★★ 2/5

State avg 2.5

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 2.2

Quality measures★★★★★ 2/5

State avg 2.7

Long-stay quality★★★★★ 2/5

Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.42 (state 3.43 · U.S. 3.86)
Registered nurses (RN): 0.38 (state 0.46 · U.S. 0.69)
Licensed practical nurses: 0.73 (state 0.68 · U.S. 0.86)
Nurse aides: 2.30 (state 2.29 · U.S. 2.32)
Weekend total: 2.88 (state 3.02 · U.S. 3.42)
Nursing staff turnover: 44.3 (state 56.0 · U.S. 45.8)%
RN turnover: 0.0 (state 47.8 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: October 11, 2024
Health deficiencies (last cycle): 14.0 (state 11.5 · U.S. 9.3)
From complaints: 4
Citations on record (3 years): 35 health · 28 fire safety

Date	Citation	Severity	Status
2026-02-24	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-04-03
2026-02-24	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-04-03
2026-02-24	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-04-03
2024-10-11	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. F0585 · Resident Rights Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-12-13
2024-10-11	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Not hire anyone with a finding of abuse, neglect, exploitation, or theft. F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2024-10-11	Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-11-19
2023-01-30	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	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. F0700 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	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. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. F0728 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-16
2023-01-30	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	B No actual harm, potential for minimal harm	Corrected 2023-03-16
2019-06-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-07-17
2019-06-07	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-07-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Adair County Nursing Home District (organization)	Administrator · NOT APPLICABLE
Bell, Aurora (individual)	Administrator · NOT APPLICABLE
Besler, Wendy (individual)	Administrator · NOT APPLICABLE
Richardson, James (individual)	Administrator · NOT APPLICABLE
Richardson, James (individual)	Corporate Director · NOT APPLICABLE
Adair County Nursing Home District (organization)	Operational/managerial Control · NOT APPLICABLE
Bell, Aurora (individual)	Operational/managerial Control · NOT APPLICABLE
Besler, Wendy (individual)	Operational/managerial Control · NOT APPLICABLE
Richardson, James (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Twin Pines Adult Care Center?

Twin Pines Adult Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Twin Pines Adult Care Center have?

It has 120 certified beds and cares for about 71 residents per day.

Has Twin Pines Adult Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Twin Pines Adult Care Center?

(660) 665-2887. The facility is located at 1900 S Jamison, Kirksville, MO 63501.

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Contact & location

Facility details