Total staff
76
Employees
70
Contractors
6
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Pines
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Pines
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Pines accepts Medicare, Medicaid, and private pay.
The Pines Post-Acute Rehabilitation and Retirement Center is a nursing home in Kirksville, MO, offering skilled nursing and rehabilitation. The community has a warm and welcoming environment that aims to keep older adults comfortable and safe. High-quality services, including 24-hour care, well-balanced meals, and recreational opportunities, are also provided to improve residents’ quality of life. Focusing on residents’ holistic wellness, personalized care plans are also provided based on their unique needs and preferences.
Mascots, celebrations, and light exercises encourage residents to live actively and make friends. Thoughtfully furnished common areas and cozy living spaces also ensure residents can rest and interact with their surroundings comfortably. Residents also experience a laid-back lifestyle, as it is ideally set in the quiet residential area of Kirksville. As one of the best options for senior living in Missouri, this nursing home ensures older adults can thrive in retirement.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 20th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 20th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 9m per day
Rank #20 / 276Nurse hours — State benchmarkedThis home is ranked 20th out of 276 homes in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 276 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Missouri avg
+38%
Standout metric
Physical Therapist is +49% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 23m per day | ▼ 15% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 46m per day | ▲ 13% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | ▲ 5% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 57m per day | ▼ 4% State avg: 3h 3m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 49% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 42% State avg: 20m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy rate
54.6%
Rank #312 / 428Occupancy rate — State benchmarkedThis home is ranked 312th out of 428 homes in Missouri for occupancy rate. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 428. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
183 days
Walk Score: 44 / 100 Rank #307 / 563Walk Score — State benchmarkedThis home is ranked 307th out of 563 homes in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Safety FeaturesElectronic locks, 24-hour surveillance
Respite Care
Fitness Center
Salon
Spa
Garden
Laundry
Outdoor Seating
ActivitiesA variety of daily social events and activities are offered to foster connections and mental stimulation among residents.
Wellness ProgramComprehensive wellness programs to promote physical and mental well-being.
Specific ProgramsMusic Therapy, Arts and Crafts, Fitness Classes, Social Events
Food DescriptionThe dining program features gourmet meals prepared by a chef using locally sourced, fresh ingredients, catering to various dietary needs and preferences.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.06 : 1
38% fewer staff per resident than Missouri average
Avg staff/day
35
Average shift
8.1 hours
0% compared with Missouri average
Total staff hours (quarter)
26,043
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 6 RN Staff are full-time employees. No contractors work on this role.
6
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 29 CNA Staff are full-time employees. No contractors work on this role.
29
All 29 CNA Staff are full-time employees. No contractors work on this role.
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5.5%
1,444 contractor hours this quarter
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Speech Language Pathologist: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 0 | 29 | 10,177 | 92 | 100% | 8.1 |
| Nurse Aide in Training | 20 | 0 | 20 | 5,775 | 92 | 100% | 8 |
| Licensed Practical Nurse | 12 | 0 | 12 | 5,069 | 92 | 100% | 8.8 |
| Registered Nurse | 6 | 0 | 6 | 2,061 | 89 | 97% | 9.4 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 492 | 73 | 79% | 6.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 470 | 60 | 65% | 7.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 451 | 62 | 67% | 7.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 400 | 55 | 60% | 7.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 97 | 36 | 39% | 2.7 |
| Qualified Social Worker | 0 | 1 | 1 | 26 | 21 | 23% | 1.2 |
29 Certified Nursing Assistant
% of Days
100%
20 Nurse Aide in Training
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
97%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Dietitian
% of Days
79%
1 Speech Language Pathologist
% of Days
65%
2 Respiratory Therapy Technician
% of Days
67%
1 Physical Therapy Aide
% of Days
60%
1 Physical Therapy Assistant
% of Days
39%
1 Qualified Social Worker
% of Days
23%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$5K Rank #147 / 283Federal fines — State benchmarkedThis home is ranked 147th out of 283 homes in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 283 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
93% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$5K
Missouri average
$73K
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.5
22% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.5
31% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
39% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.0%
Percent of long-stay residents whose ability to move independently worsened
18.0%
13% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.4%
43% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
66% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.7%
Percent of long-stay high risk residents with pressure ulcers
5.7%
14% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.9%
Percent of long-stay residents with a urinary tract infection
3.9%
42% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.2%
Percent of long-stay residents who have depressive symptoms
2.2%
83% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.8%
Percent of long-stay residents who received an antipsychotic medication
14.8%
33% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
13% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
7% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.1%
16% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
58% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.8%
In line with Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
62% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
32% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
72
Medicare
16
22.2% of residents
Medicaid
24
33.3% of residents
Private pay or other
32
44.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for The Pines based on CMS SNF Cost Reports.
Occupancy Rate
54.6%
↑ 1.0pp vs 2023
Net Income
-$510.5K
↓ ~$1.6M vs 2023
Total Payroll
$4.6M
↑ ~$551.0K vs 2023
Profit Margin
-6.3%
↓ 19.9pp vs 2023
Finances and operations
Governmental community
Home revenue
$8.7M
Operating deficit
-$510.5K
Governmental community
Home revenue
$8.7M Rank #89 / 286Revenue — State benchmarkedThis home is ranked 89th out of 286 homes in Missouri for revenue. Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$510.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #92 / 286Payroll — State benchmarkedThis home is ranked 92nd out of 286 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #92 / 286Payroll — State benchmarkedThis home is ranked 92nd out of 286 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.3M
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Pines
2.6 miles from city center
Estimated distance in miles from Kirksville's city center to The Pines's address, calculated via Google Maps.
Calculate Travel Distance to The Pines
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Financial Assistance for
Nursing Home in Missouri
The Pines is located in Kirksville, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Compare Nursing Home around Kirksville
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| La Plata Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | La Plata | 52
Facility
52
MO AVG
97
Rank
#386 / 454 | 84.4% | +27% | 4.21 | -45% | +13% | $0 | 30 | 6.0 | 2 | 44 |
12
Facility
12
MO AVG
45
Rank
#490 / 563 | La Plata Nursing Home District | $3.8M | $2.1M | 56.6% | 265793 | ||||
| The Pines |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Kirksville (Preston Vineyards) | 120
Facility
120
MO AVG
97
Rank
#90 / 454 | - | - | 5.16 | +3% | +38% | $0 | 32 | 10.7 | - | 72 |
44
Facility
44
MO AVG
45
Rank
#307 / 563 | - | $8.7M | $4.6M | 52.2% | 265198 | ||||
| Kirksville Manor Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Kirksville | 132
Facility
132
MO AVG
97
Rank
#72 / 454 | 36.4% | -45% | 4.51 | -57% | +21% | $250.8k | 47 | 5.9 | 7 | 48 |
24
Facility
24
MO AVG
45
Rank
#429 / 563 | Kirksville Manor Inc | $4.4M | $4.0M | 89.4% | 265247 |
Frequently Asked Questions about The Pines
What neighborhood is The Pines in?
The Pines is in the Preston Vineyards neighborhood.
Is The Pines in a walkable area?
The Pines has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of The Pines?
Yes — there is 1 photo of The Pines in the photo gallery on this page.
What is the address of The Pines?
The Pines is located at 1900 Jamison St, Kirksville, MO 63501.
What is the phone number of The Pines?
(660) 665-2887 will put you in contact with the team at The Pines.
Is The Pines Medicare or Medicaid certified?
Yes — The Pines is a CMS-certified provider of Medicare and Medicaid.
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