1/5
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.
1/5
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 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.
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.
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.
This home is ranked 21st out of 282 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.
| 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 |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 29 CNA Staff are full-time employees. No contractors work on this role.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,444 contractor hours this quarter
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 |
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)
93% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
39% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
18.0%
13% better than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
66% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
5.7%
14% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
3.9%
42% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
2.2%
83% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
14.8%
33% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
13% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
7% better than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.1%
16% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
58% worse than Missouri averageMissouri average: 2.2%
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.
62% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
72Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for The Pines from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 08/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #97 / 292Payroll — State benchmarkedThis home is ranked 97th out of 292 homes in Missouri. 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.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #168 / 292Payroll % — State benchmarkedThis home is ranked 168th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms
Building Type: Single-story
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1900 Jamison St, Kirksville, MO 63501
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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| La Plata Nursing Home | NH | La Plata | 52
Facility
52
MO AVG
97
Rank
#384 / 454 |
84.4%
Facility
84.4%
MO AVG
66.6%
Rank
#82 / 434 | +27% | 4.21
Facility
4.21
MO AVG
3.74
Rank
#78 / 282 | -45% | +13% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 289 | 30
Facility
30
MO AVG
36.5
Rank
#140 / 287 | 6.0
Facility
6.0
MO AVG
5.7
Rank
#182 / 287 | 2 | 44 | - |
12
Facility
12
MO AVG
45
Rank
#490 / 563 | La Plata Nursing Home District | $3.1M
Facility
$3.1M
MO AVG
$8.4M
Rank
#251 / 292 | $2.1M
Facility
$2.1M
MO AVG
$3.3M
Rank
#245 / 292 | 68.8%
Facility
68.8%
MO AVG
45.6%
Rank
#120 / 292 | 265793 | ||||
| The Pines | NH | Kirksville (Preston Vineyards) | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
54.6%
Facility
54.6%
MO AVG
66.6%
Rank
#320 / 434 | -18% | 5.16
Facility
5.16
MO AVG
3.74
Rank
#21 / 282 | +3% | +38% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 289 | 32
Facility
32
MO AVG
36.5
Rank
#154 / 287 | 10.7
Facility
10.7
MO AVG
5.7
Rank
#280 / 287 | - | 72 | - |
44
Facility
44
MO AVG
45
Rank
#307 / 563 | - | $6.6M
Facility
$6.6M
MO AVG
$8.4M
Rank
#92 / 292 | $4.6M
Facility
$4.6M
MO AVG
$3.3M
Rank
#97 / 292 | 69%
Facility
69%
MO AVG
45.6%
Rank
#168 / 292 | 265198 | ||||
| Kirksville Manor Care Center | NH HC MC RC | Kirksville | 132
Facility
132
MO AVG
97
Rank
#72 / 454 |
36.4%
Facility
36.4%
MO AVG
66.6%
Rank
#397 / 434 | -45% | 4.51
Facility
4.51
MO AVG
3.74
Rank
#48 / 282 | -57% | +21% | $250.8k
Facility
$250.8k
MO AVG
$76.9k
Rank
#284 / 289 | 47
Facility
47
MO AVG
36.5
Rank
#219 / 287 | 5.9
Facility
5.9
MO AVG
5.7
Rank
#178 / 287 | 7 | 48 | - |
24
Facility
24
MO AVG
45
Rank
#429 / 563 | Kirksville Manor Inc | $5.0M
Facility
$5.0M
MO AVG
$8.4M
Rank
#228 / 292 | $3.5M
Facility
$3.5M
MO AVG
$3.3M
Rank
#130 / 292 | 70.9%
Facility
70.9%
MO AVG
45.6%
Rank
#3 / 292 | 265247 |
The Pines is located in Kirksville, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The Pines is in the Preston Vineyards neighborhood.
The Pines has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
The Pines's occupancy is 54.6%.
The Pines is registered as a non-profit.
Yes — there is 1 photo of The Pines in the photo gallery on this page.
The Pines is located at 1900 Jamison St, Kirksville, MO 63501.
(660) 665-2887 will put you in contact with the team at The Pines.
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