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
Nursing Home · Kirksville, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Pines
Nursing Home · Kirksville, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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. 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. 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. 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%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 3h 25m per day |
Types of Care at The Pines
Nursing Home
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
54.6%
Rank #229 / 283Occupancy rate — State benchmarkedThis home is ranked 229th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. 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
Occupancy rate
54.6%
Rank #229 / 283Occupancy rate — State benchmarkedThis home is ranked 229th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. 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 / 562Walk Score — State benchmarkedThis home is ranked 307th out of 562 homes in Missouri. 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.
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% worse 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
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 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
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 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
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 hoursNo contractors work on this role.
Contractor 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. 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. 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. 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. 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
Dining Services
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 | 84.4% | +27% | 4.21 | -45% | +13% | $173.5k | 30 | 6.0 | 2 | 41 | 12 | 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 | 54.6% | -18% | 5.16 | +3% | +38% | $5.0k | 32 | 10.7 | - | 73 | 44 | - | $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 | 43.4% | -35% | 4.51 | -57% | +21% | $250.8k | 47 | 5.9 | 7 | 44 | 24 | 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.
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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