Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 245298

The Estates At Twin Rivers Llc

38 federal citations on record , including 1 at the Immediate Jeopardy level.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
38
Total citations
34
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights11 Quality of Care9 Medication & Pharmacy5 Care Planning4 Environment & Safety4

Most common F-tags at this facility

F6893 F9123 F7602 F6562 F5502

Citation history

38 on record
SurveyF-TagViolationSeveritySource
Nov 13, 2025F760Ensure that residents are free from significant medication errors.JComplaint
May 23, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
May 23, 2025F761Ensure 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.EComplaint
May 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 23, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 23, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
May 23, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.FStandard
May 23, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 23, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 23, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
May 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 23, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 23, 2025F584Honor 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.DStandard
May 23, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
May 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 23, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 23, 2025F880Provide and implement an infection prevention and control program.FComplaint
May 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 21, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Jan 21, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 9, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 17, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint
Oct 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 17, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 24, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.EStandard
Apr 24, 2024F727Have 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.FStandard
Apr 24, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 24, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Mar 15, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Mar 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
May 5, 2023F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Apr 13, 2023F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.EStandard
Apr 13, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 13, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 13, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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