Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145466

Twin Lakes Extended Care

28 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $71,455.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
28
Total citations
20
Last 3 years
2
Actual harm+
2
Federal penalties
$71,455
Total fines
3
Overall ★ rating

Most common violation categories here

Quality of Care6 Abuse & Neglect5 Resident Rights4 Medication & Pharmacy3 Environment & Safety3

Most common F-tags at this facility

F7582 F9122 F6562 F5802 F6002

Citation history

28 on record
SurveyF-TagViolationSeveritySource
Jun 25, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Jun 25, 2024F761Ensure 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.DStandard
Jun 25, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jun 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 14, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.FComplaint
Dec 14, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 14, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Dec 14, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Dec 14, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 25, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 22, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Aug 22, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
May 18, 2023F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.FStandard
May 18, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 18, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 18, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 18, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 18, 2023F576Ensure residents have reasonable access to and privacy in their use of communication methods.CStandard
May 17, 2022F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
May 17, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
May 17, 2022F732Post nurse staffing information every day.CStandard
May 17, 2022F727Have 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
May 17, 2022F700Try 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.DStandard
May 17, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
May 17, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 17, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $71,455 and 1 payment-denial actions spanning 4 days.

DateTypeFinePayment denial
Dec 14, 2023Fine$71,455—
Dec 14, 2023Payment Denial—Jan 6, 2024 · 4 days
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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