Facility profile · CCN 045280
Twin Lakes Therapy And Living
28 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $25,678.
Record summary
Federal record · Q1 202628
Total citations
24
Last 3 years
2
Actual harm+
3
Federal penalties
$25,678
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
28 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 12, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 12, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 12, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint |
| Jun 12, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Nov 1, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint |
| Nov 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 15, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Mar 15, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint |
| Mar 15, 2024 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint |
| Mar 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 15, 2024 | F687 | Provide appropriate foot care. | E | Complaint |
| Mar 15, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Mar 15, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Mar 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Mar 15, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Mar 15, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 15, 2024 | F761 | Ensure 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. | E | Standard |
| Mar 15, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 15, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Mar 15, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Mar 15, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Mar 15, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 15, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| Jun 21, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jan 27, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jan 27, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 27, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jan 27, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $25,678 and 1 payment-denial actions spanning 16 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 1, 2024 | Fine | $12,844 | — |
| Nov 1, 2024 | Payment Denial | — | Nov 30, 2024 · 16 days |
| Mar 15, 2024 | Fine | $12,834 | — |
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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