Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 675638

Twin Pines Nursing And Rehabilitation

54 federal citations on record , including 4 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $44,971.

4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
54
Total citations
50
Last 3 years
4
Actual harm+
3
Federal penalties
$44,971
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning15 Quality of Care10 Nutrition & Dietary10 Resident Rights9 Medication & Pharmacy3

Most common F-tags at this facility

F6564 F6574 F5503 F6893 F6413

Citation history

54 on record
SurveyF-TagViolationSeveritySource
Nov 26, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Nov 26, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jul 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jul 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint
Apr 17, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Feb 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 6, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Dec 6, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Dec 6, 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.DComplaint
Dec 6, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 6, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 6, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Dec 6, 2024F584Honor 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.DComplaint
Dec 6, 2024F583Keep residents' personal and medical records private and confidential.EComplaint
Dec 6, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Nov 15, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.JComplaint
Nov 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 27, 2024F880Provide and implement an infection prevention and control program.DComplaint
Apr 27, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Apr 27, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Apr 27, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Apr 27, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EComplaint
Apr 27, 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.EComplaint
Apr 27, 2024F759Ensure medication error rates are not 5 percent or greater.EComplaint
Apr 27, 2024F732Post nurse staffing information every day.CComplaint
Apr 27, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 27, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Apr 27, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 27, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 27, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Apr 27, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 13, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 13, 2023F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Oct 13, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Oct 13, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 13, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 13, 2023F641Ensure each resident receives an accurate assessment.EStandard
Sep 29, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint
Sep 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 29, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 29, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Sep 29, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Sep 15, 2023F880Provide and implement an infection prevention and control program.DComplaint
Sep 15, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 15, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Aug 23, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 23, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 23, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jul 7, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Aug 26, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 26, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 26, 2022F637Assess the resident when there is a significant change in conditionDStandard
Aug 26, 2022F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $44,971 .

DateTypeFinePayment denial
Jul 13, 2025Fine$22,205—
Nov 15, 2024Fine$8,333—
Nov 15, 2024Fine$14,433—
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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