Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395041

Twinbrook Healthcare And Rehabilitation Center

32 federal citations on record .

Record summary

Federal record · Q1 2026
32
Total citations
32
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care8 Care Planning6 Resident Rights5 Nursing & Physician Services4 Medication & Pharmacy4

Most common F-tags at this facility

F5842 F6552 F6562 F7612 F6842

Citation history

32 on record
SurveyF-TagViolationSeveritySource
Jun 12, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 25, 2025F732Post nurse staffing information every day.CComplaint
Apr 25, 2025F727Have 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.DComplaint
Apr 25, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 25, 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.DStandard
Apr 25, 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
Apr 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 25, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 25, 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
Apr 25, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Dec 23, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.EComplaint
Dec 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 23, 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
Oct 24, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint
May 17, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 17, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 17, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
May 17, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
May 17, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 17, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 17, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 8, 2023F761Ensure 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 8, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 8, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Jun 8, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 8, 2023F641Ensure each resident receives an accurate assessment.DStandard
Jun 8, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Jun 8, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
May 5, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
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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