CCN 345235
Twin Lakes Community
3802 Wade Coble Drive, Burlington, NC 27215 · Alamance County
- Ownership
- Non profit - Corporation
- Certified beds
- 104
- Residents per day
- 95.8
- Health citations
- 7
- Penalties
- 1
- Fines
- 1 · $6,152
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 3.56
- 2.34
- 2.32
- LPN/LVN
- 1.03
- 0.89
- 0.86
- Registered nurse
- 0.73
- 0.62
- 0.69
- Total nurse staff
- 5.32
- 3.85
- 3.86
- Weekend total
- 4.46
- 3.42
- 3.42
- Weekend RN
- 0.43
- 0.42
- 0.48
Adjusted total nurse hours: 6.02. Adjusted RN hours: 0.83. Case-mix total: 3.39. Case-mix index: 1.239.
Total nursing staff turnover: 41.3%. RN turnover: 31.6%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 1 fine totaling $6,152, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| August 7, 2024 | Fine | $6,152 |
Cycle 1 standard survey: March 19, 2026. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 12.
Cycle 2 standard survey: January 9, 2025. Cycle 2/3 health deficiencies: 4. Total weighted health survey score: 15.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 7 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
March 19, 2026
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 29, 2026 |
| F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 29, 2026 |
| F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Standard survey · Cycle 1 | C: widespread, no actual harm, with potential for minimal harm | No revisit needed · March 29, 2026 |
March 11, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 18, 2025 |
| F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 20, 2025 |
August 7, 2024
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Past Non-Compliance · May 3, 2024 |
| F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Past Non-Compliance · August 1, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections