B86

Twin Lakes Community

Grade B 86/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
3/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

104

Ownership

Non profit - Corporation

Total Fines

$6,152

Last Survey

N/A

3802 Wade Coble Drive, Burlington, NC 27215
3365381400

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.93h
LPN
1.01h
CNA
4.27h
Total
6.20h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 1983

100%

CONKLIN, JONATHAN

IndividualCORPORATE OFFICERSince Oct 2017

FOX, PAMELA

IndividualCORPORATE OFFICERSince Jan 2013

FOX, PAMELA

IndividualW-2 MANAGING EMPLOYEESince Jan 2013

Penalties & Fines (1)

$6,152total fines
DateTypeDescriptionAmount
Aug 7, 2024Fine$6,152

Health Inspection Deficiencies (9)

March 11, 2025Health2 deficiencies
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 18, 2025
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 20, 2025
August 7, 2024Health2 deficiencies
0602EMinimal harm, Pattern

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 3, 2024
0603EMinimal harm, Pattern

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 1, 2024
July 21, 2022Health5 deficiencies1 severe
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 7, 2022
0688DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Sep 7, 2022
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 7, 2022
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Sep 7, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 7, 2022

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Frequently Asked Questions

What is the CareGrader rating for Twin Lakes Community?

Twin Lakes Community in Burlington, North Carolina has a CareGrader grade of B (Good), with a composite score of 85.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Twin Lakes Community?

Twin Lakes Community has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Twin Lakes Community have?

Twin Lakes Community has 9 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Twin Lakes Community been fined?

Yes. Twin Lakes Community has $6,152 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Twin Lakes Community have?

Twin Lakes Community has 104 certified beds with approximately 95 current residents (91% occupancy). The facility is located at 3802 Wade Coble Drive, Burlington, North Carolina 27215. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.