All citations for The Estates at Twin Rivers LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Estates at Twin Rivers LLC

Last standard health inspection on record

July 2, 2026

Showing 26 to 46 of 46 citations

  1. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 23, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  2. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  3. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  4. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  5. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  6. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  7. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  8. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  10. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  11. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2025).

  12. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 22, 2024).

  13. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 22, 2024).

  14. No harm, with potential for more than minimal harm

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 22, 2024).

  15. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of April 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected.

  16. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected.

  17. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

  18. No harm, with potential for minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 2, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2026).

  19. No harm, with potential for minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Widespread (many residents). CMS level C.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  20. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2025).

  21. No harm, with potential for minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of April 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected.

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.