All citations for Twin City Trails of Journey 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.

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Last standard health inspection on record

December 10, 2025

Showing 1 to 25 of 34 citations

No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Widespread (many residents). CMS level F.
Health citation F-0925, Environmental Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Keep all essential equipment working safely.
Widespread (many residents). CMS level F.
Health citation F-0908, Environmental Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Honor 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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pattern (more than a few residents). CMS level E.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level D.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 8, 2026).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 8, 2026).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Isolated (one or a few residents). CMS level D.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 8, 2026).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0211, Egress Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0223, Egress Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0232, Egress Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 30, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 5, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.