All citations for Twin Lakes Extended Care

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 Twin Lakes Extended Care

Last standard health inspection on record

June 25, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 19 of 19 citations

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of June 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2024).

  3. 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 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 25, 2024. Found during a standard inspection.

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

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

  11. 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 May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

  14. 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 May 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2022).

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

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2024).

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

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2024).

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

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2022).

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

    Ensure operating rooms are properly protected and written records are maintained and available for inspection.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0913, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2022).

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.