All citations for Twin Lakes Rehabilitation and Healthcare Center

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 Rehabilitation and Healthcare Center

Last standard health inspection on record

November 20, 2025

Showing 1 to 25 of 29 citations

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  2. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

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

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  8. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of November 9, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 9, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  12. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  15. 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 October 3, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  16. 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 July 3, 2024. Found during a complaint inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.

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

  18. 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 30, 2024. Found during a complaint inspection.

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

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

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

  20. 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 March 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

  24. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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.