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 26 to 50 of 77 citations

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

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

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

    Health citation F-0810, Nutrition and Dietary Deficiencies. Inspection of May 14, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 8, 2026).

  2. 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 May 14, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 17, 2026).

  4. 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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

  5. 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 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

  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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

  7. 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 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

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

    Provide appropriate foot care.

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

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

  9. 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 November 20, 2025. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (November 12, 2025).

  10. 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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

  11. 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 November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

  12. 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.

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

    Health citation F-0867, Administration Deficiencies. Inspection of November 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of April 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2025).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of December 3, 2024. Found during a complaint inspection.

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

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of December 3, 2024. Found during a complaint inspection.

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

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

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

  17. 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 October 9, 2024. Found during a standard inspection and a complaint inspection.

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

  18. 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 October 9, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

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

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

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

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

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

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (September 1, 2024).

  22. 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 October 9, 2024. Found during a standard inspection.

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

  23. 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 9, 2024. Found during a standard inspection.

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

  24. 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 October 9, 2024. Found during a standard inspection.

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

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

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

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.