All citations for Twin Lakes Rehabilitation and Nursing

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 Nursing

Last standard health inspection on record

May 3, 2023

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 25 of 39 citations

  1. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2019).

  2. Harm to a resident

    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 G.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2019).

  3. Harm to a resident

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

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2019).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 4, 2021).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2019).

  6. 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 May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

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

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

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

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

    Have elevators that firefighters can control in the event of a fire.

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

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

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    A waiver was granted (November 28, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of June 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

  12. 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 June 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2021).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of June 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 4, 2021).

  14. 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 May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2019).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2019).

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

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

    Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2019).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2019).

  18. 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 May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 30, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

  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 May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  21. 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 May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  22. 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 May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  24. 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 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  25. 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 May 3, 2023. Found during a standard inspection.

    A waiver was granted (June 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.