All citations for Twin Oaks Nursing Home

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 Oaks Nursing Home

Last standard health inspection on record

August 13, 2025

Showing 1 to 11 of 11 citations

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

    Establish policies and procedures for medical documentation.

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

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Establish policies and procedures for volunteers.

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

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  4. 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 August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

  6. 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 August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

  7. 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 August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2024).

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

    The home gave a date the problem would be corrected (December 17, 2023).

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

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