All citations for Twin Pines Adult Care 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 Pines Adult Care Center

Last standard health inspection on record

October 11, 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 16 of 16 citations

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Widespread (many residents). CMS level F.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

  4. 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 October 11, 2024. Found during a standard inspection.

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

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of February 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

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

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

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

    Health citation F-0606, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

  8. 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.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 11, 2024. Found during a standard inspection.

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

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  14. 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 11, 2024. Found during a standard inspection.

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

  15. 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 October 11, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of October 11, 2024. Found during a standard 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.