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 25 of 28 citations

  1. 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 January 30, 2023. Found during a standard inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

  4. 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 January 30, 2023. Found during a standard inspection.

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

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

  6. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

  9. 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 January 30, 2023. Found during a standard inspection.

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

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Establish procedures for tracking staff and patients during an emergency.

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

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Establish policies and procedures including evacuation.

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

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

  13. 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 January 30, 2023. Found during a standard inspection.

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

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Establish emergency prep training and testing.

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

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

  19. 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 January 30, 2023. Found during a standard inspection.

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

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

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

  24. 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 January 30, 2023. Found during a standard inspection.

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

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 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.