All citations for Twin Pines Nursing and Rehabilitation
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.
Last standard health inspection on record
February 20, 2026
Showing 1 to 25 of 25 citations
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
The home gave a date the problem would be corrected (November 10, 2023).
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.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
The home gave a date the problem would be corrected (May 13, 2024).
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.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
The home gave a date the problem would be corrected (May 13, 2024).
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.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
The home gave a date the problem would be corrected (October 14, 2023).
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.
The home gave a date the problem would be corrected (November 7, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (November 10, 2023).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
The home gave a date the problem would be corrected (November 10, 2023).
No harm, with potential for more than minimal harm
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
The home gave a date the problem would be corrected (November 10, 2023).
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.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
The home gave a date the problem would be corrected (May 13, 2024).
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.
The home gave a date the problem would be corrected (May 13, 2024).
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.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
The home gave a date the problem would be corrected (May 13, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (May 13, 2024).
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.
The home gave a date the problem would be corrected (October 14, 2023).
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.
The home gave a date the problem would be corrected (October 14, 2023).
No harm, with potential for more than minimal harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
The home gave a date the problem would be corrected (October 14, 2023).
No harm, with potential for more than minimal harm
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
The home gave a date the problem would be corrected (November 7, 2023).
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.
The home gave a date the problem would be corrected (October 12, 2023).
No harm, with potential for minimal harm
Post nurse staffing information every day.
The home gave a date the problem would be corrected (May 13, 2024).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.