TWIN CITY HEALTH CARE in Gas City, IN has an overall 3-star rating, with stronger health inspection and quality scores (4 stars each) but a 1-star staffing rating. Reported nurse staffing is 3.69 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: August 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.693.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
0.87
Nurse aides
2.40
Weekend nursing
3.18
Hours per resident per day.
Total staff turnover: 43%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.3%Steady
Residents with a fall causing major injury
1.5%Worsening
Residents with pressure ulcers (bedsores)
3.3%Improving
Residents with a urinary tract infection
2.3%Improving
Residents who lost too much weight
2.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.9%Improving
Residents whose ability to walk got worse
26.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
17.1%Improving
Residents with depressive symptoms
38.9%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited September 2023 — isolated incident, potential for harm.
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F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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Operator & ownership
Ownership
Government - County
Chain
Part of HCF MANAGEMENT INDIANA · 6 homes · 3.3 stars avg
Occupancy
39.4 residents on an average day (53% of 75 beds)
Resident voice
Resident council
Medicare history
Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.