Twin City Healthcare in Gas City, IN has an overall 4-star rating, with 4 stars for health inspections and quality measures but a 2-star staffing rating. Reported nurse staffing is 3.57 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 3.5668.
Staffing detail
Registered nurses
0.52
Licensed practical nurses
0.92
Nurse aides
2.13
Weekend nursing
3.28
Hours per resident per day.
Total staff turnover: 41%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—12.5%—
Residents with a fall causing major injury
0%5.9%Worsening
Residents with pressure ulcers (bedsores)
2.3%2.3%No change
Residents with a urinary tract infection
0%2.9%Worsening
Residents who lost too much weight
3.6%3.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.5%20%Worsening
Residents whose ability to walk got worse
—19.4%—
Long-stay residents on antianxiety or sleep medication
21.4%25%Worsening
Short-stay residents newly given an antipsychotic
0%4.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.6%6.2%Improving
Residents with depressive symptoms
38.5%39.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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.
View the original federal record
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 honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2023 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — 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.
See what inspectors found
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 · 3.5 stars avg
Occupancy
38.2 residents on an average day (51% 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.