The nursing home failed to update each resident’s assessment at least every three months. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: E
Nursing home report
Twin Lakes Community
Burlington, NC · Medicare-certified · 104 beds
Needs attention
Non-profit
Data as of July 1, 2026
5 of 5 overall
5 out of 5 stars overall. Twin Lakes Community has strong staffing and health inspection results, with reported nurse staffing above the federal benchmark (5.32 vs. 4.1 hours per resident per day), but it also has a recent federal penalty, $6,152 in fines over the last 24 months, and some cited inspection issues.
Facility ratings
Health inspections
Staffing
5.3187 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $6,152recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3187.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 1.03
- Nurse aides
- 3.56
- Weekend nursing
- 4.46
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 32%
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).
Long-stay residents on antipsychotic medication
22.8%17.6%Improving
Residents with a fall causing major injury
4.7%6.5%Worsening
Residents with pressure ulcers (bedsores)
2.5%4.3%Worsening
Residents with a urinary tract infection
1.2%1.1%No change
Residents who lost too much weight
2.9%2.7%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.2%21.1%Improving
Residents whose ability to walk got worse
17.8%18.4%Worsening
Long-stay residents on antianxiety or sleep medication
14.1%11.8%Improving
Short-stay residents newly given an antipsychotic
1.9%0%Improving
Residents with a long-term catheter
3%0.9%Improving
Residents with new or worsening incontinence
23.7%29%Worsening
Residents with depressive symptoms
3.8%2.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.6%—
Long-stay residents given the pneumonia vaccine
91.8%92.4%Improving
Short-stay residents given the seasonal flu vaccine
—92%—
Short-stay residents given the pneumonia vaccine
97.4%90.2%Worsening
What the inspectors found
The home failed to protect residents from the wrongful use of their belongings or money. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: E
The home failed to protect residents from being separated from others or confined to their rooms. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 603 — 42 CFR §483.12 — S/S: E
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: D
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $6,152 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $6,152 in total fines.
- $6,152
Federal fine
Aug 7, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 95.8 residents on an average day (92% of 104 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.