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
5 of 5 overall
Twin Lakes Community in Burlington, NC has a 5-star overall rating, with strong staffing (5 stars and 5.30 hours per resident per day, above the 4.1 federal benchmark). It has a 4-star health inspection rating, 3-star quality measures, and a recent federal penalty with $6,152 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.3032 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 5.3032.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 1.00
- Nurse aides
- 3.59
- Weekend nursing
- 4.54
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 28%
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
21.1%11.1%Improving
Residents with a fall causing major injury
3.5%6.7%Worsening
Residents with pressure ulcers (bedsores)
3.8%5.5%Worsening
Residents with a urinary tract infection
1.2%2.3%Worsening
Residents who lost too much weight
2.8%6.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%23.2%Worsening
Residents whose ability to walk got worse
14.6%21.1%Worsening
Long-stay residents on antianxiety or sleep medication
13.7%14.7%Worsening
Short-stay residents newly given an antipsychotic
1.8%0%Improving
Residents with a long-term catheter
1.2%1.1%No change
Residents with new or worsening incontinence
28.1%30.6%Worsening
Residents with depressive symptoms
4.9%1.2%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
94.1%91%Worsening
Short-stay residents given the seasonal flu vaccine
—92%—
Short-stay residents given the pneumonia vaccine
96.4%92.5%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
- 97.5 residents on an average day (94% 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.