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CMS Nursing Home Compare · March 2026

Twin Lakes Community

3802 Wade Coble Drive, Burlington, NC 27215 · All homes in Burlington

Twin Lakes Community, a 104-bed non profit - corporation nursing facility in Burlington, NC, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3365381400

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5 / 5
Much above average · CMS overall · nat'l 3.0
5.46
Well above average · nurse hrs/day · nat'l 3.89
9
Inspection findings · 1 serious
$6K
Federal penalties (1)

Health Inspection

4/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
345235
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
104
Residents
95
In Hospital
No
County
Alamance
Last Inspection
Jan 9, 2025

Staffing Data

How the 5.46 total nursing hours per resident-day are staffed:

RN Hours
0.82 (nat'l avg: 0.68)
LPN Hours
0.89
CNA Hours
3.75
Total Nursing Hours
5.46 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
35.4%
RN Turnover
22.2%

What the CMS Record Reveals About Twin Lakes Community

Twin Lakes Community operates 104 certified beds in Burlington, NC with approximately 95 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $6K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 5.46 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Twin Lakes Community falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 35.4%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 20, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2025

E - Pattern - Minimal harm Aug 7, 2024 Tag: 0603

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 1, 2024

E - Pattern - Minimal harm Aug 7, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 3, 2024

F - Widespread - Minimal harm Jul 21, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 7, 2022

D - Isolated - Minimal harm Jul 21, 2022 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 7, 2022

G - Isolated - Actual harm Jul 21, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 7, 2022

D - Isolated - Minimal harm Jul 21, 2022 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 7, 2022

D - Isolated - Minimal harm Jul 21, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 7, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.0% No

Penalty History 1 penalties totaling $6K

Date Type Amount
Aug 7, 2024 Fine $6K

Frequently Asked Questions

What is the overall CMS rating for Twin Lakes Community?
Twin Lakes Community has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (3★).
What are the staffing levels at Twin Lakes Community?
Twin Lakes Community reports 5.46 total nursing hours per resident day (national average: 3.89). RN hours are 0.82 per resident day (national average: 0.68). Nursing staff turnover is 35.4%.
How many beds does Twin Lakes Community have?
Twin Lakes Community has 104 certified beds with approximately 95 residents. The facility is located at 3802 Wade Coble Drive, Burlington, NC 27215.
Does Twin Lakes Community have any deficiencies on record?
Yes, Twin Lakes Community has 9 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Twin Lakes Community received any fines or penalties?
Yes, Twin Lakes Community has received 1 penalties totaling $6K.
Who owns Twin Lakes Community?
Twin Lakes Community is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Twin Lakes Community last inspected?
The most recent health inspection for Twin Lakes Community was on Jan 9, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Twin Lakes Community?
Twin Lakes Community is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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