| Twin Lakes Community | |
| 3802 Wade Coble Drive, Burlington, North Carolina 27215 | |
| (336) 538-1400 | |
| Name | Twin Lakes Community |
|---|---|
| Location | 3802 Wade Coble Drive, Burlington, North Carolina |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 104 |
| Occupancy Rate | 92.12% |
| Medicare ID (CCN) | 345235 |
| Legal Business Name | Lutheran Retirement Ministries of Alamance County, North Carolina |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1669449799 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lutheran Retirement Ministries of Alamance County, North Carolina |
| Doing Business As | Twin Lakes Community |
| Address | 100 Wade Coble Dr, Burlington, NC 27215 |
| Phone Number | 336-538-1500 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.32 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.73 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.03 | 0.86 |
| Nurse aide hours per resident per day | 3.56 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.46 | 3.42 |
| RN hours per resident per day on the weekend | 0.43 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 41.3% | 45.8% |
| Registered nurse turnover | 31.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $6,152 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 19, 2026 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Mar 29, 2026 |
| Mar 19, 2026 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2026 |
| Mar 19, 2026 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Standard inspection | Minimal harm potential, widespread | No revisit needed |
| Mar 11, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Mar 18, 2025 |
| Mar 11, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Aug 7, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Past non-compliance (already corrected) |
| Aug 7, 2024 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Past non-compliance (already corrected) |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.96 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.53 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.25 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.47 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.29 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.03 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.95 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.56 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.28 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.29 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.59 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.05 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.71 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.31 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.93 | 15.38 |
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