CMS data shows Twin Lakes Extended Care earning a D grade with a score of 45/100, placing it below most facilities in Illinois. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Twin Lakes Extended Care, with 3.37 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 28 deficiencies at Twin Lakes Extended Care, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.37 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.51 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.58 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.28 | 2.4 | Average |
| Weekend Total Nursing | 3.03 | 3.8 | Below Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jun 24, 2024 · Resident Rights Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Jun 24, 2024 · Quality of Life and Care Deficiencies
- Tag 0758 Severity DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psyJun 24, 2024 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJun 24, 2024 · Pharmacy Service Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Dec 13, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.5% | 4.5% | Better |
| Falls with major injury | 1.7% | 3.0% | Better |
| On antipsychotic medication | 12.8% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 11.9% | 14.0% | Better |
| Excessive weight loss | 18.4% | 7.5% | Worse |
| New/worsened incontinence | 17.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $71,455
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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