B

Twin Lakes Community

3802 Wade Coble Drive, Burlington, NC 27215
Score: 84 / 100

With a score of 84/100 and a B grade, Twin Lakes Community is a well-regarded option in Burlington, North Carolina. The facility performs above average in most CMS categories, placing it in the 85th percentile statewide.

Staffing levels at Twin Lakes Community exceed national averages, with 5.46 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.82 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 9 deficiencies at Twin Lakes Community. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.46 3.8 Above Average
Registered Nurses (RN) 0.82 0.7 Above Average
Licensed Practical Nurses (LPN) 0.89 0.7 Above Average
Certified Nursing Assistants (CNA) 3.75 2.4 Above Average
Weekend Total Nursing 4.64 3.8 Above Average
Weekend RN Hours 0.46 0.7 Below Average

🔍 Inspection & Deficiency History

9
Total Deficiencies
Mar 10, 2025
Most Recent Inspection
🟠 9 Moderate
View recent deficiencies (5 shown)
  • Tag 0604 Severity D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    Mar 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0607 Severity D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Mar 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0602 Severity E
    Protect each resident from the wrongful use of the resident's belongings or money.
    Aug 6, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0603 Severity E
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    Aug 6, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 20, 2022 · Quality of Life and Care 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 3.8% 4.5% Better
Falls with major injury 4.5% 3.0% Worse
On antipsychotic medication 20.5% 14.5% Worse
Urinary tract infections 1.8% 2.5% Better
ADL decline (daily activities) 20.4% 14.0% Worse
Excessive weight loss 3.6% 7.5% Better
New/worsened incontinence 24.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $6,152

How This Grade Was Calculated

This facility's grade of B is based on a score of 84 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
104
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 8, 2025
Deficiencies (Cycle 1)
2