CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3452352026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Twin Lakes Community

CMS lists this provider in Burlington, NC, with 104 certified beds, an overall rating of 5/5, and 18 citation rows in the current August 2026 release.

3802 Wade Coble Drive · Burlington, NC 27215 · Alamance County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds104CMS provider file
Recent citation rows18current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Twin Lakes Community survey cycles in this release

CMS supplies 3 survey-cycle rows for Twin Lakes Community in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-1932026-03-192
Cycle 22025-01-0942025-01-095
Cycle 32023-09-1502023-09-154
02 / CITATION DETAIL

Twin Lakes Community citations in the current release

CMS reports 18 citation rows, including 0 with G–L codes and 0 with J–L codes.

0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag code appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-19 · HEALTHF0577Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Correction field: No revisit needed · 2026-03-29
2026-03-19 · HEALTHF0636Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Correction field: Deficient, Provider has date of correction · 2026-03-29
2026-03-19 · HEALTHF0638Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Correction field: Deficient, Provider has date of correction · 2026-03-29
2026-03-19 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has no plan of correction
2026-03-19 · FIREK0521Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has no plan of correction
2025-03-11 · HEALTHF0604Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-18 · complaint
2025-03-11 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint
2025-01-09 · FIREK0311Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

Correction field: Deficient, Provider has date of correction · 2025-03-14
2025-01-09 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2025-03-14
2025-01-09 · FIREK0372Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-03-14
2025-01-09 · FIREK0700Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Correction field: Deficient, Provider has date of correction · 2025-03-14
2025-01-09 · FIREK0918Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-03-14
2024-08-07 · HEALTHF0602Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Past Non-Compliance · 2024-05-03 · complaint
2024-08-07 · HEALTHF0603Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Past Non-Compliance · 2024-08-01 · complaint
2023-09-15 · FIREK0341Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2023-11-20
2023-09-15 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2023-11-20
2023-09-15 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2023-11-20
2023-09-15 · FIREK0923Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2023-11-20
03 / ENFORCEMENT FILE

CMS penalties reported for Twin Lakes Community

The August 2026 file contains 1 penalty row and $6,152 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-08-07Fine$6,1520
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Twin Lakes Community

CMS matched 4 ownership disclosure rows to Twin Lakes Community; names and roles are reported fields, not independently verified identities.

  • LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINAOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 09/30/1983
  • FOX, PAMELAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 01/04/2013
  • CONKLIN, JONATHANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/01/2017
  • FOX, PAMELAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/04/2013

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Twin Lakes Community

CMS reports 5.32 total nurse hours and 0.73 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours5.32per resident day
RN hours0.73per resident day
Weekend nurse hours4.46per resident day
Staff turnover41.3%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.