Home / North Carolina / Burlington
Twin Lakes Community
3802 Wade Coble Drive, Burlington, NC 27215 · Alamance County · (336) 538-1400
104 certified beds, about 96 residents a day · Non profit - Corporation · Medicare and Medicaid since 1983
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345235 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 19, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 7 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $6,152 in the last three years; the largest was $6,152, and the latest is dated August 7, 2024.
Nurses and nurse aides worked 5.32 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
41.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
March 19, 2026Standard inspection · 3 citations
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and staff interview the facility failed to complete quarterly Minimum Data Set (MDS) assessments within 14 days of the Assessment Reference Date (ARD, the last day of the look-back period) for 10 of 24 residents reviewed for MDS assessments (Residents #3, #9, #37, #50, #99, #49, #16, #57, #77 and #83).
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete annual Minimum Data Set (MDS) assessments within 14 days of the Assessment Reference Date (ARD, the last day of the look-back period) for 2 of 24 residents reviewed for MDS assessments (Residents #75 and #102).
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observations, and resident and staff interviews, the facility failed to post survey results in the lobby in a location easily accessible to all residents and visitors without asking and failed to post signage as to the location of the survey results for 2 of 4 days of the survey (3/18/26 and 3/19/26).
March 11, 2025Complaint inspection · 2 citations
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observations, record review, and staff and Responsible Party (RP) interviews, the facility failed to protect a resident's right to be free from physical restraint when Nurse Aide (NA) #1 held Resident #1 hands in front of his chest during incontinent care when Resident #1 started swinging his arms and hitting the nurse aide. This was for 1 of 1 resident reviewed for physical restraint (Resident #1).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and staff interviews, the facility failed to follow and implement their abuse policy and procedures in the area of identification, protection for the resident and reporting for 1 of 1 resident reviewed for physical restraints (Resident #1). While Nurse Aide (NA) #1 was physically restraining Resident #1 during incontinent care, NA#2 did not intervene and did not report the incident immediately to licensed nursing or administrative staff. This failure would result in a lack of protection for other residents.
January 9, 2025Standard inspection · 0 citations
August 7, 2024Complaint inspection · 2 citations
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review and interviews with residents, staff, and physician, the facility failed to protect residents' rights to be free from misappropriation of controlled medications for 1 of 4 resident (Resident #2) reviewed for misappropriation of residents' property.
- E Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Inspectors wroteBased on record review and interviews with residents, staff, and physician, the facility failed to protect residents' rights to be free from involuntary seclusion for 1 of 3 resident (Resident #1) reviewed for abuse.
September 15, 2023Standard inspection · 0 citations
Fire safety inspections
11 fire safety citations on file: 2 on March 19, 2026, 5 on January 9, 2025, 4 on September 15, 2023.
Every fire safety citation11 citations
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Have an enclosure around a vertical opening shaft.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install a fire alarm system that can be heard throughout the facility.
- D Have properly installed electrical wiring and gas equipment.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 7, 2024 | Fine | $6,152 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.32 | 3.85 | 3.86 |
| Registered nurses | 0.73 | 0.62 | 0.69 |
| All nursing staff on weekends | 4.46 | 3.42 | 3.42 |
| Nurse aides | 3.56 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 41.3% | 49.0% | 45.8% |
| Registered nurse turnover | 31.6% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.67 on weekdays and 4.46 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.35 in April to June 2025 to 5.32 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.32 | 0.73 | 5.67 | 4.46 | 1.0% | 0 of 90 | 96 |
| Oct to Dec 2025 | 5.30 | 0.71 | 5.60 | 4.54 | 1.1% | 0 of 92 | 98 |
| Jul to Sep 2025 | 5.46 | 0.82 | 5.78 | 4.64 | 1.0% | 0 of 92 | 95 |
| Apr to Jun 2025 | 5.35 | 0.85 | 5.66 | 4.56 | 0.0% | 0 of 91 | 95 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.0 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.8 | 1.8 |
Owners and operators
Legal business name: LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lutheran Retirement Ministries of Alamance County, North Carolina | 5% or greater direct ownership interest | Organization | 100% | 09/30/1983 |
| Fox, Pamela | W-2 managing employee | Individual | 01/04/2013 | |
| Conklin, Jonathan | Corporate officer | Individual | 10/01/2017 | |
| Fox, Pamela | Corporate officer | Individual | 01/04/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on March 11, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Assure that each resident’s assessment is updated at least once every 3 months."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 19, 2026: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
Other nursing homes nearby
- Liberty Commons Nursing & Rehabilitation Center of Burlington, 1.3 mi · 4 of 5 stars · 6 citations
- Edgewood Place at the Village at Brookwood Burlington, 3.5 mi · 5 of 5 stars · 8 citations
- White Oak Manor - Burlington Burlington, 6 mi · 2 of 5 stars · 23 citations
- Peak Resources - Alamance, Inc Graham, 6.7 mi · 3 of 5 stars · 9 citations
- Alamance Health Care Center Burlington, 6.9 mi · 1 of 5 stars · 24 citations
- Ashton Health and Rehabilitation McLeansville, 8 mi · 5 of 5 stars · 5 citations
- Compass Healthcare and Rehab Hawfields, Inc. Mebane, 13.3 mi · 3 of 5 stars · 8 citations
- Guilford Health Care Center Greensboro, 13.6 mi · 1 of 5 stars · 27 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Twin Lakes Community's Medicare star rating?
- CMS rates Twin Lakes Community 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Twin Lakes Community get at its last inspection?
- 3 health deficiencies at the standard inspection on March 19, 2026. The North Carolina average is 4.7.
- Has Twin Lakes Community been fined?
- Yes. CMS lists 1 fine totaling $6,152 in the last three years.
- Does Twin Lakes Community accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Twin Lakes Community?
- CMS lists 4 owners and managers. Legal business name: LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.