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Twin Oaks Nursing Home

506 West 5th Street, Laplace, LA 70068 · St. John Baptist County · (985) 652-9538

148 certified beds, about 81 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 195303 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 13, 2025, inspectors cited 5 health deficiencies (the Louisiana average is 6.4, the national average 9.2).

None of its 40 health citations since November 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.23 hours per resident per day, against 3.76 across Louisiana and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.

45.3% of nursing staff left within the year CMS measured (Louisiana average 47.6%).

CMS links it to Inspired Healthcare Management, an affiliated group of 6 nursing homes.

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
18E
0F
Potential for minimal harm
0A
0B
0C
January 15, 2026Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to report an injury of unknown source with serious bodily injury to the State Survey Agency within two (2) hours for 1 (Resident #1) of 3 residents sampled for quality of care and treatment.
August 13, 2025Standard inspection, Complaint inspection · 5 citations
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to ensure a resident's room was maintained free of odors, soiled linens, a spill, and debris for 1 (Resident #56) of 7 (Resident #1, Resident #12, Resident #45, Resident #49, Resident #56, Resident #83, Resident #89) sampled residents investigated for environment.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure respiratory nebulizer tubing was changed and dated 1 (Resident #22) of 8(Resident #1, Resident #12, Resident #13, Resident #15, Resident #22, Resident #49, Resident #56 and Resident #89) sampled residents investigated for respiratory care.
  3. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observations, interviews, record review, the facility failed to ensure menu substitutions were approved by the facility's dietician.
  4. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observations and interviews the facility failed to:1. Ensure food items stored in the facility's three door refrigerator and the facility's freezer were dated once opened; 2. Ensure food items stored in the facility's three door refrigerator were covered; 3. Ensure food items from an outside source which were stored in the facility's freezer were labeled; and, 4. Ensure the sanitization test strips used to test the amount of sanitization in the dishwasher were not expired.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure:1. Staff wore the appropriate Personal Protective Equipment (PPE) while moving a mattress in the room of a resident on contact isolation precautions (an infection control strategy that uses gloves and gowns to prevent the spread of multi-drug resistant organisms) (Resident #90); and,2. Staff wore the appropriate PPE while providing care to a resident on Enhanced Barrier Precautions (EBP) (an infection control strategy that uses gloves and gowns during high-contact resident care to reduce the spread of infection) (Resident #4). This deficient practice was identified for 2 (Resident #4, Resident #90) of 5 (Resident #4, Resident #62, Resident #76, Resident #82, Resident #90) sampled residents observed for infection control practices during direct resident care.
April 30, 2025Complaint inspection · 5 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on record reviews and interviews, the facility failed to notify the State's Long-Term Care Ombudsman of discharges in writing for 2 (Resident #3, Resident R1) of 3 (Resident #1, Resident #3, Resident R1) sampled residents reviewed for discharge requirements.
  2. E
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on record reviews and interview, the facility failed to ensure its facility-wide assessment addressed the behavioral health needs of its resident population as required . This deficient practice was identified for 3 (Resident #2, Resident #3, Resident #4) of 2 (Resident #2, Resident #3, Resident #4) sampled residents reviewed for behavioral health needs.
  3. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on record reviews and interviews, the facility failed to protect a resident's right to be free from resident to resident physical abuse for 1 (Resident #4) of 4 (Resident #1, Resident #2, Resident #3, Resident #4) sampled residents reviewed for resident rights.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on interview record and reviews, the facility failed to report an incident of resident to resident abuse to the statewide incident management system (SIMS) as required for 2 (Resident #2, Resident #4) of 4 (Resident #1, Resident #2, Resident #3, Resident #4) sampled residents.
  5. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 14, 2025
    Inspectors wroteBased on record reviews and interview, the facility failed to ensure a resident with a new diagnosis of bipolar disorder (a mood disorder that can cause intense mood swings) was referred to the appropriate state agency for a Preadmission Screening and Resident Review (PASARR) Level II evaluation as required for 1 (Resident #3) of 2 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for PASARR.
September 5, 2024Complaint inspection · 1 citation
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure a thorough investigation was completed for an allegation of neglect for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents reviewed for neglect.
August 7, 2024Standard inspection · 7 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide nail care for 2 (Resident #28 and Resident #40) of 6 (Resident #24, Resident #28, Resident #40, Resident #47, Resident #61, and Resident #78) sampled residents investigated for activities of daily living (ADLs).
  2. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 24, 2024
    Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to develop a plan of care for 1 (Resident #3) of 1 resident (Resident #3) receiving respiratory care by nasal cannula.
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 8, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure the nursing staff signed a verification of an accurate medication count at the beginning and end of each shift for 2 [Medication Cart (a) and Medication Cart (b)] of 2 [Medication Cart (a) and Medication Cart (b)] Medication Carts (Med Cart) observed and reviewed for accurate dispensation of controlled medications.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2024
    Inspectors wroteBased on observation and interview, the facility failed to protect client confidentiality for 1 resident (Resident #8) of 32 sampled residents (Resident #1, Resident #3, Resident #8, Resident #11, Resident #15, Resident #25, Resident #21, Resident #24, Resident #28, Resident #29, Resident #40, Resident #43, Resident #47, Resident #53, Resident #54, Resident #56, Resident #57, Resident #60, Resident #6, Resident #67, Resident #68, Resident #70, Resident #73, Resident #78, Resident #80, Resident #88, Resident #86, Resident #87, Resident #89, Resident #340, Resident #34, and Resident #342).
  5. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure a Level 1 Pre-admission Screening and Resident Review (PASARR) was completed correctly for 1 (Resident #56) of 1 (Resident #56) residents reviewed for PASARR.
  6. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2024
    Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure a resident was referred for dental services for 1 (Resident #25) of 3 (Resident #25, Resident #68, and Resident #21) sampled residents reviewed for dental services.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2024
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure: 1. Ensure clean items in the facility's laundry room were not kept in the contaminated laundry area, and 2. Ensure staff wore proper protective equipment and performed hand hygiene during incontinence care for 1 (Resident #24) of 6 (Resident #24, Resident #28, Resident #40, Resident #47, Resident #61, and Resident #78) residents investigated for activities of daily living.
June 27, 2024Complaint inspection · 3 citations
  1. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 7, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure an allegation of verbal and physical abuse was reported to the required state survey agency for 1 (Resident #1) of the 3 (Resident #1, Resident #2, and Resident #3) sampled residents investigated for abuse.
  2. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 7, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to conduct a thorough investigation following an allegation of physical abuse for 1(Resident #1) of the 3 (Resident #1, Resident #2, and Resident #3) sampled residents investigated for abuse.
  3. D
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    F940 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 7, 2024
    Inspectors wroteBased on record review and interview, the facility failed to implement a training program for 1 (S1Administrator) of 6 (S1Administrator, S6Sunshine Aide, S7Social Services, S8Cerified Nursing Assistant [CNA], S9CNA, and S10CNA) sampled personnel files reviewed for training.
May 2, 2024Complaint inspection · 3 citations
  1. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 16, 2024
    Inspectors wroteBased on interviews and record reviews, the facility failed to protect the residents' right to be free from verbal and physical abuse by other residents. This deficient practice was identified for 6 (Resident #4, Resident #5, Resident #6, Resident #8, Resident #9, and Resident #10) of 10 sampled residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, and Resident #10) reviewed for abuse.
  2. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 16, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to ensure an allegation of resident-to-resident abuse was: 1. Reported to the State Survey Agency for 1 (Resident #10) of 10 (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, and Resident #10) sampled residents reviewed for abuse; and, 2. Reported timely to the State Survey Agency for 2 (Resident #6 and Resident #9) of 9 (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, and Resident #9) sampled residents reviewed for timeliness of reporting of abuse allegations.
  3. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 16, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to conduct a thorough investigation following an allegation of verbal abuse between 2 (Resident #1 and Resident #10) of 10 (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, and Resident #10) sampled residents investigated for abuse.
January 4, 2024Complaint inspection · 3 citations
  1. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 1, 2024
    Inspectors wroteBased on record review and interview the facility failed to notify a resident's physician of a significant change of condition for 1 (Resident #1) of 3 (Resident #1, Resident #2 and Resident #3) sampled residents.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 1, 2024
    Inspectors wroteBased on interviews, and record review, the facility failed to administer medications per a physician's order for 2 (Resident #2 and Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) resident's records reviewed.
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 1, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to have accurate orders and nursing notes for 1 (Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) resident's records reviewed for accuracy.
November 2, 2023Standard inspection · 12 citations
  1. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation and interviews, the facility failed to allow residents access to their personal funds for 1 (Resident #29) of 4 (Resident #4, Resident #29, Resident #44, and Resident #69) sampled residents investigated for personal funds.
  2. E
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's code status matched and was maintained throughout the clinical record for 1 (Resident #44) of 16 (Resident #4, Resident #5, Resident #6, Resident #13, Resident #18, Resident #19, Resident #25, Resident #29, Resident #38, Resident #44, Resident #53, Resident #57, Resident #58, Resident #59, Resident #69, and Resident #81) residents reviewed for code status.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to implement a resident's care plan and administer a resident's insulin per physician's order for 1 (Resident #11) of 5 (Resident #11, Resident #13, Resident #53, Resident #57, and Resident #58) sampled residents reviewed for unnecessary medications.
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Ensure a resident with a history of falls received increased supervision to prevent further falls for 1 (Resident #59) of 2 (Resident #18 and Resident #59) sampled residents reviewed for falls; and 2. Ensure a resident with a known history of unsafe smoking in his room did not have smoking materials in his possession for 1 (Resident #25) of 6 (Resident #6 and Resident #25) sampled residents reviewed for safe smoking.
  5. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to: 1. Ensure a resident's physician's order for dialysis was accurate for 1 (Resident #13) of 1 (Resident #13) sampled residents investigated for dialysis services; and, 2. Maintain ongoing communication regarding a resident's condition with the dialysis facility for 1 (Resident #13) of 1 (Resident #13) sampled residents investigated for dialysis services.
  6. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure side effect monitoring for the use of anticoagulant medication was completed for 1 (Resident #53) of 5 (Resident #11, Resident #13, Resident #53, Resident #57, and Resident #58) sampled residents reviewed for unnecessary medications.
  7. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Ensure the nurse performed hand hygiene during insulin (a medication used to lower blood sugar) administration for 3 (Resident #9, Resident #53, and Resident #286) of 3 (Resident #9, Resident #53, and Resident #286) residents observed for glucose monitoring and insulin administration; and 2. Ensure a Certified Nursing Assistant (CNA) performed hand hygiene while passing ice to 7 residents (Resident #1, Resident #8, Resident #26, Resident #50, Resident #66, Resident #67, and Resident #286) of 7 residents (Resident #1, Resident #8, Resident #26, Resident #50, Resident #66, Resident #67, and Resident #286) observed for hand hygiene while passing ice.
  8. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to ensure a resident had access to the air conditioner thermostat controls in order to set the temperature in her room per her preference for 1 (Resident #13) of 1 (Resident #13) sampled residents investigated for environment.
  9. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed ensure necessary supervision was provided to ensure a resident did not verbally and physically abuse another resident for 1 (Resident #19) of 1 (Resident #19) sampled residents reviewed for abuse.
  10. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to ensure an allegation of physical abuse and verbal abuse was reported to the state survey agency within 2 hours of the allegation for 1 (Resident #19) of 1 (Resident #19) sampled residents reviewed for abuse.
  11. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record review and interview, failed to ensure an allegation of resident to resident physical abuse was thoroughly investigated for 1 (Resident #19) of 1 (Resident #19) sampled residents reviewed for abuse.
  12. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure only licensed personnel administered medications for 1 (Resident #43) of 1 (Resident #43) sampled residents observed for medicated cream administration in a total sample of 18.

Fire safety inspections

11 fire safety citations on file: 3 on August 13, 2025, 6 on August 7, 2024, 2 on November 2, 2023.

Every fire safety citation11 citations
  1. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 13, 2025 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · August 13, 2025 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 13, 2025 · Corrected (the home has a date of correction)
  4. E
    Establish policies and procedures for medical documentation.
    E 23 · August 7, 2024 · Corrected (the home has a date of correction)
  5. E
    Establish policies and procedures for volunteers.
    E 24 · August 7, 2024 · Corrected (the home has a date of correction)
  6. E
    Provide emergency officials' contact information.
    E 31 · August 7, 2024 · Corrected (the home has a date of correction)
  7. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 7, 2024 · Corrected (the home has a date of correction)
  8. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 7, 2024 · Corrected (the home has a date of correction)
  9. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 7, 2024 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 2, 2023 · Corrected (the home has a date of correction)
  11. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 2, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeLouisianaUnited States
All nursing staff (RN, LPN and aides)3.233.763.86
Registered nurses0.360.310.69
All nursing staff on weekends2.823.213.42
Nurse aides1.59
Licensed practical nurses1.27
Nursing staff turnover (share who left in a year)45.3%47.6%45.8%
Registered nurse turnover33.3%41.6%42.9%
Administrators who left0

CMS expects 3.85 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 3.39 on weekdays and 2.82 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.230.363.392.82 4.2%0 of 9081
Oct to Dec 20253.360.313.503.01 4.5%0 of 9277
Jul to Sep 20253.370.353.493.06 6.5%0 of 9279
Apr to Jun 20253.620.403.783.24 15.9%0 of 9177
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Louisiana, Jan to Mar 20263.640.263.863.103.6%0.9% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Louisiana

JobMedianMiddle halfEmployed
Louisiana, all employers
CNAs (nursing assistants)$14.67$13.97 to $16.8720,690
LPNs and LVNs$27.63$23.87 to $29.4317,600
Registered nurses$38.57$33.19 to $45.0048,970
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Twin Oaks Nursing Home. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeLouisianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.917.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.21.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
7.03.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.917.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.65.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
21.622.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.528.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
20.214.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.12.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.71.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Twin Oaks Nursing Home's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Louisiana: 16 better, 33 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 14 eligible stays.

Potentially preventable readmissions

11.0% this home

No different from the national rate

US median of homes 10.7% · Louisiana: 0 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 29 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Louisiana: 1 better, 7 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 15 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Louisiana50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Falls with major injury

0.0% this home

Median of homes: Louisiana1.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 24 residents counted.

New or worsened pressure ulcers

7.3% this home

Median of homes: Louisiana2.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 24 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Louisiana100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: TWIN OAKS NURSING HOME INC. CMS links this home to Inspired Healthcare Management, a group of 6 nursing homes averaging 1.5 stars overall.

NameRoleTypeShareSince
Twin Oaks Nursing Home Inc5% or greater direct ownership interestOrganization100%04/13/1973
Burch, Felix5% or greater indirect ownership interestIndividual8%06/22/2020
Burch, Guy S.5% or greater indirect ownership interestIndividual8%06/22/2020
Burch, Jeffery5% or greater indirect ownership interestIndividual8%06/22/2020
Burch, Paula5% or greater indirect ownership interestIndividual8%06/22/2020
Burch, Renee5% or greater indirect ownership interestIndividual8%06/22/2020
Kerl, Elise5% or greater indirect ownership interestIndividual8%06/22/2020
Burch, Guy S.Corporate directorIndividual01/21/2021
Goux, JeremyCorporate directorIndividual01/21/2021
Goux, TimothyCorporate directorIndividual01/01/2012
Burch, Guy S.Corporate officerIndividual01/21/2021
Goux, JeremyCorporate officerIndividual01/21/2021
Inspired Healthcare Management, LLCOperational/managerial controlOrganization02/01/2017
Bailey, ColinOperational/managerial controlIndividual07/01/1983
Connor, KarenOperational/managerial controlIndividual07/22/2015
Leach, Mary LynnOperational/managerial controlIndividual07/08/2020
Inspired Healthcare Management, LLCAdp of the SNFOrganization10/06/2025
Twin Oaks Nursing Home IncAdp of the SNFOrganization04/13/1973
Bailey, ColinAdp of the SNFIndividual07/01/1983
Burch, FelixAdp of the SNFIndividual06/22/2020
Burch, Guy S.Adp of the SNFIndividual06/22/2020
Burch, JefferyAdp of the SNFIndividual06/22/2020
Burch, PaulaAdp of the SNFIndividual06/22/2020
Burch, ReneeAdp of the SNFIndividual06/22/2020
Connor, KarenAdp of the SNFIndividual07/22/2015
Goux, JeremyAdp of the SNFIndividual12/29/2020
Goux, TimothyAdp of the SNFIndividual12/29/2020
Kerl, EliseAdp of the SNFIndividual06/22/2020

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.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 12 problems in this area, most recently on January 15, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on August 13, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on August 13, 2025: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on August 13, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.82 hours per resident per day, below the Louisiana average of 3.21.

Other nursing homes nearby

Louisiana contacts for a concern about a nursing home

These are the official offices in Louisiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Twin Oaks Nursing Home's Medicare star rating?
CMS rates Twin Oaks Nursing Home 1 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Twin Oaks Nursing Home get at its last inspection?
5 health deficiencies at the standard inspection on August 13, 2025. The Louisiana average is 6.4.
Has Twin Oaks Nursing Home been fined?
CMS lists no fines in the last three years.
Does Twin Oaks Nursing Home 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 Oaks Nursing Home?
CMS lists 28 owners and managers, and links the home to Inspired Healthcare Management. Legal business name: TWIN OAKS NURSING HOME INC.

Sources

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