Nursing homeActive

Twin Lakes Extended Care

310 Eads Avenue, Paris, IL 61944217465539556 certified beds · 40 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
29
3233
Penalties · 3 yrs
$71,455
1 fine · 1 action
Last survey
2026-02-06
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Illinois Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-06Complaint001CMS-2567 (Care Compare)
2024-06-25Standard140CMS-2567 (Care Compare)
2023-12-14Complaint041CMS-2567 (Care Compare)
2023-09-25Complaint011CMS-2567 (Care Compare)
2023-08-22Complaint020CMS-2567 (Care Compare)
2023-05-18Standard150CMS-2567 (Care Compare)
2022-05-17Standard170CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Illinois Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-06Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-02-07Record 145466-20260206-F689
2024-06-25Standard survey · 5 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 145466-20240625-F550
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 145466-20240625-F695
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 145466-20240625-F758
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 145466-20240625-F761
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2024-07-18Record 145466-20240625-F912
2023-12-14Complaint survey · 5 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-10Record 145466-20231214-F600
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 145466-20231214-F580
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 145466-20231214-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 145466-20231214-F609
F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 145466-20231214-F836
2023-09-25Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-05Record 145466-20230925-F689
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-05Record 145466-20230925-F657
2023-08-22Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-25Record 145466-20230822-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-25Record 145466-20230822-F609
2023-05-18Standard survey · 6 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-30Record 145466-20230518-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-01Record 145466-20230518-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-01Record 145466-20230518-F686
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-06-01Record 145466-20230518-F812
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-30Record 145466-20230518-F912
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2023-05-31Record 145466-20230518-F576
2022-05-17Standard survey · 8 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-01Record 145466-20220517-F580
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-01Record 145466-20220517-F656
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-01Record 145466-20220517-F692
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-01Record 145466-20220517-F700
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-01Record 145466-20220517-F727
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-01Record 145466-20220517-F758
F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-01Record 145466-20220517-F909
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2022-06-01Record 145466-20220517-F732

Penalties & enforcement

DateActionAmountSource
2023-12-14Civil money penalty$71,455CMS · Penalties
2023-12-14Denial of payment for new admissions
Payment denial for 4 days, from 2024-01-06
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.52
Facility
Illinois
National
Illinois 0.72 · National 0.69
Total nurse hours per resident day3.71
Facility
Illinois
National
Illinois 3.45 · National 3.86
Weekend total nurse hours3.27
Facility
Illinois
National
Illinois 3.08 · National 3.42
Total nursing staff turnover41%
Facility
Illinois
National
Illinois 45% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIllinoisNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.0%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.8%3.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
1.1%21.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
4.2%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
19.2%6.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.0%18.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Com Family Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST12%
Dean, Genettia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Erblich, Avraham
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Etn Family Holdings LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Friedman, Benjamin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Millman, Chaim
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Newhouse, Eric
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sheps, Boruch
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
The Estate Of Peter Schorr
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Tlco Holdings LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Zaman, Asad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Dean, Genettia
Individual
ADP OF THE SNFNOT APPLICABLE
Erblich, Avraham
Individual
ADP OF THE SNFNOT APPLICABLE
Etn Family Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Etn Family Holdings LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Friedman, Benjamin
Individual
ADP OF THE SNFNOT APPLICABLE
Millman, Chaim
Individual
ADP OF THE SNFNOT APPLICABLE
Millman, Chaim
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Millman, Chaim
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Millman, Chaim
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Newhouse, Eric
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Newhouse, Eric
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Newhouse, Eric
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Newhouse, Temi
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Sheps, Boruch
Individual
ADP OF THE SNFNOT APPLICABLE
Stern, Bezalel
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
The Estate Of Peter Schorr
Organization
ADP OF THE SNFNOT APPLICABLE
The Estate Of Peter Schorr
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Zaman, Asad
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Stern Consultants22 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Illinois.

No county cost figures on file for Edgar.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
The Haven of Paris
Paris
1.1 mi2026-04-0937713
Pleasant Meadows Senior Living
Chrisman
13.4 mi2026-06-2607615
Marshall Rehab & Nursing
Marshall
15.4 mi2026-06-121310
Providence Health Care Center
St Mary Of The Woods
13.0 mi2026-01-160121
Clinton Gardens
Clinton
14.6 mi2025-08-11090
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01