Nursing homeActive

Twin Lakes Community

3802 Wade Coble Drive, Burlington, NC 272153365381400104 certified beds · 96 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
7
160
Penalties · 3 yrs
$6,152
1 fine
Last survey
2026-03-19
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-19Standard120CMS-2567 (Care Compare)
2025-03-11Complaint020CMS-2567 (Care Compare)
2025-01-09Standard000CMS-2567 (Care Compare)
2024-08-07Complaint020CMS-2567 (Care Compare)
2023-09-15Standard000CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Carolina Division of Health Service Regulation 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.

2026-03-19Standard survey · 3 deficienciesOfficial report
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-29Record 345235-20260319-F636
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-29Record 345235-20260319-F638
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2026-03-29Record 345235-20260319-F577
2025-03-11Complaint survey · 2 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 345235-20250311-F604
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 345235-20250311-F607
2024-08-07Complaint survey · 2 deficienciesOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 345235-20240807-F602
F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 345235-20240807-F603

Penalties & enforcement

DateActionAmountSource
2024-08-07Civil money penalty$6,152CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.73
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day5.32
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours4.46
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover41%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover32%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.7%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.0%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
17.9%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.5%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
21.0%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.5%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.3%21.3%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
Lutheran Retirement Ministries Of Alamance County, North Carolina
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Conklin, Jonathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Fox, Pamela
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Fox, Pamela
Individual
CORPORATE OFFICERNOT APPLICABLE

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 North Carolina.

No county cost figures on file for Alamance.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Liberty Commons Nursing & Rehabilitation Center of
Burlington
1.3 mi2026-01-08240
Edgewood Place at the Village at Brookwood
Burlington
3.5 mi2025-07-24010
White Oak Manor - Burlington
Burlington
6.0 mi2025-11-181106
Peak Resources - Alamance, Inc
Graham
6.7 mi2026-07-01061
Alamance Health Care Center
Burlington
6.9 mi2026-06-240240
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