Twin Lakes Manor

The unannounced annual inspection was conducted by Marcella Tarin and met with Administrator Jennifer Flores. The LPA toured the facility and reviewed various areas, noting that all exit and passageways were clear and that essential safety equipment was functional. Crucially, the report explicitly states that no deficiencies were cited during this visit.

The report details two separate complaint investigations conducted on 03/01/2025. The allegations regarding interference with hospice services and unlawful rate increases were both found to be unsubstantiated. However, a separate allegation concerning a resident sustaining an injury while in care was substantiated, resulting in citations for immediate health and safety risks.

This report details a follow-up complaint investigation conducted on January 19, 2025. The allegations regarding staff sleeping in resident rooms, inadequate staffing, and lack of activities were all investigated. The department determined that there was not a preponderance of evidence to prove any of the alleged violations, and consequently, no deficiencies were cited.

The inspection identified three deficiencies related to facility operations and resident care. These include inadequate linen management, failure to conduct required quarterly emergency drills, and failure to update annual medical assessments and service plans for residents with dementia. All cited deficiencies were classified as Type B (non-compliance).

The facility underwent an unannounced annual inspection on August 3, 2022. The general tour revealed that the facility was clean, well-maintained, and staff were compliant with basic safety protocols. The only deficiency noted was the lack of specific instructions regarding the 20-second hand washing requirement on posted signs.

The inspection was a Case Management visit conducted on March 9, 2022. The Licensing Program Analyst reviewed the facility's records, including the Amended LIC9099 and LIC9099D report, with the facility representative. No specific deficiencies were cited in the provided report content.

The facility underwent an unannounced annual inspection on September 17, 2021. The inspection noted several positive aspects, including clean rooms, adequate supplies, and adherence to safety protocols. The only deficiency cited was the missing hand washing signs in all public bathrooms.

The investigation identified multiple deficiencies, primarily concerning medication management and staff training. Specifically, record reviews showed significant gaps in Medication Administration Records (MARs), which was cited as a potential health and safety risk. Additionally, deficiencies were noted regarding required staff training and the maintenance of current medication records.