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Nursing HomeMedicaid Investigative

Twin Lakes Rehabilitation and Healthcare Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

227 Sand Hill Road, Greensburg, PA 15601137 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 155 Google reviews

5
4
3
2
1
Twin Lakes Rehabilitation and Healthcare Center Nursing Home in Greensburg, PA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (16 vs median 8.0)

Bottom 25% in PA · Below recommended RN staffing · $11,035 in fines

Source: Medicare data

What this means for your family

This facility has a strong reputation for physical and occupational therapy, making it a potential candidate for short-term recovery. However, the recurring reports of slow response times to call lights and staffing shortages are significant concerns. We strongly recommend visiting during a weekend or evening to observe the actual staffing levels and response times before making a decision.

Google Reviews

Google Reviews

155 reviews on Google
Twin Lakes Rehabilitation and Healthcare Center receives highly polarized feedback, with many families praising the dedicated therapy and nursing staff, while others report severe neglect and communication failures. Recurring complaints focus on understaffing, particularly on weekends, and significant delays in responding to call lights for basic needs like toileting. Families considering this facility should be aware of the stark contrast between the positive rehabilitation outcomes and the reports of poor hygiene and unresponsive care.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean5.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Friendly and compassionate nursing staff
  • Clean, well-maintained facility environment
  • Engaging activities and coordinators

Concerns

  • Significant delays in responding to call lights and assistance requests (mentioned by 9 reviewers)
  • Understaffing, especially on weekends and evenings (mentioned by 6 reviewers)
  • Poor communication and difficulty reaching staff/administration (mentioned by 5 reviewers)
  • Missing personal belongings and clothing (mentioned by 3 reviewers)
  • Poor food quality and cold meals (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2341.7'19(11)4.54.3'21(39)4.23.4'23(13)3.74.5'25(55)4.4'26(22)

Distribution · 186 analyzed

5
128
4
13
3
10
2
5
1
30

How They Respond to Reviews

7%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what is your facility's protocol for ensuring timely responses to call lights, particularly during evening and weekend shifts?
  • 2I noticed the facility has a strong reputation for physical and occupational therapy; how do you integrate those therapy goals into the daily activity schedule for residents?
  • 3What specific steps is the administration taking to improve communication with families regarding changes in a resident's health status or care plan?
  • 4With the recent focus on facility improvements, what measures are in place to ensure that residents' personal belongings and clothing are tracked and safely managed?
  • 5How does the kitchen team work to ensure that meals are served at appropriate temperatures and meet the nutritional preferences of the residents?
  • 6In light of the recent CMS health inspection findings, what proactive steps is the leadership team taking to address those specific areas of concern?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy and OT department are top notch. They took me from a place where no one thought I would walk again to being well on my way to a full recovery.

Rehab patient · 2025★★★★★

My mother is currently here and she is getting the very best treatment from the staff and nurses. She has told me over and over again how nice the nurses and aides are and thats big coming from my mother as shes hard to please.

Long-term resident's family · 2025★★★★★

The only reason for 4 stars and not 5 is because of laundry that went missing but not completely their fault... The food was decent but the staff once again were super sweet and caring.

Long-term resident's family · 2023★★★★
Source: 155 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
63%
Registered nurses for medical care
Total Nursing
3.29hrs
80%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
39%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
12.1%
PA
8.3%
Westmoreland
13.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
15.3%
PA
18.4%
Westmoreland
18.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
93.4%
PA
87.1%
Westmoreland
92.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.3%
Better than Avg
Here
17.3%
US
19.4%
PA
26.0%
Westmoreland
24.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
19.5%
PA
19.9%
Westmoreland
20.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
95.5%
PA
93.5%
Westmoreland
93.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility55.1%
Worse than Avg
Here
55.1%
US
81.8%
PA
69.2%
Westmoreland
78.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility67.2%
Worse than Avg
Here
67.2%
US
79.8%
PA
68.7%
Westmoreland
71.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
PA
1.4%
Westmoreland
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
1penalties
Well above state avg (10.1)
40 complaint-triggered
$11,035 in fines

Twin Lakes has faced significant challenges with families filing 39 complaint-triggered deficiencies out of 93 total violations across quality of life care, care planning, and medication management. Recurring problems include inadequate treatment according to care plans, poor care planning processes, and medication errors, with some issues persisting across multiple surveys. While the facility has corrected most deficiencies, the high volume of family complaints and repeat violations in core care areas warrant careful consideration before placement.

Apr 17, 2026Complaint
2
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Feb 4, 2026Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jan 5, 2026Complaint
1
0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Jan 2, 2026Complaint
2
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Nov 24, 2025Complaint
1
0904Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a properly installed medical gas master alarm panel.

Nov 20, 2025Routine
17
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Federal Penalties

Fine

Nov 20, 2025

$29,035

Ownership & Operations

Who Operates This Facility

Owner / Operator

Twin Lakes Rehabilitation and Healthcare Center

Organization Type

for profit

Ownership & Management

Owners

Rosenzweig, Steven

Owner

100%

Key personnel

Mwambu, PaulManagerRosenzweig, StevenManagerMwambu, PaulAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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