Twin Lakes Therapy and Living
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (4 vs median 3)
- High staff turnover (63%)
Bottom 25% in AR · Below recommended RN staffing · Worst in ANTHONY & BRYAN ADAMS chain · $25,678 in fines
What this means for your family
This facility is frequently praised for its clean environment and compassionate staff, making it a strong candidate for many families. However, you should specifically inquire about weekend staffing ratios and the process for ensuring resident supplies are consistently stocked, as these have been recurring points of frustration for some residents.
Google Reviews
Google Reviews
18 reviews on Google“Twin Lakes Therapy and Living receives highly polarized feedback, with many families praising the compassionate, attentive staff and the cleanliness of the facility. However, former residents and family members have raised serious concerns regarding inconsistent staffing levels on weekends, supply shortages, and poor quality or repetitive food service. While some visitors report a welcoming environment, others have cited significant lapses in basic care and administrative oversight.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Strong sense of peace of mind for families
- Effective rehabilitation support
Concerns
- Inconsistent staffing levels on nights and weekends (mentioned by 2 reviewers)
- Shortages of basic supplies like wipes and briefs (mentioned by 2 reviewers)
- Poor quality, repetitive, or lukewarm food service (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 18 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard wonderful things about how compassionate and attentive the nursing staff is here; how do you ensure that same level of care is maintained during the night and weekend shifts?
- 2Since we want to make sure all the essentials are always available, what is your process for managing the inventory of daily supplies like wipes and briefs?
- 3Could you tell us a bit about the dining experience, specifically how the menu is planned to ensure variety and temperature throughout the day?
- 4What is your protocol for handling medical emergencies or urgent care needs during the late-night hours?
- 5How do you keep families updated on a resident's daily well-being and any changes in their health or care plan?
- 6What kind of daily activities or social programs do you have in place to keep residents engaged and active?
Personalized based on this facility's data
Key Review Excerpts
“The staff have been so good to her, treating her with empathy, kindness, gentleness and attentiveness. I know they are all busy here but from the administrator to the director of nursing to the nurses and CNAs to the janitor, I am so impressed with the quality of people they employ here.”
“The staff is great, when they had enough CNAs on nights and weekends. They have not had enough supplies i.e. wipes, briefs. The kitchen is another problem. Breakfast was repetitious.”
“The staff gave me peace of mind that she was safe and provided for, something I could not do on my own with a full time job.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
14
measures
2
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints against this facility, triggering 14 of its 35 total deficiencies, including serious concerns about abuse protection and accident prevention. Recurring problems involve medication management, fire safety systems, and resident care planning that persist across multiple surveys from 2023 to 2025. While the facility corrects issues when cited, the pattern of repeated deficiencies in critical safety areas warrants careful consideration.
Jun 12, 2025Complaint2
Administration Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 12, 2025Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 1, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
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.
Mar 15, 2024Routine10
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Mar 15, 2024Complaint9
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Jun 21, 2023Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Nov 1, 2024
$12,844
Payment Denial
Nov 1, 2024
16-day denial
Fine
Mar 15, 2024
$12,834
Ownership & Operations
Who Operates This Facility
Twin Lakes Therapy and Living
for profit
Chain Affiliation
Anthony & Bryan Adams
38 facilities nationwide
Chain avg rating: 3.8/5 · Rank 32 of 37 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
18 reviews from families & visitors
Official Website
Visit tltherapyandliving.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.