North Carolina › Alamance County › Burlington
Twin Lakes Community
3802 Wade Coble Drive, Burlington, NC 27215
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 104 beds, Twin Lakes Community serves Burlington in Alamance County, North Carolina and has taken Medicare and Medicaid residents since 1983.
CMS gives it 5 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.
Inspectors recorded 7 health deficiencies across the three most recent survey cycles (3, 4, 0 by cycle, most recent first), none at the actual-harm level. That is 6.7 per 100 beds, fewer than the state median of 15.6.
CMS lists 1 penalty in the period covered: fines totalling $6K.
Reported nurse staffing is 5.3 hours per resident per day (0.7 RN), above the North Carolina median of 3.5; nursing staff turnover is 41.3%.
Compared with county, state and nation
| Measure | This facility | Alamance Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 7 | 8 | 16 | 28.7 |
| Citations per 100 beds | 6.7 | 6.8 | 15.6 | 26.8 |
| Total nurse hours per resident day | 5.3 | 4.0 | 3.5 | 3.9 |
| RN hours per resident day | 0.7 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 41.3% | 48.6% | 48.6% | 45.8% |
| Fines listed | $6,152 | $0 | $8,512 | — |
County and state figures are medians across facilities (7 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 9 Jan 2025.
Severity mix: D ×3 E ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 29 Mar 2026 |
| 19 Mar 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 29 Mar 2026 |
| 19 Mar 2026 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 29 Mar 2026 |
| 11 Mar 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 18 Mar 2025 |
| 11 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 20 Mar 2025 |
| 7 Aug 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 3 May 2024 |
| 7 Aug 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | Complaint investigation | 1 Aug 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Aug 2024 | Fine | $6,152 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 41.3%, RNs 31.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.0% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.3% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.9% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Lutheran Retirement Ministries Of Alamance County, North Carolina.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lutheran Retirement Ministries of Alamance County, North Carolina | 5% or greater direct ownership interest | 100% | 09/30/1983 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Alamance County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Edgewood Place At the Village At Brookwood | Burlington | 51 | 5 | 4 | 5 | 8 | 15.7 | — | 24 Jul 2025 |
| Liberty Commons Nursing & Rehabilitation Center of | Burlington | 122 | 4 | 4 | 2 | 6 | 4.9 | — | 8 Jan 2026 |
| Compass Healthcare and Rehab Hawfields, Inc. | Mebane | 117 | 3 | 4 | 4 | 8 | 6.8 | — | 23 Jan 2026 |
| Peak Resources - Alamance, Inc | Graham | 142 | 3 | 3 | 2 | 9 | 6.3 | — | 1 Jul 2026 |
| White Oak Manor - Burlington | Burlington | 160 | 2 | 1 | 4 | 23 | 14.4 | $137K | 18 Nov 2025 |
| Alamance Health Care Centerabuse icon | Burlington | 180 | 1 | 2 | 1 | 25 | 13.9 | $8K | 24 Jun 2026 |
All 7 facilities in Alamance County
Questions and answers
How many deficiencies has Twin Lakes Community been cited for?
7 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Twin Lakes Community been fined?
Yes. CMS lists fines totalling $6K in the period covered.
How does staffing at Twin Lakes Community compare?
Reported total nurse staffing is 5.3 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Twin Lakes Community?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Lutheran Retirement Ministries of Alamance County, North Carolina. Individual owners and managers are not listed on this site.
When was Twin Lakes Community last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.