Illinois › Edgar County › Paris
Twin Lakes Extended Care
310 Eads Avenue, Paris, IL 61944
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.
Twin Lakes Extended Care, in Paris, Illinois, is certified for 56 beds under for-profit, corporation ownership and belongs to the Stern Consultants chain.
CMS gives it 2 of 5 stars overall, equal to the Illinois median; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (6, 6, 17 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 51.8 per 100 beds, more than the state median of 28.4.
CMS lists 2 penalties in the period covered: fines totalling $71K and 1 payment denial.
Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Illinois median of 3.3; nursing staff turnover is 41.0%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Edgar Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 29 | 96 | 34 | 28.7 |
| Citations per 100 beds | 51.8 | 80.5 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 41.0% | 58.8% | 43.4% | 45.8% |
| Fines listed | $71,455 | $391,159 | $45,123 | — |
County and state figures are medians across facilities (3 in the county, 666 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: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jun 2024, 18 May 2023.
Severity mix: J ×1 G ×2 D ×13 E ×6 F ×4 B ×1 C ×2
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 |
|---|---|---|---|---|---|
| 6 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Feb 2026 |
| 25 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Jul 2024 |
| 25 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Jul 2024 |
| 25 Jun 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 18 Jul 2024 |
| 25 Jun 2024 | F0761 | 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. | D | Standard survey | 18 Jul 2024 |
| 25 Jun 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 18 Jul 2024 |
| 14 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 10 Jan 2024 |
| 14 Dec 2023 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | Complaint investigation | 10 Jan 2024 |
| 14 Dec 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 10 Jan 2024 |
| 14 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Jan 2024 |
| 14 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Jan 2024 |
| 25 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Oct 2023 |
| 25 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 5 Oct 2023 |
| 22 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 25 Aug 2023 |
| 22 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 25 Aug 2023 |
| 18 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Jun 2023 |
| 18 May 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | Standard survey | 30 May 2023 |
| 18 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 May 2023 |
| 18 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Jun 2023 |
| 18 May 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Jun 2023 |
| 18 May 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard survey | 31 May 2023 |
| 17 May 2022 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 1 Jun 2022 |
| 17 May 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 1 Jun 2022 |
| 17 May 2022 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 1 Jun 2022 |
| 17 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Jun 2022 |
| 17 May 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Jun 2022 |
| 17 May 2022 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 1 Jun 2022 |
| 17 May 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 1 Jun 2022 |
| 17 May 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 1 Jun 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Dec 2023 | Payment denial | — | 4 days |
| 14 Dec 2023 | Fine | $71,455 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 41.0%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.2% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.1% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.1% | 17.8% | 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: for-profit, corporation. Legal business name: Twin Lakes Extended Care Llc. Chain: Stern Consultants (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tlco Holdings LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
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 Edgar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pleasant Meadows Senior Livingabuse icon | Chrisman | 109 | 1 | 1 | 1 | 96 | 88.1 | $391K | 26 Jun 2026 |
| The Haven of Parisabuse icon | Paris | 128 | 1 | 1 | 1 | 103 | 80.5 | $443K | 9 Apr 2026 |
All 3 facilities in Edgar County
Questions and answers
How many deficiencies has Twin Lakes Extended Care been cited for?
29 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Twin Lakes Extended Care been fined?
Yes. CMS lists fines totalling $71K in the period covered, plus 1 payment denial.
How does staffing at Twin Lakes Extended Care compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Twin Lakes Extended Care?
It is part of the Stern Consultants chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Tlco Holdings LLC. Individual owners and managers are not listed on this site.
When was Twin Lakes Extended Care last inspected?
The most recent survey or investigation in the CMS record is dated 6 Feb 2026; the most recent standard health survey was 25 Jun 2024.
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.