Twin Lakes Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 227 Sand Hill Road, Greensburg, PA 15601
- CCN
- 395500
- Ownership type
- For-profit, corporation
- Certified beds
- 137
- Chain
- None in the CMS record
- Residents per day
- 129
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Twin Lakes Rehabilitation and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 20 Nov 2025. The latest survey cycle has 22 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 1 fine of $18,873 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Westmoreland County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 19 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Nov 2025 | 22 | 8 |
| Cycle 2 | 9 Oct 2024 | 32 | 8 |
| Cycle 3 | No date | 24 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 22 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Jun 2026 |
| 14 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Jun 2026 |
| 14 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 May 2026 |
| 14 May 2026 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 8 May 2026 |
| 14 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Jun 2026 |
| 17 Apr 2026 | F0585 | 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. | E | Complaint investigation | 14 May 2026 |
| 17 Apr 2026 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 14 May 2026 |
| 4 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 17 Feb 2026 |
| 2 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 22 Jan 2026 |
| 2 Jan 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 22 Jan 2026 |
| 20 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | 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 | 7 Jan 2026 |
| 20 Nov 2025 | 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 | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Nov 2025 |
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 11 Feb 2026 |
| 20 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Jan 2026 |
| 20 Nov 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 7 Jan 2026 |
Survey cycle 2: 32 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 12 Jun 2025 |
| 30 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 28 May 2025 |
| 3 Dec 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 7 Jan 2025 |
| 3 Dec 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 7 Jan 2025 |
| 9 Oct 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 1 Sep 2024 |
| 9 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | 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 | 19 Nov 2024 |
| 9 Oct 2024 | 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 | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 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 | 19 Nov 2024 |
| 9 Oct 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 19 Nov 2024 |
| 9 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 19 Nov 2024 |
| 9 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 19 Nov 2024 |
| 11 Sep 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 9 Oct 2024 |
| 11 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 9 Oct 2024 |
| 11 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Oct 2024 |
Survey cycle 3: 24 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Jul 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Complaint investigation | 20 Aug 2024 |
| 3 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Aug 2024 |
| 3 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Aug 2024 |
| 30 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Jun 2024 |
| 1 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 May 2024 |
| 5 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Mar 2024 |
| 9 Nov 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | 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 | 27 Dec 2023 |
| 9 Nov 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 | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Dec 2023 |
| 9 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 27 Dec 2023 |
| 9 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | 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. | E | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Dec 2023 |
| 9 Nov 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 27 Dec 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 27 Dec 2023 |
| 3 Oct 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 26 Oct 2023 |
| 3 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Oct 2023 |
| 29 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Nov 2025 | Fine | $18,873 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.15 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.51 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.85 | 0.91 | |
| Nurse aides | 1.79 | 2.19 | |
| All nurse staff, weekends | 2.96 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 47.3%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 52.6%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.5% | 15.9% | 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 | 0.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Westmorland Center Opco LLC
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Westmoreland County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Oak Hill Rehabilitation & Healthcare Center | Greensburg | 2 of 5 | 25 | $0 | 18 Jun 2025 | |
| Greene Health & Rehab Center | Greensburg | 1 of 5 | 42 | $8,469 | 9 Dec 2025 | |
| Loyalhanna Care Center | Latrobe | 1 of 5 | 16 | $0 | 2 Apr 2026 | |
| Rehab & Nursing Ctr Greater Pittsburgh | Greensburg | 2 of 5 | 11 | $8,159 | 26 Nov 2025 | |
| Saint Anne Home | Greensburg | 1 of 5 | 14 | $39,719 | 26 Jun 2025 | |
| Kadima Rehabilitation & Nursing at Latrobe | Latrobe | 1 of 5 | 16 | $17,073 | 19 Mar 2026 | |
| Westmoreland Manor | Greensburg | 2 of 5 | 9 | $0 | 9 Apr 2026 | |
| Redstone Highlands Health Care | Greensburg | 2 of 5 | 18 | $54,240 | 16 Apr 2026 | |
| Hempfield Manor | Greensburg | 1 of 5 | 20 | $0 | 20 Mar 2026 | |
| Harmon House Health & Rehab Center | Mount Pleasant | 3 of 5 | 8 | $16,801 | 7 May 2026 | |
| Bethlen Hm of the Hungarian RF of America | Ligonier | 1 of 5 | 17 | $0 | 5 Sep 2025 | |
| William Penn Care Center | Jeannette | 2 of 5 | 13 | $14,074 | 8 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Twin Lakes Rehabilitation and Healthcare Center (CCN 395500). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/twin-lakes-rehabilitation-and-healthcare-center-greensburg-pa-395500/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Twin Lakes Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 14 May 2026. It was a complaint investigation. It gave 5 citations. The standard survey before the last one was on 9 Oct 2024.
- Who operates Twin Lakes Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- What does the Special Focus status mean for Twin Lakes Rehabilitation and Healthcare Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.