Twin Lakes Community

Name: Twin Lakes Community
Address: 3802 Wade Coble Drive, Burlington, NC, 27215, US
Telephone: 3365381400

3802 Wade Coble Drive, Burlington, NC 27215 · Alamance County · 104 certified beds · avg 96 residents/day · certified since Oct 4, 1983

4/5

Health inspection rating (on-site)

Serious findings on record

$6,152

Fines, last 3 years

6.02

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (7)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 19, 2026	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Mar 19, 2026	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Mar 11, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Mar 11, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Aug 7, 2024	E · Potential for harm, repeated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Aug 7, 2024	E · Potential for harm, repeated	The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint

Inspection trend by year

Year	Citations	Worst severity that year
2024	2	E
2025	2	D
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $6,152.

Date	Type	Amount / length
Aug 7, 2024	Fine	$6,152

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.02	4.01	3.95	top 6% in North Carolina; top 4% in the U.S.
Registered Nurse hours	0.83	0.64	0.69	top 17% in North Carolina; top 25% in the U.S.
Weekend total nurse staffing	5.05	3.56	3.50	top 8% in North Carolina; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.41	0.48	top 30% in North Carolina; top 42% in the U.S.
Total nursing staff turnover (%)	41.3	49.0	45.8	top 32% in North Carolina; top 40% in the U.S.
RN turnover (%)	31.6	45.7	42.9	top 28% in North Carolina; top 32% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.32, RN 0.73, weekend 4.46. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Lutheran Retirement Ministries of Alamance County, North Carolina	Organization	5% or Greater Direct Ownership Interest	100%	09/30/1983
Conklin, Jonathan	Individual	Corporate Officer	NOT APPLICABLE	10/01/2017
Fox, Pamela	Individual	W-2 Managing Employee	NOT APPLICABLE	01/04/2013
Fox, Pamela	Individual	Corporate Officer	NOT APPLICABLE	01/04/2013

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you track that every resident's quarterly assessment happens on time?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"Where do you post your latest state inspection results and the ombudsman's contact information?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"Under what circumstances, if any, would a resident ever be kept in their room or separated from others?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Liberty Commons Nursing & Rehabilitation Center of	1.3 mi	Burlington, NC	★★★★☆	4/5
Edgewood Place at the Village at Brookwood	3.5 mi	Burlington, NC	★★★★★	4/5
White Oak Manor - Burlington	6.0 mi	Burlington, NC	★★☆☆☆	1/5
Peak Resources - Alamance, INC	6.7 mi	Graham, NC	★★★☆☆	3/5
Alamance Health Care Center	6.9 mi	Burlington, NC	★☆☆☆☆	2/5	abuse
Ashton Health and Rehabilitation	8.0 mi	McLeansville, NC	★★★★★	4/5
Compass Healthcare and Rehab Hawfields, INC.	13.3 mi	Mebane, NC	★★★☆☆	4/5
Guilford Health Care Center	13.6 mi	Greensboro, NC	★☆☆☆☆	2/5
Kindred Hospital East Greensboro	14.0 mi	Greensboro, NC	★★★☆☆	3/5
Heartland Living & Rehab at the Moses H Cone Memor	14.5 mi	Greensboro, NC	★★★★☆	4/5
Linden Place Center for Nursing and Rehabilitation	14.9 mi	Greensboro, NC	★★☆☆☆	2/5
Maple Grove Health and Rehabilitation Center	15.5 mi	Greensboro, NC	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Burlington →

Facility data as of CMS processing date 2026-08-01. CCN 345235.

The Care File

Visit checklist — Twin Lakes Community

3802 Wade Coble Drive, Burlington, NC 27215 · 3365381400

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $6,152

Questions for the administrator:

☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "Where do you post your latest state inspection results and the ombudsman's contact information?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "Under what circumstances, if any, would a resident ever be kept in their room or separated from others?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345235 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)