Twin Lakes Community

3802 Wade Coble Drive, Burlington, NC 27215 (opens Google Maps) · Alamance County · (336) 538-1400· 104 certified beds · avg 96 residents/day · certified since Oct 4, 1983 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Mar 19, 2026

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.

Mar 19, 2026E · Potential for more than minimal harm, pattern
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. F-0638
Mar 19, 2026D · Potential for more than minimal harm, isolated
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. F-0636
Mar 19, 2026C · Potential for minimal harm, widespread
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. F-0577

View all 7 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Mar 19, 2026	E · Potential for more than minimal harm, pattern	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. · F-0638
Mar 19, 2026	D · Potential for more than minimal harm, isolated	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. · F-0636
Mar 19, 2026	C · Potential for minimal harm, widespread	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. · F-0577
Mar 11, 2025	D · Potential for more than minimal harm, isolated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604
Mar 11, 2025	D · Potential for more than minimal harm, isolated	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 · F-0607
Aug 7, 2024	E · Potential for more than minimal harm, pattern	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 · F-0602
Aug 7, 2024	E · Potential for more than minimal harm, pattern	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 · F-0603

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

1 fine totaling $6,152.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNorth Carolina averageU.S. average

Total nurse staffing (hours per resident per day)

6.02

4.01

3.95

Registered Nurse hours

0.83

0.64

0.69

Weekend total nurse staffing

5.05

3.56

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.32 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Twin Lakes Community. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 4 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 17 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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Twin Lakes Community

3802 Wade Coble Drive, Burlington, NC 27215 · (336) 538-1400

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)