Twin Lakes Extended Care

Name: Twin Lakes Extended Care
Address: 310 EADS AVENUE, Paris, IL, 61944, US
Telephone: 2174655395

310 Eads Avenue, Paris, IL 61944 · Edgar County · 56 certified beds · avg 40 residents/day · certified since Mar 15, 1983

Part of chain: STERN CONSULTANTS (22 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

$71,455

Fines, last 3 years

3.06

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Dec 14, 2023 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jan 10, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Feb 6, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 7, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Sep 25, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 5, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (29)

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
Feb 6, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 25, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 25, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 25, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 25, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 25, 2024	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Dec 14, 2023	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 14, 2023	F · Potential for harm, facility-wide	The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint
Dec 14, 2023	E · Potential for harm, repeated	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
Dec 14, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 14, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 25, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 25, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Aug 22, 2023	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 22, 2023	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 18, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 18, 2023	F · Potential for harm, facility-wide	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
May 18, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 18, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 18, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 18, 2023	C · Minimal risk, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
May 17, 2022	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
May 17, 2022	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
May 17, 2022	E · Potential for harm, repeated	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
May 17, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 17, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 17, 2022	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 17, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 17, 2022	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2022	8	0	F
2023	15	2	J ▲
2024	5	0	D
2026	1	1	G ▲

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 $71,455, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Dec 14, 2023	Fine	$71,455
Dec 14, 2023	Payment Denial	4 days from Jan 6, 2024

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

Measure	This facility	Illinois avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.06	2.99	3.95	top 30% in Illinois; bottom 16% in the U.S.
Registered Nurse hours	0.43	0.63	0.69	bottom 38% in Illinois; bottom 27% in the U.S.
Weekend total nurse staffing	2.70	2.67	3.50	top 31% in Illinois; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.56	0.48	bottom 33% in Illinois; bottom 44% in the U.S.
Total nursing staff turnover (%)	41.0	44.5	45.8	top 41% in Illinois; top 39% in the U.S.
RN turnover (%)	0.0	41.8	42.9	—

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 3.71, RN 0.52, weekend 3.27. Staffing rating: 1/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Com Family Trust	Organization	5% or Greater Indirect Ownership Interest	12%	12/01/2024
Etn Family Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/01/2024
Millman, Chaim	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Newhouse, Eric	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/01/2024
Stern, Bezalel	Individual	Direct Ownership Interest	NOT APPLICABLE	12/01/2024
The Estate of Peter Schorr	Organization	Direct Ownership Interest	NOT APPLICABLE	12/01/2024
Dean, Genettia	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Dean, Genettia	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2025
Erblich, Avraham	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Erblich, Avraham	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Etn Family Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Etn Family Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/22/2025
Friedman, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Friedman, Benjamin	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Millman, Chaim	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2024
Millman, Chaim	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
Millman, Chaim	Individual	Trustee of the SNF	NOT APPLICABLE	12/01/2024
Millman, Chaim	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Newhouse, Eric	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2024
Newhouse, Eric	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024

Questions to ask on your visit

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

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can I see the actual room my family member would live in before we decide?"
"Can you tell me about this citation and confirm your license and compliance status today?"
"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
The Haven of Paris	1.1 mi	Paris, IL	★☆☆☆☆	1/5	abuse
Providence Health Care Center	13.0 mi	St Mary of the Woods, IN	★★☆☆☆	2/5
Pleasant Meadows Senior Living	13.4 mi	Chrisman, IL	★☆☆☆☆	1/5	abuse
Clinton Gardens	14.6 mi	Clinton, IN	★★★★☆	4/5
Vermillion Convalescent Center	15.1 mi	Clinton, IN	★☆☆☆☆	2/5
Marshall Rehab & Nursing	15.4 mi	Marshall, IL	★★☆☆☆	2/5	abuse
Majestic Care of Terre Haute	16.4 mi	Terre Haute, IN	★★☆☆☆	2/5
Harrison's Crossing Health Campus	16.8 mi	Terre Haute, IN	★★★★★	4/5
Signature Healthcare of Terre Haute	18.6 mi	Terre Haute, IN	★☆☆☆☆	1/5
Westridge Health Care Center	18.7 mi	Terre Haute, IN	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Paris →

Facility data as of CMS processing date 2026-08-01. CCN 145466.

The Care File

Visit checklist — Twin Lakes Extended Care

310 Eads Avenue, Paris, IL 61944 · 2174655395

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $71,455

Most serious findings on record:

▲ Dec 14, 2023 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Feb 6, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Sep 25, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can I see the actual room my family member would live in before we decide?"
☐ "Can you tell me about this citation and confirm your license and compliance status today?"
☐ "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 145466 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)