Twin Maples Healthcare, INC
809 New Haven Road #R, Durham, CT 06422 · Lower Ct River Vly County · 44 certified beds · avg 43 residents/day · certified since Mar 1, 2003
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 9, 2025 · 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: Dec 5, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (27)
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 19, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Oct 9, 2025 | ▲ 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 |
| Oct 9, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| May 22, 2025 | 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. · from a complaint |
| May 22, 2025 | 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. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Nov 12, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Aug 13, 2024 | 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 |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jun 22, 2023 | E · Potential for harm, repeated | 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. |
| Jun 22, 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. |
| Jun 22, 2023 | D · Potential for 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. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 22, 2023 | 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 22, 2023 | 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 22, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Jun 22, 2023 | C · Minimal risk, facility-wide | The facility did not have enough backup water supply for essential areas of the building. |
| Jul 14, 2021 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | D |
| 2023 | 11 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 10 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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 $24,928.
| Date | Type | Amount / length |
|---|---|---|
| Oct 9, 2025 | Fine | $24,928 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Connecticut avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.78 | 3.80 | 3.95 | top 41% in Connecticut; top 49% in the U.S. |
| Registered Nurse hours | 0.95 | 0.70 | 0.69 | top 18% in Connecticut; top 18% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.43 | 3.50 | bottom 48% in Connecticut; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.46 | 0.48 | bottom 47% in Connecticut; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 35.3 | 37.4 | 45.8 | top 47% in Connecticut; top 25% in the U.S. |
| RN turnover (%) | 33.3 | 38.6 | 42.9 | top 36% in Connecticut; top 33% 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 3.18, RN 0.80, weekend 2.77. Staffing rating: 4/5.
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: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Jackson, Shelley | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/01/1997 |
| Jackson, Theodore | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/01/1997 |
| Caron, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/06/2022 |
| Caron, John | Individual | ADP of the SNF | NOT APPLICABLE | 04/06/2022 |
| D'amico, Michele | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/13/1997 |
| Jackson, Shelley | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/1997 |
| Jackson, Shelley | Individual | Corporate Officer | NOT APPLICABLE | 10/01/1997 |
| Jackson, Shelley | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/1997 |
| Jackson, Shelley | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/1997 |
| Jackson, Theodore | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/1997 |
| Jackson, Theodore | Individual | Corporate Officer | NOT APPLICABLE | 10/01/1997 |
| Jackson, Theodore | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/1997 |
| Jackson, Theodore | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/1997 |
| Walaliyadda, Anuruddha | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2016 |
| Walaliyadda, Anuruddha | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "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)
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|---|---|---|---|---|---|
| Connecticut Baptist Homes, INC | 5.1 mi | Meriden, CT | ★★☆☆☆ | 2/5 | |
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| Regency House Nursing and Rehabilitation Center | 5.7 mi | Wallingford, CT | ★★★★★ | 4/5 | |
| Wadsworth Glen Health Care and Rehabilitation Cent | 6.6 mi | Middletown, CT | ★☆☆☆☆ | 2/5 | abuse |
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| Silver Springs Care Center | 7.5 mi | Meriden, CT | ★★★☆☆ | 2/5 | abuse |
| Masonicare Health Center | 7.6 mi | Wallingford, CT | ★★☆☆☆ | 3/5 | |
| Curtis Home St Elizabeth Center, the | 7.6 mi | Meriden, CT | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 075431.