Twin Lakes Extended Care
310 Eads Avenue · Paris, IL · 61944 · 2174655395
56 certified beds For profit - Corporation Chain: Stern Consultants
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.55 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 1 · $71,455 |
Inspection citations (29 in the current record)
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Actual harm · G February 6, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 7, 2026 · Quality of Life and Care
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Potential for harm · D June 25, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 18, 2024 · Resident Rights
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Potential for harm · D June 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
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.
Corrected July 18, 2024 · Pharmacy Service
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Potential for harm · D June 25, 2024
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.
Corrected July 18, 2024 · Pharmacy Service
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No harm found · B June 25, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected July 18, 2024 · Environmental
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Immediate jeopardy · J December 14, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 14, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 10, 2024 · Resident Rights
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Potential for harm · E December 14, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 14, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 14, 2023 · found via complaint
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected January 10, 2024 · Administration
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Actual harm · G September 25, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 5, 2023 · Quality of Life and Care
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Potential for harm · D September 25, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 22, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 18, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 18, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 1, 2023 · Quality of Life and Care
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Potential for harm · D May 18, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 1, 2023 · Quality of Life and Care
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Potential for harm · F May 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 1, 2023 · Nutrition and Dietary
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Potential for harm · F May 18, 2023
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected May 30, 2023 · Environmental
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No harm found · C May 18, 2023
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected May 31, 2023 · Resident Rights
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Potential for harm · E May 17, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 1, 2022 · Resident Rights
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Potential for harm · D May 17, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D May 17, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected June 1, 2022 · Quality of Life and Care
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Potential for harm · D May 17, 2022
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 1, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 14, 2023 | Fine | $71,455 |
| December 14, 2023 | Payment Denial | 4 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145466 · certified since March 15, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.