Twin Lakes Rehabilitation and Healthcare Center

227 Sand Hill Road · Greensburg, PA · 15601 · 7248376482

137 certified beds For profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 16
Serious harm & abuse 20% 70
Staffing 20% 61
Federal penalties 15% 69
Trend 10% 49
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.293.48 min · 4.1 strong
RN hours / resident-day0.480.55–0.75
Weekend hours / resident-day3.00≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)1 · $29,035

Inspection citations (78 in the current record)

  • Potential for harm · E April 17, 2026 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected May 14, 2026 · Resident Rights

  • Potential for harm · E April 17, 2026 · found via complaint

    Keep all essential equipment working safely.

    Corrected May 14, 2026 · Environmental

  • Potential for harm · D February 4, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 17, 2026 · Quality of Life and Care

  • Immediate jeopardy · K January 2, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 22, 2026 · Quality of Life and Care

  • Potential for harm · E January 2, 2026 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected January 22, 2026 · Administration

  • Potential for harm · D November 20, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected January 7, 2026 · Resident Rights

  • Potential for harm · D November 20, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected January 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D November 20, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D November 20, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E November 20, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D November 20, 2025

    Provide appropriate foot care.

    Corrected January 7, 2026 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 12, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 7, 2026 · Pharmacy Service

  • Potential for harm · D November 20, 2025

    Ensure that residents are free from significant medication errors.

    Corrected February 11, 2026 · Pharmacy Service

  • Potential for harm · E November 20, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected January 7, 2026 · Nutrition and Dietary

  • Potential for harm · E November 20, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 7, 2026 · Nutrition and Dietary

  • Potential for harm · D November 20, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected January 7, 2026 · Administration

  • Potential for harm · E May 14, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 12, 2025 · Quality of Life and Care

  • Potential for harm · D April 30, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 3, 2024 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected January 7, 2025 · Resident Rights

  • Potential for harm · D December 3, 2024 · found via complaint

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected January 7, 2025 · Administration

  • Potential for harm · D October 9, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected November 19, 2024 · Resident Rights

  • Potential for harm · D October 9, 2024

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected November 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 9, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 1, 2024 · Resident Rights

  • Potential for harm · D October 9, 2024

    Ensure each resident receives an accurate assessment.

    Corrected November 19, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 20, 2025Fine$29,035

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395500 · certified since March 20, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.