Twinbrook Healthcare and Rehabilitation Center
3805 Field Street · Erie, PA · 16511 · 8148985600
118 certified beds For profit - Corporation Chain: Pollak Holdings
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Staffing: not rated Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D April 16, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 16, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · E April 16, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · E April 16, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 16, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 16, 2026
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Deficient, Provider has no plan of correction · Nursing and Physician Services
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Potential for harm · D April 16, 2026
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Deficient, Provider has no plan of correction · Nursing and Physician Services
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Potential for harm · E April 16, 2026
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.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · D April 16, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D March 10, 2026 · 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 April 8, 2026 · Resident Rights
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Potential for harm · E March 10, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 8, 2026 · Quality of Life and Care
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No harm found · C February 12, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 20, 2026 · Resident Rights
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No harm found · C February 12, 2026 · found via complaint
Post nurse staffing information every day.
Corrected March 20, 2026 · Nursing and Physician Services
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Potential for harm · E June 12, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 23, 2025 · Nursing and Physician Services
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Potential for harm · D April 25, 2025
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 May 30, 2025 · Resident Rights
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Potential for harm · D April 25, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D April 25, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2025
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, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · D April 25, 2025
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 May 30, 2025 · Pharmacy Service
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Potential for harm · F April 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · E April 25, 2025
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · Infection Control
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Potential for harm · D April 25, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 30, 2025 · Nursing and Physician Services
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No harm found · C April 25, 2025 · found via complaint
Post nurse staffing information every day.
Corrected May 30, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 395041 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.