Twin Lakes Community
Burlington, Alamance County, North Carolina · CCN 345235 · Non-profit (Corporation) · not part of a chain
CMS rates Twin Lakes Community 5 of 5 overall as of August 2026. 104 certified beds, 96 residents a day on average. 7 citations on record from the current inspection cycles; 1 fine totalling $6,152.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 4 of 5 |
Staffing
| Total nurse staffing | 5.31868 hours per resident per day |
|---|---|
| Registered nurses | 0.73215 hours per resident per day |
| Weekend total | 4.45786 hours per resident per day |
| Nursing staff turnover | 41.3% (registered nurses 31.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-19 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-29 |
| 2026-03-19 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-29 |
| 2026-03-19 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
C No actual harm, with potential for minimal harm; widespread | No revisit needed 2026-03-29 |
| 2025-03-11 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-18 |
| 2025-03-11 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2024-08-07 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
E No actual harm, with potential for more than minimal harm; pattern | Past Non-Compliance 2024-05-03 |
| 2024-08-07 complaint survey |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0603 |
E No actual harm, with potential for more than minimal harm; pattern | Past Non-Compliance 2024-08-01 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-07 | Fine | $6,152 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Lutheran Retirement Ministries Of Alamance County, North Carolina Organization | 5% or greater direct ownership interest | 100% | 1983-09-30 |
| Conklin, Jonathan Individual | corporate officer | — | 2017-10-01 |
| Fox, Pamela Individual | corporate officer | — | 2013-01-04 |
| Fox, Pamela Individual | w-2 managing employee | — | 2013-01-04 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Twin Lakes Community.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Alamance County.