Starfile / Pennsylvania

TWIN LAKES REHABILITATION AND HEALTHCARE CENTER

227 SAND HILL ROAD, GREENSBURG, PA 15601 · CCN 395500

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$11,035

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (77)1 immediate jeopardy

1. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-02 · Health · corrected 2026-01-22

   Immediate jeopardy

2. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2026-01-02 · Health · corrected 2026-01-22

   Potential for more than minimal harm

3. DF0558Reasonably accommodate the needs and preferences of each resident.2025-11-20 · Health · corrected 2026-01-07

   Potential for more than minimal harm

4. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-11-20 · Health · corrected 2026-01-07

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-20 · Health · corrected 2026-01-07

   Potential for more than minimal harm

6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-20 · Health · corrected 2026-01-07

   Potential for more than minimal harm

7. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-20 · Health · corrected 2026-01-07

   Potential for more than minimal harm

8. DF0687Provide appropriate foot care.2025-11-20 · Health · corrected 2026-01-07

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-20 · Health · corrected 2025-11-12

   Potential for more than minimal harm

10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-20 · Health · corrected 2026-01-07

    Potential for more than minimal harm

11. DF0760Ensure that residents are free from significant medication errors.2025-11-20 · Health · corrected 2026-02-11

    Potential for more than minimal harm

12. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-20 · Health · corrected 2026-01-07

    Potential for more than minimal harm

13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-20 · Health · corrected 2026-01-07

    Potential for more than minimal harm

14. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-11-20 · Health · corrected 2026-01-07

    Potential for more than minimal harm

15. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-14 · Health · corrected 2025-06-12

    Potential for more than minimal harm

16. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-30 · Health · corrected 2025-05-28

    Potential for more than minimal harm

17. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-12-03 · Health · corrected 2025-01-07

    Potential for more than minimal harm

18. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-12-03 · Health · corrected 2025-01-07

    Potential for more than minimal harm

19. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

20. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

21. DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

22. DF0578Honor 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.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

23. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

24. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-09 · Health · corrected 2024-09-01

    Potential for more than minimal harm

25. DF0641Ensure each resident receives an accurate assessment.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

26. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

27. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

28. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

29. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

31. DF0685Assist a resident in gaining access to vision and hearing services.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

32. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

33. EF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

34. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

35. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

36. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

37. DF0730Observe each nurse aide's job performance and give regular training.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

38. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

39. DF0761Ensure 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.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

40. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

41. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

42. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

43. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-10-09 · Health · corrected 2024-11-19

    Potential for more than minimal harm

44. DF0584Honor 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.2024-09-11 · Health · corrected 2024-10-09

    Potential for more than minimal harm

45. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-11 · Health · corrected 2024-10-09

    Potential for more than minimal harm

46. DF0880Provide and implement an infection prevention and control program.2024-09-11 · Health · corrected 2024-10-09

    Potential for more than minimal harm

47. EF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-07-03 · Health · corrected 2024-08-20

    Potential for more than minimal harm

48. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-03 · Health · corrected 2024-08-20

    Potential for more than minimal harm

49. DF0880Provide and implement an infection prevention and control program.2024-07-03 · Health · corrected 2024-08-20

    Potential for more than minimal harm

50. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-30 · Health · corrected 2024-06-19

    Potential for more than minimal harm

51. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-01 · Health · corrected 2024-05-23

    Potential for more than minimal harm

52. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-05 · Health · corrected 2024-03-28

    Potential for more than minimal harm

53. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

54. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

55. DF0641Ensure each resident receives an accurate assessment.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

56. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

57. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

58. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

59. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

60. EF0692Provide enough food/fluids to maintain a resident's health.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

61. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

62. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

63. EF0758Implement 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.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

64. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

65. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

66. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

67. EF0880Provide and implement an infection prevention and control program.2023-11-09 · Health · corrected 2023-12-27

    Potential for more than minimal harm

68. EF0584Honor 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.2023-10-03 · Health · corrected 2023-10-26

    Potential for more than minimal harm

69. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-03 · Health · corrected 2023-10-26

    Potential for more than minimal harm

70. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-29 · Health · corrected 2023-09-20

    Potential for more than minimal harm

71. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-07-12 · Health · corrected 2023-08-10

    Potential for more than minimal harm

72. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-12 · Health · corrected 2023-08-10

    Potential for more than minimal harm

73. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-12 · Health · corrected 2023-08-10

    Potential for more than minimal harm

74. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-07-12 · Health · corrected 2023-08-10

    Potential for more than minimal harm

75. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-12 · Health · corrected 2023-08-10

    Potential for more than minimal harm

76. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-22 · Health · corrected 2023-06-15

    Potential for more than minimal harm

77. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-05-22 · Health · corrected 2023-06-15

    Potential for more than minimal harm

Ownership

Other facilities in GREENSBURG

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.