D
Liberty Commons Nursing & Rehabilitation Center of
48/100 score
0.34 hrs RN staffing
2 deficiencies
Twin Lakes Community
3802 Wade Coble Drive, Burlington, NC 27215
- Provider number (CCN)
- 345235
- Certification
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified beds
- 104
- Phone
- (336) 538-1400
- CMS data as of
- August 1, 2026
A
●
stable
Staffing 0% · Deficiencies 0% over tracking period
What the records show
CMS rates Twin Lakes Community 5 out of 5 stars overall, with 4 of 5 for health inspections, 5 of 5 for staffing, 3 of 5 for quality measures. Federal inspectors cited 7 health deficiencies across the last three survey cycles, most recently surveyed in 2026. CMS enforcement records list 1 fine totalling $6,152.
Reviews, Ratings and Official Records
This page reviews Twin Lakes Community using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.73 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
7
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★☆☆ (3/5)
Staffing: ★★★★★ (5/5)
|
|
NursingHomeGrade Score
|
82/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.73 hrs |
|---|---|
| NC median | 0.51 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 31.6% · Total nursing staff turnover: 41.3%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: March 19, 2026.
- Citations shown below span 2 recorded inspection cycles.
- Survey dates on file range from August 7, 2024 to March 19, 2026.
Source records: CMS Care Compare profile for provider 345235 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
7 deficiencies found. 7 corrected. None involved actual harm.
Most recent inspection (March 19, 2026)
E
Potential harm — pattern
F0638
Status: Corrected
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected March 29, 2026
D
Potential harm — isolated
F0636
Status: Corrected
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 — Deficient, Provider has date of correction, corrected March 29, 2026
C
No harm — widespread
F0577
Status: Corrected
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies — No revisit needed, corrected March 29, 2026
Inspection cycle 2 (March 11, 2025)
D
Potential harm — isolated
F0604
Status: Corrected
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected March 18, 2025
D
Potential harm — isolated
F0607
Status: Corrected
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected March 20, 2025
E
Potential harm — pattern
F0602
Status: Corrected
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Past Non-Compliance, corrected May 3, 2024
E
Potential harm — pattern
F0603
Status: Corrected
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Past Non-Compliance, corrected August 1, 2024
Fines and Enforcement Actions
Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.
| Date | Action | Amount or length |
|---|---|---|
| August 7, 2024 | Fine | $6,152 |
1 fine totalling $6,152.
Source: CMS Penalties file (dataset g6vv-u9sr).
Ownership and Contact Information
- Facility name
- Twin Lakes Community
- Legal business name
- LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA
- Address
- 3802 Wade Coble Drive, Burlington, NC 27215
- Phone
- (336) 538-1400
- Provider number (CCN)
- 345235
- Ownership type
- Non profit - Corporation
- Medicare/Medicaid certified since
- October 4, 1983
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Burlington
Compare local nursing homes using the same CMS-backed grading method.
A
Edgewood Place at the Village at Brookwood
94/100 score
1.36 hrs RN staffing
1 deficiencies
C
White Oak Manor - Burlington
52/100 score
0.48 hrs RN staffing
3 deficiencies
D
Alamance Health Care Center
39/100 score
0.27 hrs RN staffing
10 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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