All states › North Carolina › Burlington › Twin Lakes Community
3802 Wade Coble Drive Burlington, NC 27215 · Alamance County
All 5 nursing homes in Burlington, NC (5 take Medicaid)
CMS certification number 345235 · See this home on Medicare Care Compare
Is Twin Lakes Community a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Twin Lakes Community as of October 2026.
CMS rates it 5 out of 5 stars overall, above the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.39 hours per resident per day at Twin Lakes Community, above the North Carolina median of 3.57 (US median: 3.72). About 0.77 of those hours are from registered nurses. On weekends it falls to 4.49 hours, 17% below its all-week average. Ask how weekends are staffed. 43% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Twin Lakes Community: Medicare and Medicaid
Twin Lakes Community is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 19, 2026 and found 3 deficiencies. In total, inspectors issued 7 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 7 citations at Twin Lakes Community across 3 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 6 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (4) and resident assessment and care planning (2). The most serious was cited under the CMS rule to "assure that each resident’s assessment is updated at least once every 3 months" (tag F0638, level E, March 19, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
March 19, 2026 · 3 citations
EAssure that each resident’s assessment is updated at least once every 3 months.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
March 11, 2025 · 2 citations · includes complaint inspection
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
August 7, 2024 · 2 citations · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
EProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Questions to ask on a tour of Twin Lakes Community
- CMS cited the home under its abuse and neglect rules on March 11, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $6,152 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 7, 2024 | Fine | $6,152 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 4/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 3/5 |
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Location
Hospitals near Twin Lakes Community
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.9 mi
Alamance Regional Medical Center BurlingtonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 48m for patients treated and sent home
- 13.9 mi
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14.7 mi
Moses H Cone Memorial Hospital, the GreensboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 44m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Twin Lakes Community with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.