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Nursing home

Twin Lakes Community

Burlington, North Carolina · Alamance County

  • 3802 Wade Coble Drive, Burlington, NC 27215 · Directions
  • (336) 538‑1400
  • Medicare overall rating: 5 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 7 health citations in its last 3 inspection cycles (most serious: level E), $6,152 in fines. See the inspection record

Summary

Twin Lakes Community is a Medicare-certified nursing home in Burlington, North Carolina, with 104 certified beds. Medicare overall rating: 5 of 5 stars. Most recent standard health inspection: 2026-03-19, with 3 health deficiencies. Medicare lists 1 fine. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 5 of 5 starsMedicare overall rating
104Certified beds
Health inspections: 4 of 5 starsHealth inspections

Quick answers

Where is Twin Lakes Community?
3802 Wade Coble Drive, Burlington, NC 27215, in Alamance County, North Carolina.
What is the phone number of Twin Lakes Community?
(336) 538-1400, as listed by Medicare (CMS).
What is the Medicare star rating of Twin Lakes Community?
Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
Has Twin Lakes Community been fined?
Medicare lists 1 fine totaling $6,152.
What did inspectors find at Twin Lakes Community?
In its last three inspection cycles (September 15, 2023 to March 19, 2026), Medicare lists 7 health citations; the most serious was level E. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 5 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 4 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 5 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 3 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (September 15, 2023 to March 19, 2026), Twin Lakes Community had 7 health citations; the most serious was level E (no actual harm, potential for more than minimal harm). It was fined $6,152 in total (1 fine, the latest on August 7, 2024). Nurse staffing is 5.39 hours per resident per day; the North Carolina average is 3.87 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 19, 2026 — 3 health citations

Inspections in this cycle: March 19, 2026 (standard health inspection).

Show 3 citations (levels A to F, no actual harm)
  • F0638 Level E March 19, 2026 · corrected March 29, 2026

    “Assure that each resident’s assessment is updated at least once every 3 months.”

  • F0636 Level D March 19, 2026 · corrected March 29, 2026

    “Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”

  • F0577 Level C March 19, 2026 · no revisit needed (March 29, 2026)

    “Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”

Previous cycle: January 9, 2025 — 2 health citations

Inspections in this cycle: January 9, 2025 (standard health inspection); March 11, 2025 (complaint investigation).

Show 2 citations (levels A to F, no actual harm)
  • F0604 Level D March 11, 2025 · from a complaint · corrected March 18, 2025

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0607 Level D March 11, 2025 · from a complaint · corrected March 20, 2025

    “Develop and implement policies and procedures to prevent abuse, neglect, and theft.”

Earlier cycle: September 15, 2023 — 2 health citations

Inspections in this cycle: September 15, 2023 (standard health inspection); August 7, 2024 (complaint investigation).

Show 2 citations (levels A to F, no actual harm)
  • F0602 Level E August 7, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (May 3, 2024)

    “Protect each resident from the wrongful use of the resident's belongings or money.”

  • F0603 Level E August 7, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (August 1, 2024)

    “Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (11)
  • K0211 Level E March 19, 2026 · corrected July 15, 2026

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0521 Level E March 19, 2026 · corrected August 20, 2026

    “Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”

  • K0345 Level F January 9, 2025 · corrected March 14, 2025

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0311 Level D January 9, 2025 · corrected March 14, 2025

    “Have an enclosure around a vertical opening shaft.”

  • K0372 Level D January 9, 2025 · corrected March 14, 2025

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0700 Level D January 9, 2025 · corrected March 14, 2025

    “Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.”

  • K0918 Level D January 9, 2025 · corrected March 14, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0918 Level F September 15, 2023 · corrected November 20, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0341 Level D September 15, 2023 · corrected November 20, 2023

    “Install a fire alarm system that can be heard throughout the facility.”

  • K0511 Level D September 15, 2023 · corrected November 20, 2023

    “Have properly installed electrical wiring and gas equipment.”

  • K0923 Level D September 15, 2023 · corrected November 20, 2023

    “Have proper medical gas storage and administration areas.”

Fines and payment denials

Total fines over about the last three years: $6,152 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
August 7, 2024Fine$6,152

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeNorth CarolinaNational
Registered nurse (RN) hours per resident per day0.770.620.69
Licensed practical nurse (LPN) hours per resident per day1.050.880.86
Nurse aide hours per resident per day3.572.372.35
Total nurse staff hours per resident per day5.393.873.90
Total nurse staff hours per resident per day on the weekend4.493.403.43
RN hours per resident per day on the weekend0.360.410.48
Nursing staff turnover (per year)43.0%48.7%45.3%
RN turnover (per year)25.0%45.7%42.5%
Administrators who left in the last year0.00.60.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: Lutheran Retirement Ministries of Alamance County, North Carolina.

Owners and managers Medicare lists (1)
NameRoleShareSince
Lutheran Retirement Ministries of Alamance County, North CarolinaDirect owner100%September 30, 1983

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds104
Average residents per day93.8
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Legal business nameLutheran Retirement Ministries of Alamance County, North Carolina
First approved by Medicare/Medicaid1983-10-04
Part of a continuing care retirement communityYes
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address3802 Wade Coble Drive, Burlington, NC 27215
CountyAlamance County
StateNorth Carolina
Phone(336) 538‑1400
CMS Certification Number345235
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13