Twin Lakes Extended Care

CMS star ratings

Overall★★★★★ 2/5

State avg 2.5

Health inspections★★★★★ 3/5

State avg 2.7

Staffing★★★★★ 1/5

State avg 2.1

Quality measures★★★★★ 4/5

State avg 3.0

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.71 (state 3.45 · U.S. 3.86)
Registered nurses (RN): 0.52 (state 0.72 · U.S. 0.69)
Licensed practical nurses: 0.65 (state 0.64 · U.S. 0.86)
Nurse aides: 2.54 (state 2.09 · U.S. 2.32)
Weekend total: 3.27 (state 3.08 · U.S. 3.42)
Nursing staff turnover: 41.0 (state 44.5 · U.S. 45.8)%
RN turnover: —
Administrators who left: 2 in the last year

Inspections

Last standard inspection: June 25, 2024
Health deficiencies (last cycle): 5.0 (state 12.5 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 29 health · 19 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-02-06	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2026-02-07
2024-06-25	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-07-18
2024-06-25	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-07-18
2024-06-25	Implement 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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-07-18
2024-06-25	Ensure 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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-07-18
2024-06-25	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies	B No actual harm, potential for minimal harm	Corrected 2024-07-18
2023-12-14	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2024-01-10
2023-12-14	Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0836 · Administration Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-01-10
2023-12-14	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-01-10
2023-12-14	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-01-10
2023-12-14	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-01-10
2023-09-25	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2023-10-05
2023-09-25	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-10-05
2023-08-22	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2023-08-25
2023-08-22	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2023-08-25
2023-05-18	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-18	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-05-30
2023-05-18	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-05-30
2023-05-18	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-18	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-18	Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2023-05-31
2022-05-17	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2022-06-01
2022-05-17	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-06-01
2022-05-17	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. F0909 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-06-01
2022-05-17	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-01
2022-05-17	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-01
2022-05-17	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-01
2022-05-17	Implement 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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-01
2022-05-17	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2022-06-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $71,455 in fines.

Date	Type	Amount
2023-12-14	Payment Denial	4 days payment denial
2023-12-14	Fine	$71,455

Ownership & management

Name	Role	Since
Com Family Trust (organization)	5%+ Indirect Ownership Interest · 12%
Dean, Genettia (individual)	Administrator · NOT APPLICABLE
Erblich, Avraham (individual)	Administrator · NOT APPLICABLE
Etn Family Holdings LLC (organization)	Administrator · NOT APPLICABLE
Friedman, Benjamin (individual)	Administrator · NOT APPLICABLE
Millman, Chaim (individual)	Administrator · NOT APPLICABLE
Sheps, Boruch (individual)	Administrator · NOT APPLICABLE
The Estate of Peter Schorr (organization)	Administrator · NOT APPLICABLE
Zaman, Asad (individual)	Administrator · NOT APPLICABLE
Etn Family Holdings LLC (organization)	Direct Ownership Interest · NOT APPLICABLE
Stern, Bezalel (individual)	Direct Ownership Interest · NOT APPLICABLE
The Estate of Peter Schorr (organization)	Direct Ownership Interest · NOT APPLICABLE
Millman, Chaim (individual)	Indirect Ownership Interest · NOT APPLICABLE
Newhouse, Eric (individual)	Indirect Ownership Interest · NOT APPLICABLE
Millman, Chaim (individual)	Managing Control - Governing Body · NOT APPLICABLE
Newhouse, Eric (individual)	Managing Control - Governing Body · NOT APPLICABLE
Dean, Genettia (individual)	Operational/managerial Control · NOT APPLICABLE
Erblich, Avraham (individual)	Operational/managerial Control · NOT APPLICABLE
Etn Family Holdings LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Friedman, Benjamin (individual)	Operational/managerial Control · NOT APPLICABLE
Millman, Chaim (individual)	Operational/managerial Control · NOT APPLICABLE
Newhouse, Eric (individual)	Operational/managerial Control · NOT APPLICABLE
Sheps, Boruch (individual)	Operational/managerial Control · NOT APPLICABLE
The Estate of Peter Schorr (organization)	Operational/managerial Control · NOT APPLICABLE
Tlco Holdings LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Zaman, Asad (individual)	Operational/managerial Control · NOT APPLICABLE
Millman, Chaim (individual)	Trustee Of The Snf · NOT APPLICABLE
Newhouse, Eric (individual)	Trustee Of The Snf · NOT APPLICABLE
Newhouse, Temi (individual)	Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Twin Lakes Extended Care?

Twin Lakes Extended Care has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does Twin Lakes Extended Care have?

It has 56 certified beds and cares for about 40 residents per day.

Has Twin Lakes Extended Care been fined?

Yes. CMS lists 2 penalties totaling $71,455 in the last three years.

Who owns Twin Lakes Extended Care?

It is part of Stern Consultants and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Twin Lakes Extended Care?

(217) 465-5395. The facility is located at 310 Eads Avenue, Paris, IL 61944.

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Contact & location

Facility details