Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

TWIN LAKES EXTENDED CARE

PARIS, IL · 56 certified beds · Last Life Safety survey June 25, 2024

CMS Certification Number 145466 · first certified March 1983

Ownership

Operated by STERN CONSULTANTS · For profit - Corporation

New ownershipOwnership changed December 1, 2024 (change of ownership)from TWIN HCO, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IL

19 citations — more than 61% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2025 to August 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was June 2024. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 19 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0909 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.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	19
Median facility in IL	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
May 17, 2022	3
May 18, 2023	8
June 25, 2024	8

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0920	Ensure proper usage of power strips and extension cords.	2	2024-06-25
K-0712	Have simulated fire drills held at unexpected times.	2	2024-06-25
E-0039	Conduct testing and exercise requirements.	2	2024-06-25
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	1	2022-05-17
E-0026	Establish roles under a Waiver declared by secretary.	1	2024-06-25
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2024-06-25
E-0036	Establish emergency prep training and testing.	1	2023-05-18
K-0363	Install corridor and hallway doors that block smoke.	1	2024-06-25

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 8
Smoke Deficiencies 5
Gas, Vacuum, and Electrical Systems Deficiencies 4
Miscellaneous Deficiencies 2

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	8
Smoke Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	4
Miscellaneous Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 25, 2024 — 8 citations

Citations issued on June 25, 2024
Tag	What the surveyor checks	Status
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (July 19, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (July 25, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 9, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 9, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (July 20, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 22, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 17, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (July 25, 2024)

May 18, 2023 — 8 citations

Citations issued on May 18, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (June 10, 2023)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (June 10, 2023)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (June 10, 2023)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (June 10, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (June 10, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 10, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 10, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (June 10, 2023)

May 17, 2022 — 3 citations

Citations issued on May 17, 2022
Tag	What the surveyor checks	Status
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 1, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (June 1, 2022)
K-0913	Ensure operating rooms are properly protected and written records are maintained and available for inspection.	Deficient, Provider has date of correction (June 1, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.