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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E5 | F2 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 19, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 19, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Mar 11, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 9, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jan 9, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Aug 7, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 15, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 15, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 7, 2024 | Civil money penalty (fine) | $6,152 | — | 345235|Fine|42630 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E5 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 19, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 15, 2026 | |
| Mar 19, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 20, 2026 | |
| Mar 19, 2026 | F-0636 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Lutheran Retirement Ministries of Alamance County, North Carolina | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 30, 1983 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Lutheran Retirement Ministries of Alamance County, North Carolina | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 30, 1983 |
| Jonathan Conklin | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2017 |
| Pamela Fox | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 4, 2013 |
| Pamela Fox | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 4, 2013 |
| Facility | License type | Capacity | State rating |
|---|---|---|---|
| Twin Lakes Memory Care 3810 Heritage Drive, Burlington, NC 27215 | Adult care home | 32 | 4 of 4 (state) |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Liberty Commons Nursing & Rehabilitation Center of 791 Boone Station Drive, Burlington, NC 27215 CCN 345496 | 2.1 km | 122 | Jan 8, 2026 | 142 open | — | |
| Edgewood Place at the Village at Brookwood 1820 Brookwood Avenue, Burlington, NC 27215 CCN 345091 | 5.6 km | 51 | Jul 24, 2025 | 13 | — | |
| White Oak Manor - Burlington 323 Baldwin Road, Burlington, NC 27217 CCN 345301 | 9.6 km | 160 | Nov 18, 2025 | 355 IJ1 harm | $137k | |
| Peak Resources - Alamance, Inc 215 College Street, Graham, NC 27253 CCN 345337 | 10.7 km | 142 | Jul 1, 2026 | 111 harm | $14k | |
| Alamance Health Care Center 1987 Hilton Road, Burlington, NC 27217 CCN 345420Abuse icon | 11.1 km | 180 | Aug 20, 2026 | 434 open | $8,034 | |
| Ashton Health and Rehabilitation 5533 Burlington Road, Mcleansville, NC 27301 CCN 345548 | 12.9 km | 134 | Jul 3, 2025 | 61 harm | $8,788 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345235 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345235 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| 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 · Clinical care |
| D · Potential harm Isolated |
| Corrected Mar 29, 2026 |
| Mar 19, 2026 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 29, 2026 |
| Mar 19, 2026 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | No revisit needed Mar 29, 2026 |
| Mar 11, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 18, 2025 | Complaint |
| Mar 11, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 | Complaint |
| Jan 9, 2025 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Jan 9, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 14, 2025 |
| Jan 9, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Jan 9, 2025 | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Jan 9, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Aug 7, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance May 3, 2024 | Complaint |
| Aug 7, 2024 | F-0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance Aug 1, 2024 | Complaint |
| Sep 15, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 20, 2023 |
| Sep 15, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 20, 2023 |
| Sep 15, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 20, 2023 |
| Sep 15, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 20, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.32 (case-mix index 1.19).