Nursing Home Alerts

Twin Lakes Extended Care

310 Eads Avenue, Paris, IL 61944

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Twin Lakes Extended Care is a nursing home in Paris, Illinois. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(217) 465-5395
Last standard health inspection
June 25, 2024 (2 years ago)
Certified beds
56
Residents per day, on average
37.1
Ownership type
For profit - Corporation
Legal business name
Twin Lakes Extended Care LLC
Chain
Stern Consultants
Takes part in
Medicare and Medicaid

Fewer health citations than the Illinois average (25 vs 38).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  2. CMS update of October 8, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

  5. 1 citation

    Health inspection on February 6, 2026

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    285 of 664 Illinois homes (43%) got a citation at the actual harm level in 2026.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on February 7, 2026.

    See this home on CMS Care Compare

  6. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

    • Ownership

      CMS ownership records list new owners for this home.

  7. CMS update of July 30, 2025

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

    • Health citation

      CMS removed citation F0758 from the health inspection on June 25, 2024.

  8. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  9. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

    • Name

      CMS lists a new name for this home. It was TWIN LAKES REHAB & HEALTH CARE.

  10. CMS update of December 20, 2024

    • Fine

      CMS changed the fine from December 14, 2023 from $109,930 to $71,455.

  11. CMS update of October 30, 2024

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  12. CMS update of August 29, 2024

    • Fine

      CMS changed the fine from October 18, 2022 from $9,742 to $9,956.

  13. CMS update of July 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  14. CMS update of June 26, 2024

    • Fine

      CMS changed the fine from October 18, 2022 from $9,311 to $9,742.

  15. 5 citations

    Health inspection on June 25, 2024

    CMS lists this as a standard inspection.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on July 18, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on July 18, 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 18, 2024.

      CMS has cited this home for F0758 2 times since 2022.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 18, 2024.

    • Citation F0912. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

      CMS lists it as corrected on July 18, 2024.

      CMS has cited this home for F0912 2 times since 2023.

    See this home on CMS Care Compare

  16. 8 citations

    Fire safety inspection on June 25, 2024

    CMS lists this as a standard inspection.

    • Citation E0026. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish roles under a Waiver declared by secretary.

      CMS lists it as corrected on July 19, 2024.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on July 25, 2024.

      CMS has cited this home for E0039 2 times since 2023.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on August 9, 2024.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on July 22, 2024.

      CMS has cited this home for K0712 2 times since 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on July 17, 2024.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on July 25, 2024.

      CMS has cited this home for K0920 2 times since 2023.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on August 9, 2024.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on July 20, 2024.

    See this home on CMS Care Compare

  17. CMS update of February 29, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

  18. CMS update of January 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Fine

      CMS changed the fine from October 18, 2022 from $14,325 to $9,311.

  19. Payment stopped

    January 6, 2024 (2 years ago)

    CMS stopped payment for new admissions from January 6, 2024, for 4 days.

    See this home on CMS Care Compare

  20. 5 citations

    Health inspection on December 14, 2023

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    46 of 664 Illinois homes (7%) got a citation at the immediate jeopardy level in 2023.

    • Citation F0600. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on January 10, 2024.

    • Citation F0836. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on January 10, 2024.

    • Citation F0607. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on January 10, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on January 10, 2024.

      CMS has cited this home for F0580 2 times since 2022.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on January 10, 2024.

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  21. Fine

    December 14, 2023 (2 years ago)

    CMS fine of $71,455 on December 14, 2023.

    See this home on CMS Care Compare

  22. 6 citations

    Health inspection on May 18, 2023

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on June 1, 2023.

    • Citation F0912. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

      CMS lists it as corrected on May 30, 2023.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on May 30, 2023.

      CMS has cited this home for F0656 2 times since 2022.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 1, 2023.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 1, 2023.

    • Citation F0576. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure residents have reasonable access to and privacy in their use of communication methods.

      CMS lists it as corrected on May 31, 2023.

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  23. 8 citations

    Fire safety inspection on May 18, 2023

    CMS lists this as a standard inspection.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on June 10, 2023.

    • Citation E0013. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop Emergency Preparedness policies and procedures.

      CMS lists it as corrected on June 10, 2023.

    • Citation E0029. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop a communication plan.

      CMS lists it as corrected on June 10, 2023.

    • Citation E0036. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish emergency prep training and testing.

      CMS lists it as corrected on June 10, 2023.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on June 10, 2023.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on June 10, 2023.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on June 10, 2023.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on June 10, 2023.

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  24. 8 citations

    Health inspection on May 17, 2022

    CMS lists this as a standard inspection.

    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 1, 2022.

    • Citation F0580. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on June 1, 2022.

    • Citation F0909. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 1, 2022.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 1, 2022.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on June 1, 2022.

    • Citation F0700. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 1, 2022.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 1, 2022.

    • Citation F0732. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on June 1, 2022.

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  25. 3 citations

    Fire safety inspection on May 17, 2022

    CMS lists this as a standard inspection.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on June 1, 2022.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on June 1, 2022.

    • Citation K0913. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure operating rooms are properly protected and written records are maintained and available for inspection.

      CMS lists it as corrected on June 1, 2022.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Twin Lakes Extended Care last inspected?

CMS lists June 25, 2024 as the date of its most recent standard health inspection.

How many citations (violations) does Twin Lakes Extended Care have?

CMS lists 25 health citations since May 17, 2022. CMS also calls these deficiencies.

Has Twin Lakes Extended Care been fined?

CMS lists 1 fine in the past three years, $71,455 in total.

What is the CMS star rating of Twin Lakes Extended Care?

Its CMS overall star rating is 4 of 5.

Is Twin Lakes Extended Care a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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