Occupancy rate
78%
In line with Georgia averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Georgia
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Twin Fountains Home
Nursing Home in Georgia
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Twin Fountains Home
Twin Fountains Home is a senior living facility in Lagrange, Georgia. It offers post-hospital rehabilitation and long-term care services. The facility provides a range of services including memory care, skilled nursing, and recreational activities.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
116
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.4%
Residents per day (avg)
91
Occupancy rate
78.4%
Residents per day (avg)
91
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
25% of new residents, usually for short-term rehab.
Typical stay
15 days
Private pay
60% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$1.6B
Profit
$23.8M
Privately-owned community
Operated by a business corporation.
Home revenue
$1.6B
Profit
$23.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.6B
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$1.6B
116-bed community
A larger shared setting that may offer more common spaces and organized community services.
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Georgia averageOccupied beds
91 / 116
Average residents
88 per day
Facility TypeNursing Home
StatusSnf/nf Dual Cert
IssuanceJune 1, 1971
CountyTROUP
CMS Certification Number115709
Twin Fountains Home is administrated by Ms MARYJANE CLEVELAND.
Staffing
Key information about the people who lead and staff this community.
ContactMary Jane Cleveland
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Subacute Care
Long Term Care
Email
[email protected]
Family Lounge
Private Suites
Library
Flat Screen/Table Tv
State Of The Art Rehab Center
Free Phone Service
Formal Dining Area
Free Wifi
Beauty Salon/Barber Shop
Specific ProgramsSubacute Care, Long Term Care, Memory Care, Rehabilitation Therapies, Recreational Therapy & Activities, Social Services & Discharge Planning, Respite Care, Hospice/Palliative Care
Food DescriptionThe dining experience is an integral part of daily life. The Food Service Department provides a wide variety of nutritious meals, snacks and nourishments according to the diet approved by your physician.
Inspection History
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
Show Inspection Reports
Latest inspection
Date
June 17, 2025
Other19 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Georgia average: 21 deficiencies
Inspection Report Summary for Twin Fountains Home
The most recent inspection on June 17, 2025, found that all deficiencies cited in the May 8, 2025, survey were corrected during the revisit survey. The May 8, 2025, inspection had identified deficiencies related to resident personal funds statements, transfer notifications, and food labeling and storage practices, while a concurrent Life Safety survey noted issues with door closures, exit signage, sprinkler access, smoke doors, and electrical panel access. Earlier complaint investigations were mostly unsubstantiated, and no enforcement actions such as fines or license suspensions were listed in the available reports. Prior inspections from 2022 and earlier also cited food safety and sanitary storage issues, as well as some Life Safety Code deficiencies, but these were addressed over time. The recent correction of all cited deficiencies suggests improvement in compliance with regulatory requirements.
Health Inspection History
Inspections
Total health inspections
2
Georgia average 3.4
Last Health inspection on May 2025
Total health citations
5
Georgia average 16.6
Citations per inspection
2.5
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Georgia averageGeorgia average: 0.7
Serious Health citations
0
0
100% better than Georgia averageGeorgia average: 0.5
0 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 17, 2022
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 17, 2022
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Georgia The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
Filter by care type
Twin Fountains Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lagrange
116
73.7%
-6%
4.70
+32%
0
5
2.5
0
91
A+
-
$1619.5M
$4.7M
0.3%
115709
Altamaha Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Jesup
62
86.3%
+10%
2.76
-22%
1
20
5.0
1
54
-
Mukwindidza, Chido
$6.5M
$2.1M
31.6%
115577
Alzheimer’s Outreach Center of South Ga Inc
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Albany
32
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Alzheimer’s Outreach Center of South Ga Inc
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Albany
32
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Alzheimer’s Services Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Morrow
50
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
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6.7 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
208
Employees
107
Contractors
101
Staff to resident ratio
2.24:1
54% better than Georgia averageGeorgia average ratio: 1.45:1
Avg staff/day
48
Average shift
8.8 hours
6% better than Georgia averageGeorgia average: 8.3 hours
Total staff hours (quarter)
38,236
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
131
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
20.9%
8,006 contractor hours this quarter
Certified Nursing Assistant: 73
Licensed Practical Nurse: 24
Registered Nurse: 2
Feeding Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 58 | 73 | 131 | 22,456 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 20 | 24 | 44 | 6,398 | 91 | 100% | 9 |
| Registered Nurse | 13 | 2 | 15 | 4,268 | 91 | 100% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,150 | 90 | 99% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 943 | 65 | 71% | 8.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 501 | 62 | 68% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 392 | 53 | 58% | 7.4 |
| Feeding Assistant | 1 | 1 | 2 | 312 | 65 | 71% | 4.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 272 | 36 | 40% | 7.6 |
| Qualified Social Worker | 1 | 0 | 1 | 95 | 15 | 16% | 6.3 |
| Medical Director | 0 | 1 | 1 | 54 | 26 | 29% | 2.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 3 | 1 | 1% | 2.8 |
131 Certified Nursing Assistant
% of Days
100%
44 Licensed Practical Nurse
% of Days
100%
15 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
99%
2 Clinical Nurse Specialist
% of Days
71%
1 Administrator
% of Days
71%
2 Dental Services Staff
% of Days
68%
1 Nurse Practitioner
% of Days
62%
1 Physical Therapy Assistant
% of Days
58%
1 Respiratory Therapy Technician
% of Days
58%
2 Feeding Assistant
% of Days
71%
2 Physical Therapy Aide
% of Days
40%
1 Qualified Social Worker
% of Days
16%
1 Medical Director
% of Days
29%
1 Occupational Therapy Aide
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
93 residents
Residents by payment source
Medicare
8 residents (8.6%)
Medicaid
75 residents (80.6%)
Private pay or other
10 residents (10.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
8% better than Georgia averageGeorgia average: 10.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.3
5% worse than Georgia averageGeorgia average: 17.4
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
In line with Georgia averageGeorgia average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.0%
Percent of long-stay residents whose ability to move independently worsened
15.0%
23% better than Georgia averageGeorgia average: 19.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
45% worse than Georgia averageGeorgia average: 16.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
47% worse than Georgia averageGeorgia average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
49% better than Georgia averageGeorgia average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
30% worse than Georgia averageGeorgia average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.9%
Percent of long-stay residents who lose too much weight
7.9%
31% worse than Georgia averageGeorgia average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.3%
Percent of long-stay residents who have depressive symptoms
0.3%
96% better than Georgia averageGeorgia average: 8.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.7%
Percent of long-stay residents who received an antipsychotic medication
21.7%
13% worse than Georgia averageGeorgia average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
In line with Georgia averageGeorgia average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Georgia averageGeorgia average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.3%
In line with Georgia averageGeorgia average: 80.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
55% worse than Georgia averageGeorgia average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.2%
8% worse than Georgia averageGeorgia average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Twin Fountains Home based on CMS SNF Cost Reports.
Occupancy Rate
73.7%
↓ 2.5pp vs 2023
Net Income
$23.8M
↑ ~$3.8M vs 2023
Total Payroll
$6.7M
↑ ~$375.3K vs 2023
Profit Margin
1.5%
↑ 0.1pp vs 2023
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