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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 20th out of 169 homes in Georgia.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 17m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
25% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #69 / 165Payroll — state benchmarkedThis home is ranked 69th out of 165 homes in Georgia.Shows total annual staff payroll benchmarked to the Georgia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Georgia average: 78.1%Twin Fountains Home is administrated by Ms MARYJANE CLEVELAND.
Key information about the people who lead and staff this community.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Georgia average: 15 visits/inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Georgia average: 21 deficiencies
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.
Georgia average 3.4
Last Health inspection on May 2025
Georgia average 16.6
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).
100% better than Georgia averageGeorgia average: 0.7
0
100% better than Georgia averageGeorgia average: 0.5
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Corrected
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.
Twin Fountains Home is located in LAGRANGE, Georgia.
Here are the financial assistance programs available to residents in Georgia.
6.7 miles from city center
Estimated distance in miles from LAGRANGE's city center to Twin Fountains Home's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
54% better than Georgia averageGeorgia average ratio: 1.45:1
6% better than Georgia averageGeorgia average: 8.3 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
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.
Total hours from contractors
8,006 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
In line with Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
15.0%
23% better than Georgia averageGeorgia average: 19.4%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
47% worse than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
49% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
3.2%
30% worse than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
7.9%
31% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.3%
96% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
21.7%
13% worse than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
In line with Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Georgia averageGeorgia average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.3%
In line with Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
55% worse than Georgia averageGeorgia average: 2.2%
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.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| 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).
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| Anderson Mill Center for Nursing and Healing LLC |
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. | Austell | 170 | 81.7% | +5% | 3.34 | +63% | -6% | 0 | 11 | 3.7 | 0 | 124 | - | - | Empire Ga 3 Holdco Llc | $18.1M | $6.9M | 38.1% | 115145 | ||||
| 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 | +3% | -22% | 1 | 20 | 5.0 | 1 | 54 | - | - | Mukwindidza, Chido | $6.6M | $2.1M | 31.1% | 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 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 | - | - | - | - | - | - | - | - |
Historical financial and operational data for Twin Fountains Home based on CMS SNF Cost Reports.
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