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Twin Fountains Home
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Lagrange, GA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Twin Fountains Home, Nursing Home in Lagrange, GA — Cozy interior view of a resident's room

Twin Fountains Home

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Lagrange, GA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1400 Hogansville Road, Lagrange, GA 30240 View map Calculator: See prices in your area
Twin Fountains Home accepts Medicare, Medicaid, and private pay.
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Twin Fountains Home accepts Medicare, Medicaid, and private pay.

Overview of Twin Fountains Home

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Twin Fountains Home operates a 116-bed skilled nursing facility at 1400 Hogansville Road in Lagrange, Georgia. With a 55-year operating history, the home maintains a steady population at a 78 percent occupancy rate. The front office takes standard private pay, Medicare, and state Medicaid. Residents stay here for an average of 340 days, which shows that the daily routine leans heavily toward extended clinical care and permanent placement rather than just quick rehab turnarounds.

The building is located in a car-dependent area with a walk score of 9 out of 100, meaning families will need a vehicle for visits, though Wellstar West Georgia Medical Center is located less than four miles away. Inside, the clinical floor provides an average of 4 hours and 42 minutes of direct nursing care per resident each day. This 24-hour setup includes registered nurses, licensed practical nurses, and nurse aides who handle physical, occupational, and recreational therapies. The campus also features specialized memory care, hospice services, private suites, a library, an on-site beauty salon, and a dining program that serves medically tailored meals.

Inspection reports turned up some operational issues involving administrative paperwork and building safety systems. The facility resolved these specific citations, and state oversight files confirm the building is currently back in compliance with public health and safety codes.

Prospective representatives can call the main business office to check on open suites, learn about the physical therapy schedules, or plan an afternoon visit to see the shared lounges. The admissions staff can also look over active insurance parameters to map out how different public programs or personal funds cover the monthly rates.

Facility Direct Line (706) 882-0121
Facility Direct Line (706) 882-0121
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 23.1% Below GA avg. ▼ 23.1% Below GA avg.GA average: 2.6Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 28.4% Below GA avg. ▼ 28.4% Below GA avg.GA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 77.3% Above GA avg. ▲ 77.3% Above GA avg.GA average: 2.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 5.7% Above GA avg. ▲ 5.7% Above GA avg.GA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Georgia averages

Rank #28 / 180Nurse hours — State benchmarkedThis home is ranked 28th out of 180 homes we track in Georgia for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Georgia average, with a ranking across 180 Georgia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 28th out of 180 homes we track in Georgia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 58m

11% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
42m
+39% State avg: 30m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
54m
Avg State avg: 56m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 22m
+10% State avg: 2h 9m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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 18m
+7% State avg: 3h 6m per day · National avg: 3h 30m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
5m
+55% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
25m
+20% State avg: 21m per day · National avg: 29m per day

0 of 6 metrics below state avg

Standout metric: Physical Therapist is +55% above Georgia average

Capacity and availability

Residents per day
91
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
340 days
Bed community size
116-bed community Rank #140 / 661Bed count — State benchmarkedThis home is ranked 140th out of 661 homes we track in Georgia for bed count. Shows this facility's certified or reported bed count compared to other Georgia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
55 years in operation Rank #1 / 671Years in operation — State benchmarkedThis home is ranked 1st out of 671 homes we track in Georgia for years in operation. Shows how long this facility has been in operation compared to other Georgia facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 9 / 100 Rank #736 / 838Walk Score — State benchmarkedThis home is ranked 736th out of 838 homes we track in Georgia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Georgia facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
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

About this community

Occupancy

Occupancy rate
78%
Rank #99 / 152Occupancy rate — State benchmarkedThis home is ranked 99th out of 152 homes we track in Georgia for occupancy. Shows this facility's occupancy rate versus the Georgia average, with its Statewide rank out of 152. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Georgia average: 78.1%
Occupied beds
91 / 116
Average occupied beds in Georgia homes 88 beds

License Details

Facility TypeNursing Home
StatusSnf/Nf Dual Cert
IssuanceJune 1, 1971
CountyTroup
CMS Certification Number115709

Ownership & Operating Entity

Twin Fountains Home is administered by Toni Lynn Smith.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Subacute Care

Contact Information

Email zrosenberg@outcomehc.com

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Lounge
Library
Cable Tv
Dining
Wi-Fi
Salon
Free Phone Service
Specific ProgramsRehabilitation Therapies, Recreational Therapy & Activities, Social Services & Discharge Planning, Hospice/Palliative Care

Contact Twin Fountains Home

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.

Since 2017 · 9 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 19 deficiencies 21 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Georgia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2017 vs. Georgia state average
Overall vs. GA average 0 Worse No metrics in this bucket. 2 Better Metrics better than Georgia average:
• Total deficiencies (24% below)
• Deficiencies per inspection (40% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityGA Averagevs. GA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1925 This facility has 24% fewer total deficiencies than a typical Georgia nursing home (19 vs. GA avg 25).↓ 24% better
Deficiencies per inspection Info Average deficiencies per inspection. 0.91.5 This facility has 40% fewer deficiencies per inspection than a typical Georgia nursing home (0.9 vs. GA avg 1.5).↓ 40% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityGA Averagevs. GA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2117 This facility has had 24% more total inspections than the Georgia average (21 vs. GA avg 17). More inspections can mean more regulatory scrutiny rather than worse care.↑ 24% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 2

State average 3.4

Last Health inspection on May 2025

Total health citations
5 Rank #17 / 183Health citations — State benchmarkedThis home is ranked 17th out of 183 homes we track in Georgia for health citations. Shows this facility's total health deficiency citations benchmarked to the Georgia State average, with a ranking across all 183 GA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 16.6

Citations per inspection
2.5 Rank #21 / 183Citations per inspection — State benchmarkedThis home is ranked 21st out of 183 homes we track in Georgia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Georgia mean across 183 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 4 years)
Critical health citations
0
100% better than State average

State average: 0.7

Serious health citations
0
100% better than State average

State average: 0.5

0 critical citations State average: 0.7
0 serious citations State average: 0.5
5 moderate citations State average: 15.2
0 minor citations State average: 0.2
Citations history (last 4 years)
Nutrition moderate citation May 08, 2025
Corrected
Resident Rights moderate citation May 08, 2025
Corrected
Resident Rights moderate citation May 08, 2025
Corrected
Nutrition moderate citation Mar 17, 2022
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 113
Employees 111
Contractors 2
Staff to resident ratio 1.22 : 1
14% fewer staff per resident than Georgia average
Georgia average ratio: 1.42 : 1 Georgia average ratio: 1.42 : 1See full Georgia ranking
Avg staff/day 38
Average shift 8.5 hours
0% compared with Georgia average
Georgia average: 8.3 hours Georgia average shift: 8.3 hoursSee full Georgia ranking
Total staff hours (quarter) 29,690

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 25 LPN Staff are full-time employees. No contractors work on this role. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 62 CNA Staff are full-time employees. No contractors work on this role. 62
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.8%

238 contractor hours this quarter

Feeding Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6206215,74992100%8.7
Licensed Practical Nurse250256,36392100%9
Registered Nurse120123,66292100%7.6
Clinical Nurse Specialist4042,1708693%9
Physical Therapy Aide3035206368%7.4
Respiratory Therapy Technician2024285964%7
Administrator1014015964%6.8
Feeding Assistant0111864043%4.7
Dental Services Staff1011452527%5.8
Medical Director011522628%2
Physical Therapy Assistant1011567%2.5
62 Certified Nursing Assistant
% of Days 100%
25 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
4 Clinical Nurse Specialist
% of Days 93%
View All Staffing Data

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Georgia average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.3
5% worse than Georgia average

Georgia average: 17.4

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.6%
In line with Georgia average

Georgia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.0%
23% better than Georgia average

Georgia average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.4%
45% worse than Georgia average

Georgia average: 16.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.7%
47% worse than Georgia average

Georgia average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.2%
49% better than Georgia average

Georgia average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
30% worse than Georgia average

Georgia average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.9%
31% worse than Georgia average

Georgia average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.3%
96% better than Georgia average

Georgia average: 8.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.7%
13% worse than Georgia average

Georgia average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.8%
In line with Georgia average

Georgia average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
In line with Georgia average

Georgia average: 95.0%

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.3%
In line with Georgia average

Georgia average: 80.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.4%
55% worse than Georgia average

Georgia average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 72.2%
8% worse than Georgia average

Georgia average: 78.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 93
Medicare
8
8.6% of residents
Medicaid
75
80.6% of residents
Private pay or other
10
10.8% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$294.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$3.8M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$294.0M Rank #1 / 169Net patient revenue — State benchmarkedThis home is ranked 1st out of 169 homes we track in Georgia. Shows this facility's net patient revenue compared to the Georgia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$3.8M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$20.0M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #52 / 169Payroll costs — State benchmarkedThis home is ranked 52nd out of 169 homes we track in Georgia. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Georgia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$6.7M 2.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #169 / 169Payroll % of net patient revenue — State benchmarkedThis home is ranked 169th out of 169 homes we track in Georgia. Shows payroll as a percentage of net patient revenue versus the Georgia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Georgia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$283.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$290.2M
How we calculate these figures

This home is administered by Toni Lynn Smith.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 115709

Show certification details

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
102 total

Coverage residents most often arrive under.

Medicare 25%
Private pay 60%
Medicaid 16%
Discharges
92 total

Coverage residents most often leave under.

Medicare 14%
Private pay 62%
Medicaid 24%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Twin Fountains Home

Address 6.7 miles from city center Info Estimated distance in miles from Lagrange's city center to Twin Fountains Home's address, calculated via Google Maps.

Calculate Travel Distance to Twin Fountains Home

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Address

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Info below is compiled from CMS reports & the GA Dept. of Community Health (DCH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Georgia average is: 54.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Magnolia Manor Methodist Nsg C ★ ★ ★ ☆ ☆
NH
AL
IL
MC
RC
SNF
Americus
238
Facility 238
GA AVG 87
Rank #12 / 661
58.4%
Facility 58.4%
GA AVG 80.3%
Rank #138 / 152
-27%
3.32
Facility 3.32
GA AVG 3.56
Rank #104 / 180
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -39%-7%
$0
Facility $0
GA AVG $38.9k
Rank #1 / 184
8
Facility 8
GA AVG 16.6
Rank #32 / 183
4.0
Facility 4.0
GA AVG 4.7
Rank #70 / 183
-139-
73
Facility 73
GA AVG 41
Rank #58 / 838
Brad Fussell
$13.0MFiscal year ending 06/2024
Facility $13.0MFiscal year ending 06/2024
GA AVG $12.8M
Rank #55 / 169
$8.0MFiscal year ending 06/2024
Facility $8.0MFiscal year ending 06/2024
GA AVG $5.7M
Rank #28 / 169
61.5%Fiscal year ending 06/2024
Facility 61.5%Fiscal year ending 06/2024
GA AVG 54.8%
Rank #32 / 169
115004
Camellia Gardens of Life Care ★ ★ ★ ☆ ☆
NH
SNF
Thomasville
83
Facility 83
GA AVG 87
Rank #321 / 661
85.5%
Facility 85.5%
GA AVG 80.3%
Rank #72 / 152
+6%
3.90
Facility 3.90
GA AVG 3.56
Rank #32 / 180
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +26%+10%
$7.0k
Facility $7.0k
GA AVG $38.9k
Rank #125 / 184
11
Facility 11
GA AVG 16.6
Rank #55 / 183
3.7
Facility 3.7
GA AVG 4.7
Rank #62 / 183
-71A+
72
Facility 72
GA AVG 41
Rank #67 / 838
Daniel Aragon
$8.5MFiscal year ending 05/2024
Facility $8.5MFiscal year ending 05/2024
GA AVG $12.8M
Rank #104 / 169
$4.7MFiscal year ending 05/2024
Facility $4.7MFiscal year ending 05/2024
GA AVG $5.7M
Rank #97 / 169
54.8%Fiscal year ending 05/2024
Facility 54.8%Fiscal year ending 05/2024
GA AVG 54.8%
Rank #72 / 169
115570
Briarwood Health and Rehabilitation Center ★ ★ ★ ☆ ☆
NH
MC
SNF
Tucker
100
Facility 100
GA AVG 87
Rank #190 / 661
95.0%
Facility 95.0%
GA AVG 80.3%
Rank #18 / 152
+18%
3.05
Facility 3.05
GA AVG 3.56
Rank #142 / 180
 ★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -13%-14%
$0
Facility $0
GA AVG $38.9k
Rank #1 / 184
11
Facility 11
GA AVG 16.6
Rank #55 / 183
2.8
Facility 2.8
GA AVG 4.7
Rank #32 / 183
195-
63
Facility 63
GA AVG 41
Rank #166 / 838
Baren Akers
$11.0MFiscal year ending 12/2023
Facility $11.0MFiscal year ending 12/2023
GA AVG $12.8M
Rank #70 / 169
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
GA AVG $5.7M
Rank #59 / 169
55.3%Fiscal year ending 12/2023
Facility 55.3%Fiscal year ending 12/2023
GA AVG 54.8%
Rank #65 / 169
115322
Twin Fountains Home ★ ★ ☆ ☆ ☆
NH
HOS
MC
PC
RC
SNF
Lagrange
116
Facility 116
GA AVG 87
Rank #140 / 661
78.4%
Facility 78.4%
GA AVG 80.3%
Rank #99 / 152
-2%
3.97
Facility 3.97
GA AVG 3.56
Rank #28 / 180
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +22%+11%
$0
Facility $0
GA AVG $38.9k
Rank #1 / 184
5
Facility 5
GA AVG 16.6
Rank #17 / 183
2.5
Facility 2.5
GA AVG 4.7
Rank #21 / 183
-91A+
9
Facility 9
GA AVG 41
Rank #736 / 838
-
$294.0MFiscal year ending 06/2024
Facility $294.0MFiscal year ending 06/2024
GA AVG $12.8M
Rank #1 / 169
$6.7MFiscal year ending 06/2024
Facility $6.7MFiscal year ending 06/2024
GA AVG $5.7M
Rank #52 / 169
2.3%Fiscal year ending 06/2024
Facility 2.3%Fiscal year ending 06/2024
GA AVG 54.8%
Rank #169 / 169
115709
Powder Springs Center for Nursing & Healing ★ ★ ☆ ☆ ☆
NH
HOS
MC
PC
RC
SNF
Powder Springs
208
Facility 208
GA AVG 87
Rank #21 / 661
93.8%
Facility 93.8%
GA AVG 80.3%
Rank #25 / 152
+17%
3.01
Facility 3.01
GA AVG 3.56
Rank #142 / 180
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -7%-15%
$16.8k
Facility $16.8k
GA AVG $38.9k
Rank #152 / 184
22
Facility 22
GA AVG 16.6
Rank #124 / 183
7.3
Facility 7.3
GA AVG 4.7
Rank #156 / 183
2195A+
46
Facility 46
GA AVG 41
Rank #357 / 838
Powder Springs Operating LLC
$21.6MFiscal year ending 06/2024
Facility $21.6MFiscal year ending 06/2024
GA AVG $12.8M
Rank #10 / 169
$11.3MFiscal year ending 06/2024
Facility $11.3MFiscal year ending 06/2024
GA AVG $5.7M
Rank #6 / 169
52.1%Fiscal year ending 06/2024
Facility 52.1%Fiscal year ending 06/2024
GA AVG 54.8%
Rank #88 / 169
115538
Nursing Home Explorer

Frequently Asked Questions about Twin Fountains Home

Is Twin Fountains Home in a walkable area?

Twin Fountains Home has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Twin Fountains Home?

Twin Fountains Home's occupancy is 78%.

How long has Twin Fountains Home been in business?

Twin Fountains Home has been operating for approximately 55 years, based on available licensing and registration records.

Are pets allowed at Twin Fountains Home?

No, Twin Fountains Home has a no-pet policy.

What is the best email address for Twin Fountains Home?

The team at Twin Fountains Home can be reached at zrosenberg@outcomehc.com.

Does Twin Fountains Home operate as a for-profit or non-profit?

Twin Fountains Home is registered as a for-profit in GA.

Who is the administrator of Twin Fountains Home?

Toni Lynn Smith is the administrator of Twin Fountains Home.

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