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Twin Fountains Home
Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · 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 resident room with bed, chair, and dresser

Twin Fountains Home

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · 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.
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.
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.
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.

Staffing hours breakdown

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 — compared to state averages

Total nursing care / resident Info 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.
4h 42m per day
Rank #22 / 202Nurse hours — State benchmarkedThis home is ranked 22nd out of 202 homes in Georgia. Shows adjusted nurse hours per resident per day benchmarked to the Georgia average, with a ranking across 202 Georgia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs 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 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. 46m 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. 1h 54m 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. 2h 45m 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. 3m 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. 21m per day

Capacity and availability

Avg. Length of Stay
340 days
Bed community size
116-bed community Rank #143 / 672Bed count — State benchmarkedThis home is ranked 143rd out of 672 homes in Georgia. 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.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.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 / 670Years in operation — State benchmarkedThis home is ranked 1st out of 670 homes in Georgia. Shows how long this facility has been in operation compared to other Georgia facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.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 #741 / 873Walk Score — State benchmarkedThis home is ranked 741st out of 873 homes in Georgia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Georgia facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.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 #140 / 325Occupancy rate — State benchmarkedThis home is ranked 140th out of 325 homes in Georgia. Shows this facility's occupancy rate versus the Georgia average, with its Statewide rank out of 325. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.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.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Mary Jane Cleveland, Administrative Assistant

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

Amenities & Lifestyle

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 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 19 deficiencies

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 (10% below)
• Deficiencies per year (9% below)
Latest Inspection June 17, 2025 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

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. 1921 This facility has 10% fewer total deficiencies than a typical Georgia assisted living residence (19 vs. GA avg 21).↓ 10% better
Deficiencies per year Info Average deficiencies per year since 2017. 2.12.3 This facility has 9% fewer deficiencies per year than a typical Georgia assisted living residence (2.1 vs. GA avg 2.3).↓ 9% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The June 17, 2025 revisit survey confirmed all deficiencies cited in the May 8, 2025 standard survey were fully corrected.
  • The May 8, 2025 inspection found three deficiencies including failure to provide quarterly personal funds statements, transfer notifications, and inadequate food labeling and storage.
  • The May 5, 2025 Life Safety Code survey cited five deficiencies involving propped open hazardous area doors, nonfunctional exit signage, blocked sprinkler riser and electrical panel access, and smoke doors not closing.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 2

State average N/A

Last Health inspection on May 2025

Total health citations
5 Rank #19 / 203Health citations — State benchmarkedThis home is ranked 19th out of 203 homes in Georgia. Shows this facility's total health deficiency citations benchmarked to the Georgia State average, with a ranking across all 203 GA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.5 Rank #24 / 203Citations per inspection — State benchmarkedThis home is ranked 24th out of 203 homes in Georgia. Shows average deficiency citations per CMS inspection for this facility versus the Georgia mean across 203 facilities with citation data. Lower is better.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
5 moderate citations State average: N/A
0 minor citations State average: N/A
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. 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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 38
Average shift 8.5 hours
0% compared with State average

State average: 0 hours

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%
3 Physical Therapy Aide
% of Days 68%
2 Respiratory Therapy Technician
% of Days 64%
1 Administrator
% of Days 64%
1 Feeding Assistant
% of Days 43%
1 Dental Services Staff
% of Days 27%
1 Medical Director
% of Days 28%
1 Physical Therapy Assistant
% of Days 7%
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 State average

State 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 State average

State average: 17.4

Long-stay resident measures
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 State average

State average: 16.8%

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

State 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 State average

State 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 State average

State 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 State average

State average: 6.3%

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

State average: 2.5%

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

State average: 6.0%

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

State average: 8.7%

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

State average: 19.1%

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

State average: 91.5%

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

State average: 95.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.3%
In line with State average

State average: 80.6%

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

State average: 2.2%

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

State 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 / 197Revenue — State benchmarkedThis home is ranked 1st out of 197 homes in Georgia. Shows this facility's annual revenue compared to the Georgia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #63 / 197Payroll — State benchmarkedThis home is ranked 63rd out of 197 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.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$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 #197 / 197Payroll % — State benchmarkedThis home is ranked 197th out of 197 homes in Georgia. Shows payroll as a percentage of revenue versus the Georgia average. Well-run Georgia facilities typically land around 50–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Georgia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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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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%.

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.

How many beds does Twin Fountains Home have?

Twin Fountains Home has 116 beds.

Are there photos of Twin Fountains Home?

Yes — there is 1 photo of Twin Fountains Home in the photo gallery on this page.

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