Twin Fountains Home

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Lagrange, GA

CMS overall rating

1400 Hogansville Road, Lagrange, GA 30240 View map

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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

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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Georgia state averages

Total nursing care / resident

4h 42m per day

This facility Georgia avg (3h 33m per day)

vs Georgia avg

+32%

3 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +44% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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	▲ 44% State avg: 29m per day · National avg: 41m per day
LPN / LVN 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	▼ 17% State avg: 55m per day · National avg: 52m per day
Nurse Aide 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	▼ 12% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing 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	▼ 12% State avg: 3h 9m per day · National avg: 3h 27m per day
Physical Therapist 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	■ Avg State avg: 3m per day · National avg: 4m per day
Weekend RN 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	▲ 5% State avg: 20m per day · National avg: 29m per day

Capacity and availability

340 days

116-bed community

A larger shared setting that may offer more common spaces and organized community services.

55 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 9 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

BBB Rating: A+ (Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

78%

Similar to the Georgia average: 78.1%

Occupied beds

91 / 116

Average occupied beds in Georgia homes 88 beds

Facility TypeNursing Home

StatusSnf/nf Dual Cert

IssuanceJune 1, 1971

CountyTroup

CMS Certification Number115709

Twin Fountains Home is administered by Toni Lynn Smith.

Staffing

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

ContactMs. Mary Jane Cleveland, Administrative Assistant (per BBB, record updated Jul 2026)

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Subacute Care

Email zrosenberg@outcomehc.com

Pets not allowed

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

Since 2017 · 9 years of data 19 deficiencies

Inspection Scorecard 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

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	GA Average	vs. GA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	19	21	This facility has 10% fewer total deficiencies than a typical Georgia nursing home (19 vs. GA avg 21).↓ 10% better

Inspection Reports Summary 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

Inspections since 2022

Total health inspections 2

State average 3.4

Last Health inspection on May 2025

Total health citations

State average 16.6

Citations per inspection

2.5

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

100% better than State average

State average: 0.7

Serious health citations

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

Total staff 113

Employees 111

Contractors 2

Staff to resident ratio 1.22 : 1

14% fewer staff per resident than Georgia average

Avg staff/day 38

Average shift 8.5 hours

0% compared with Georgia average

Total staff hours (quarter) 29,690

Nursing staff breakdown

7.6 hours

9 hours

8.7 hours

Contractor staffing

238 contractor hours this quarter

Feeding Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	62	0	62	15,749	92	100%	8.7
Licensed Practical Nurse	25	0	25	6,363	92	100%	9
Registered Nurse	12	0	12	3,662	92	100%	7.6
Clinical Nurse Specialist	4	0	4	2,170	86	93%	9
Physical Therapy Aide	3	0	3	520	63	68%	7.4
Respiratory Therapy Technician	2	0	2	428	59	64%	7
Administrator	1	0	1	401	59	64%	6.8
Feeding Assistant	0	1	1	186	40	43%	4.7
Dental Services Staff	1	0	1	145	25	27%	5.8
Medical Director	0	1	1	52	26	28%	2
Physical Therapy Assistant	1	0	1	15	6	7%	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

No penalties in the past 3 years

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

High-risk clinical events score 9.5

8% better than Georgia average

Georgia average: 10.3

Functional decline score 18.3

5% worse than Georgia average

Georgia average: 17.4

Long-stay resident measures

Need for Help with Daily Activities Increased 16.6%

In line with Georgia average

Georgia average: 16.8%

Walking Ability Worsened 15.0%

23% better than Georgia average

Georgia average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence 23.4%

45% worse than Georgia average

Georgia average: 16.1%

Falls with Major Injury 4.7%

47% worse than Georgia average

Georgia average: 3.2%

High Risk Residents with Pressure Ulcers 3.2%

49% better than Georgia average

Georgia average: 6.3%

Urinary Tract Infection 3.2%

30% worse than Georgia average

Georgia average: 2.5%

Lost Too Much Weight 7.9%

31% worse than Georgia average

Georgia average: 6.0%

Depressive Symptoms 0.3%

96% better than Georgia average

Georgia average: 8.7%

Antipsychotic Use 21.7%

13% worse than Georgia average

Georgia average: 19.1%

Pneumococcal Vaccine 88.8%

In line with Georgia average

Georgia average: 91.5%

Influenza Vaccine 98.8%

In line with Georgia average

Georgia average: 95.0%

Short-stay resident measures

Pneumococcal Vaccine 78.3%

In line with Georgia average

Georgia average: 80.6%

Antipsychotic medication increase 3.4%

55% worse than Georgia average

Georgia average: 2.2%

Influenza Vaccine 72.2%

8% worse than Georgia average

Georgia average: 78.2%

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

Total residents 93

Medicare

8.6% of residents

Medicaid

80.6% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Twin Fountains Home from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 73.7% ↓ 2.5pp vs 2023

Net Patient Income $3.8M ↑ ~$3.2M vs 2023

Payroll Costs $6.7M ↑ ~$387.8K vs 2023

Operating Margin 1.3% ↑ 1.1pp vs 2023

Metric	2012	2013	2014	2015	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	93.2%	88.4%	89.6%	88.0%	85.5%	86.1%	87.0%	113.3%	69.6%	72.5%	76.2%	73.7%
Beds	116	116	116	116	116	116	116	116	116	116	116	116
Net Income	$4,384,947	-$260,056	$6,469,484	$10,464,000	$17,178,631	$188,315,037	$33,138,319	$22,222,129	$39,181,803	-$907,333	$19,958,726	$23,782,193
Gross Revenue	$411,638,953	$434,924,919	$469,626,249	$484,203,443	$537,537,734	$690,811,867	$981,969,310	$992,283,544	$1,156,756,777	$1,300,406,865	$1,467,219,432	$1,619,468,874
Operating Expenses	$170,980,129	$197,466,690	$167,753,937	$164,422,291	$176,533,756	$4,702,874	$187,956,294	$197,329,923	$215,394,887	$243,801,076	$263,215,323	$290,168,077
Net Patient Income	-$9,122,688	-$6,813,680	-$2,717,468	$5,735,461	$7,600,711	$181,542,242	$25,301,975	-$659,771	$12,819,975	$13,662,119	$606,248	$3,831,923
Net Patient Revenue	$161,857,441	$190,653,010	$165,036,469	$170,157,752	$184,134,467	$186,245,116	$213,258,269	$196,670,152	$228,214,862	$257,463,195	$263,821,571	$294,000,000
Payroll Costs	$65,673,565	$63,141,750	$64,608,312	$64,650,814	$69,539,294	$4,886,002	$5,108,588	$5,187,486	$4,821,698	$5,392,409	$6,320,247	$6,708,013
Operating Margin %	-5.6%	-3.6%	-1.7%	3.4%	4.1%	97.5%	11.9%	-0.3%	5.6%	5.3%	0.2%	1.3%
Medicare %	2.0%	4.2%	3.3%	3.1%	2.8%	4.4%	3.8%	1.4%	3.4%	2.6%	2.0%	1.2%
Medicaid %	89.2%	84.5%	79.0%	75.6%	88.8%	77.5%	80.2%	68.4%	81.7%	85.6%	86.7%	86.0%
Private %	8.9%	11.3%	17.7%	21.3%	8.5%	18.1%	15.9%	30.1%	14.9%	11.7%	11.2%	12.8%
Net Patient Revenue/Day	$4,089	$5,093	$4,348	$4,565	$5,086	$5,112	$5,788	$4,090	$7,746	$8,393	$8,179	$9,394
Cost/Day	$4,320	$5,275	$4,420	$4,411	$4,876	$129	$5,101	$4,103	$7,310	$7,948	$8,160	$9,271
Avg Length of Stay	879.6 days	411.3 days	301.2 days	355.0 days	406.8 days	291.5 days	396.2 days	667.9 days	342.6 days	374.1 days	546.7 days	340.2 days

Finances and operations

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

Net patient revenue

$294.0M

Net patient income

$3.8M

For-profit Operated by a single business entity.

Net patient revenue

$294.0M

Net patient income

$3.8M

Other income

$20.0M

Payroll costs

$6.7M 2.3% of net patient revenue

Other operating costs

$283.5M

Total costs

$290.2M

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.

Coverage residents most often arrive under.

Medicare 25%

Private pay 60%

Medicaid 16%

Coverage residents most often leave under.

Medicare 14%

Private pay 62%

Medicaid 24%

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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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.


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Baptist Village, Inc.	NH AL IL SNF	Waycross	254 Facility 254 GA AVG 87 Rank #7 / 664	73.2% Facility 73.2% GA AVG 79.3 Rank #111 / 155	-8%	4.78 Facility 4.78 GA AVG 3.56 Rank #17 / 183	-40%	+34%	$4.0k Facility $4.0k GA AVG $38.9k Rank #114 / 185	6 Facility 6 GA AVG 16.6 Rank #23 / 184	3.0 Facility 3.0 GA AVG 4.7 Rank #37 / 184	-	186	-	60 Facility 60 GA AVG 39 Rank #199 / 870	Executive Committee Of The Baptist Convention Of The State Of Georgia	$19.5MFiscal year ending 06/2024 Facility $19.5MFiscal year ending 06/2024 GA AVG $15.7M Rank #18 / 179	$11.9MFiscal year ending 06/2024 Facility $11.9MFiscal year ending 06/2024 GA AVG $4.3M Rank #3 / 179	61.4%Fiscal year ending 06/2024 Facility 61.4%Fiscal year ending 06/2024 GA AVG 42.6% Rank #9 / 179	115615
Twin Oaks Convalescent Center	NH SNF	Alma	88 Facility 88 GA AVG 87 Rank #297 / 664	83.0% Facility 83.0% GA AVG 79.3 Rank #82 / 155	+5%	4.52 Facility 4.52 GA AVG 3.56 Rank #22 / 183	-22%	+27%	$0 Facility $0 GA AVG $38.9k Rank #1 / 185	2 Facility 2 GA AVG 16.6 Rank #5 / 184	2.0 Facility 2.0 GA AVG 4.7 Rank #15 / 184	-	73	-	63 Facility 63 GA AVG 39 Rank #167 / 870	-	-	-	-	115513
Miona Geriatric & Dementia Center	NH HOS MC PC SNF	Ideal	88 Facility 88 GA AVG 87 Rank #297 / 664	88.6% Facility 88.6% GA AVG 79.3 Rank #54 / 155	+12%	3.57 Facility 3.57 GA AVG 3.56 Rank #69 / 183	+16%	0%	$0 Facility $0 GA AVG $38.9k Rank #1 / 185	1 Facility 1 GA AVG 16.6 Rank #1 / 184	1.0 Facility 1.0 GA AVG 4.7 Rank #1 / 184	-	78	-	11 Facility 11 GA AVG 39 Rank #719 / 870	Four Winds Investment Company LLC	$6.4MFiscal year ending 06/2024 Facility $6.4MFiscal year ending 06/2024 GA AVG $15.7M Rank #152 / 179	$3.8MFiscal year ending 06/2024 Facility $3.8MFiscal year ending 06/2024 GA AVG $4.3M Rank #124 / 179	59.8%Fiscal year ending 06/2024 Facility 59.8%Fiscal year ending 06/2024 GA AVG 42.6% Rank #29 / 179	115338
Twin Fountains Home	NH HOS MC PC RC SNF	Lagrange	116 Facility 116 GA AVG 87 Rank #142 / 664	78.4% Facility 78.4% GA AVG 79.3 Rank #99 / 155	-1%	4.70 Facility 4.70 GA AVG 3.56 Rank #19 / 183	+22%	+32%	$0 Facility $0 GA AVG $38.9k Rank #1 / 185	5 Facility 5 GA AVG 16.6 Rank #17 / 184	2.5 Facility 2.5 GA AVG 4.7 Rank #21 / 184	-	91	A+	9 Facility 9 GA AVG 39 Rank #738 / 870	-	$294.0MFiscal year ending 06/2024 Facility $294.0MFiscal year ending 06/2024 GA AVG $15.7M Rank #1 / 179	$6.7MFiscal year ending 06/2024 Facility $6.7MFiscal year ending 06/2024 GA AVG $4.3M Rank #55 / 179	2.3%Fiscal year ending 06/2024 Facility 2.3%Fiscal year ending 06/2024 GA AVG 42.6% Rank #179 / 179	115709

Nursing Home Explorer

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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Twin Fountains Home

Overview of Twin Fountains Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Twin Fountains Home

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

62 Certified Nursing Assistant

25 Licensed Practical Nurse

12 Registered Nurse

4 Clinical Nurse Specialist

3 Physical Therapy Aide

2 Respiratory Therapy Technician

1 Administrator

1 Feeding Assistant

1 Dental Services Staff

1 Medical Director

1 Physical Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Twin Fountains Home

Calculate Travel Distance to Twin Fountains Home

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