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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 19th out of 190 homes in Georgia. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 3h 17m per day |
Similar to the Georgia average: 78.1%Twin Fountains Home is administrated by Toni Lynn Smith.
Key information about the people who lead and staff this community.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
This scorecard compares key inspection, citation, 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
| 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 |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 2.1 | 2.3 | This facility has 9% fewer deficiencies per year than a typical Georgia nursing home (2.1 vs. GA avg 2.3).↓ 9% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 17, 2025, found that all deficiencies cited in the May 8, 2025, survey were corrected during the revisit survey. The May 8, 2025, inspection had identified deficiencies related to resident personal funds statements, transfer notifications, and food labeling and storage practices, while a concurrent Life Safety survey noted issues with door closures, exit signage, sprinkler access, smoke doors, and electrical panel access. Earlier complaint investigations were mostly unsubstantiated, and no enforcement actions such as fines or license suspensions were listed in the available reports. Prior inspections from 2022 and earlier also cited food safety and sanitary storage issues, as well as some Life Safety Code deficiencies, but these were addressed over time. The recent correction of all cited deficiencies suggests improvement in compliance with regulatory requirements.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsGeorgia average 3.4
Last Health inspection on May 2025
Georgia average 16.6
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 came from combined inspections (standard and complaint).
100% better than Georgia averageGeorgia average: 0.7
100% better than Georgia averageGeorgia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
14% worse than Georgia average
0% compared with Georgia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
238 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
8% better than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.3
5% worse than Georgia averageGeorgia average: 17.4
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
In line with Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
15.0%
23% better than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
45% worse than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
47% worse than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
49% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
3.2%
30% worse than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
7.9%
31% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.3%
96% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
21.7%
13% worse than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
In line with Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Georgia averageGeorgia average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.3%
In line with Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
55% worse than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.2%
8% worse than Georgia averageGeorgia average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Twin Fountains Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #59 / 185Payroll — State benchmarkedThis home is ranked 59th out of 185 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
Add your location
Twin Fountains Home is located in LAGRANGE, Georgia.
Here are the financial assistance programs available to residents in Georgia.
The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| Cedar Valley Nursing & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Cedartown | 100 | 75.2% | -4% | 3.57 | +3% | 0% | $0 | 3 | 1.0 | - | 84 | - | 63 | Rhonda Blankenship | $11.4M | $2.4M | 21.3% | 115436 | ||||
| Spring Harbor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus | 60 | 71.4% | -9% | 5.70 | -35% | +60% | $0 | 9 | 3.0 | - | 32 | - | 3 | Maurice S Hill | $23.0M | $5.8M | 25.3% | 115716 | ||||
| Orchard View Rehabilitation & Skilled Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus (Twin Chapel) | 200 | 66.3% | -15% | 5.52 | -61% | +55% | $0 | 11 | 3.7 | - | 115 | - | 16 | Hospital Authority Of Columbus Ga | $20.1M | $13.4M | 66.7% | 115146 | ||||
| Twin Fountains Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lagrange | 116 | 73.7% | -6% | 4.70 | +22% | +32% | $0 | 5 | 2.5 | - | 91 | A+ | 9 | - | $1639.4M | $6.7M | 0.4% | 115709 | ||||
| Cumming Health and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Cumming | 87 | 17.9% | -77% | 4.70 | +110% | +32% | $0 | 7 | 3.5 | - | 82 | - | 32 | - | $10.8M | $5.0M | 46.2% | 115551 |
Twin Fountains Home has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
Twin Fountains Home's occupancy is 78%.
The team at Twin Fountains Home can be reached at [email protected].
Toni Lynn Smith is the administrator of Twin Fountains Home.
Twin Fountains Home has 116 beds.
Yes — there is 1 photo of Twin Fountains Home in the photo gallery on this page.
Twin Fountains Home is located at 1400 HOGANSVILLE ROAD.
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