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Twin Lakes Memory Care
Nursing Home, Adult Day Care, Assisted Living, Memory Care & Skilled Nursing · Burlington, NC
Residents enjoying a day of golfing at the facility Residents enjoying time with a dog in a cozy setting Residents exercising in the pool with water weights Residents participating in an outdoor exercise class

Twin Lakes Memory Care

Nursing Home, Adult Day Care, Assisted Living, Memory Care & Skilled Nursing · Burlington, NC
3810 Heritage Drive Burlington, Nc 27215, Burlington, NC 27215 View map
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Twin Lakes Memory Care accepts Medicare.
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Twin Lakes Memory Care accepts Medicare.

Overview of Twin Lakes Memory Care

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Twin Lakes Memory Care in Burlington, North Carolina, supplies a broad spectrum of care options, including adult day care, assisted living, memory care, nursing home placement, and skilled nursing. Day programs allow participants to attend during working hours without moving in, while assisted living supports daily routines like dressing, medication management, and personal hygiene in an apartment setting. Secured memory care units protect individuals prone to wandering, and round-the-clock licensed nursing ensures continuous clinical support as physical or medical needs change over time.

Physical amenities on this 32-bed campus include lakes, walking areas, gardens, a pool, and an on-site salon and spa. Residents can dine at local venues such as The Hearth Café, The Blue Heron Pub, and The Terrace Restaurant without a mandatory meal contract, and culinary teams accommodate custom dietary restrictions. Wellness activities run through the Thrive Wellness Program alongside physical rehabilitation services, short-term respite stays, and arranged transportation.

Location benefits include a walk score of 72, which lets non-driving residents walk to nearby services. Medicare coverage is accepted for post-hospital recovery and short-term skilled treatments.

Families looking for flexible day programs, specialized dementia care, or progressive senior housing can connect with Twin Lakes Memory Care to explore dining plans, check open beds, or request a facility tour.

Facility Direct Line (336) 538-1500
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By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 32 Rank #69 / 78Bed count — State benchmarked This nursing home is ranked 69th out of 78 nursing homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina 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 compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #7 / 111Walk Score — State benchmarked This nursing home is ranked 7th out of 111 nursing homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
72 / 100

About This Community

License Details

CountyAlamance
License NumberHAL-001-165
AccreditationsCARF accredited
Inspection Rating5-star rating from the Center for Medicare/Medicaid Services

Safety & Compliance

Wheelchair Accessible
Secured Perimeter

Payment & Insurance

1 service
Accept Medicare

Additional Services

1 service
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Activities
Wellness Programs

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
4 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 9th (tied) of 138 homes in North Carolina See full North Carolina ranking

Contact Twin Lakes Memory Care

Inspection History

In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.

The figures below cover inspections recorded between February 12, 2015 and April 19, 2024.

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

Overall vs. NC average 1 Worse Metrics worse than North Carolina average:
• Inspection deficiency rate (56% above) 3 Better Metrics better than North Carolina average:
• Total deficiencies (80% below)
• Inspections with deficiencies (67% below)
• Average Star Rating score (11% above)

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

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 840.0 This facility has 80% fewer total deficiencies than a typical North Carolina nursing home (8 vs. NC avg 40).↓ 80% better

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

This FacilityNC Averagevs. NC Avg
Total inspections Info Every inspection North Carolina recorded at this facility, over the period named above the scorecard. 314.0 This facility has had 79% fewer total inspections than the North Carolina average (3 vs. NC avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 79% fewer
Inspections with deficiencies Info Inspections that uncovered at least one deficiency. Never exceeds the total inspection count. 39.0 This facility has 67% fewer inspections with deficiencies than a typical North Carolina nursing home (3 vs. NC avg 9).↓ 67% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 100%64% This facility has 36 percentage points higher inspection deficiency rate than a typical North Carolina nursing home (100% vs. NC avg 64%).↑ 36% worse
Average Star Rating score Info North Carolina scores each annual inspection on a 100-point scale: points come off for citations and licensure actions and go back on when the facility corrects them, and extra points are earned for things like sprinklers or an active resident council. This is the facility's average across every rating the state has published for it; DHSR shows only the most recent one on its own site. 104.894.6 This facility has 11% more average star rating score than the North Carolina average (104.8 vs. NC avg 94.6).↑ 11% better
Show Inspection Reports
Enforcement

Penalties and fines About 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 · Data as of Aug 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Aug 2023.

Clean record
Total fines
$0 NC avg $65KNorth Carolina average: $64,632. Average among the 235 North Carolina facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0 NC avg 2.09North Carolina average: 2.09. Average among the 235 North Carolina facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 NC avg 0.32North Carolina average: 0.32. Average among the 235 North Carolina facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Financials

Money and staffing.

Twin Lakes Memory Care’s finances from its CMS cost report for the fiscal year ending 2021. Includes all financial data for this property, which could include management/ownership changes.

FY 2021

Latest cost report is for the fiscal year ending 2021, older than most North Carolina homes. Rankings are not shown because peers report different years.

Is it financially stable?

Profitable on care

6.7% operating margin

−5.0 pts vs prior year

Positive margin in 8 of the last 8 reported years. Net income $0.2M after other income.

Does it invest in staff?

Spends more on payroll than most North Carolina homes

78.0% payroll share of revenue

NC average 61.1%

Payroll rose $0.0M while revenue fell $0.2M. Check hours per resident in the staffing section to confirm it reaches the floor.

Living Spaces & Floor Plans for Twin Lakes Memory Care

Places of interest near Twin Lakes Memory Care

Address 0.1 miles from city center Info Estimated distance in miles from Burlington's city center to Twin Lakes Memory Care's address, calculated via Google Maps.

Calculate Travel Distance to Twin Lakes Memory Care

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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 North Carolina average is: 61.1% 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.
Carolina Village ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Hendersonville
60
Facility 60
NC AVG 93
Rank #59 / 78
76.7%
Facility 76.7%
NC AVG 82.5%
Rank #46 / 68
-7%
7.19
Facility 7.19
NC AVG 4.01
Rank #6 / 81
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +43%+79%
$0
Facility $0
NC AVG $66.6k
Rank #1 / 86
3
Facility 3
NC AVG 19.0
Rank #8 / 82
1.5
Facility 1.5
NC AVG 4.6
Rank #7 / 82
-45-
82
Facility 82
NC AVG 33
Rank #2 / 111
-
$35.8MFiscal year ending 03/2025
Facility $35.8MFiscal year ending 03/2025
NC AVG $17.2M
Rank #5 / 79
$17.8MFiscal year ending 03/2025
Facility $17.8MFiscal year ending 03/2025
NC AVG $9.2M
Rank #7 / 79
49.8%Fiscal year ending 03/2025
Facility 49.8%Fiscal year ending 03/2025
NC AVG 61.1%
Rank #33 / 79
345123
Wesley Pines ★ ★ ★ ☆ ☆
NH
AL
CCRC
IL
MC
SNF
Lumberton
62
Facility 62
NC AVG 93
Rank #58 / 78
85.3%
Facility 85.3%
NC AVG 82.5%
Rank #28 / 68
+3%
4.54
Facility 4.54
NC AVG 4.01
Rank #34 / 81
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -29%+13%
$0
Facility $0
NC AVG $66.6k
Rank #1 / 86
9
Facility 9
NC AVG 19.0
Rank #32 / 82
4.5
Facility 4.5
NC AVG 4.6
Rank #49 / 82
-53A+
9
Facility 9
NC AVG 33
Rank #95 / 111
The United Methodist Retirement Homes, Incorporated
$10.7MFiscal year ending 09/2024
Facility $10.7MFiscal year ending 09/2024
NC AVG $17.2M
Rank #64 / 79
$6.3MFiscal year ending 09/2024
Facility $6.3MFiscal year ending 09/2024
NC AVG $9.2M
Rank #49 / 79
59.1%Fiscal year ending 09/2024
Facility 59.1%Fiscal year ending 09/2024
NC AVG 61.1%
Rank #17 / 79
345180
The Shaire Center ★ ★ ★ ☆ ☆
NH
AL
MC
PC
SNF
Lenoir
82
Facility 82
NC AVG 93
Rank #45 / 78
--
5.75
Facility 5.75
NC AVG 4.01
Rank #23 / 81
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -31%+43%
$0
Facility $0
NC AVG $66.6k
Rank #1 / 86
11
Facility 11
NC AVG 19.0
Rank #37 / 82
2.8
Facility 2.8
NC AVG 4.6
Rank #28 / 82
-49-
76
Facility 76
NC AVG 33
Rank #4 / 111
Katherine Haire
$7.0MFiscal year ending 12/2024
Facility $7.0MFiscal year ending 12/2024
NC AVG $17.2M
Rank #76 / 79
$4.6MFiscal year ending 12/2024
Facility $4.6MFiscal year ending 12/2024
NC AVG $9.2M
Rank #70 / 79
65.4%Fiscal year ending 12/2024
Facility 65.4%Fiscal year ending 12/2024
NC AVG 61.1%
Rank #12 / 79
345483
Walnut Ridge ★ ★ ☆ ☆ ☆
NH
AL
MC
Walnut Cove
63
Facility 63
NC AVG 93
Rank #57 / 78
100.0%
Facility 100.0%
NC AVG 82.5%
Rank #1 / 68
+21%
3.47
Facility 3.47
NC AVG 4.01
Rank #67 / 81
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ -50%-13%
$40.1k
Facility $40.1k
NC AVG $66.6k
Rank #65 / 86
23
Facility 23
NC AVG 19.0
Rank #65 / 82
4.6
Facility 4.6
NC AVG 4.6
Rank #51 / 82
363-
50
Facility 50
NC AVG 33
Rank #25 / 111
Nita Davis
$10.5MFiscal year ending 12/2024
Facility $10.5MFiscal year ending 12/2024
NC AVG $17.2M
Rank #65 / 79
$3.6MFiscal year ending 12/2024
Facility $3.6MFiscal year ending 12/2024
NC AVG $9.2M
Rank #78 / 79
34.7%Fiscal year ending 12/2024
Facility 34.7%Fiscal year ending 12/2024
NC AVG 61.1%
Rank #75 / 79
345089
Twin Lakes Memory Care -
NH
ADC
AL
MC
SNF
Burlington
32
Facility 32
NC AVG 93
Rank #69 / 78
--------------
72
Facility 72
NC AVG 33
Rank #7 / 111
$2.7M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.1M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.78%*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.345545

Rank badges are statewide and care-type specific: each nursing home is ranked against every other NC nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about Twin Lakes Memory Care

Is Twin Lakes Memory Care in a walkable area?

Twin Lakes Memory Care has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Twin Lakes Memory Care?

According to NC state health department records, Twin Lakes Memory Care's license number is HAL-001-165.

Does Twin Lakes Memory Care have different floorplan options?

Yes — see the floorplan options available at Twin Lakes Memory Care on this page.

Are pets allowed at Twin Lakes Memory Care?

No, Twin Lakes Memory Care has a no-pet policy.

How many beds does Twin Lakes Memory Care have?

Twin Lakes Memory Care has 32 beds.

Has Twin Lakes Memory Care had any deficiencies?

Twin Lakes Memory Care has had 8 reported deficiencies according to records from NC Dept. of Health and Human Services (NCDHHS).

Are there photos of Twin Lakes Memory Care?

Yes — there are 5 photos of Twin Lakes Memory Care in the photo gallery on this page.

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