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Twin Lakes Memory Care
Nursing Home, Adult Day Care, Assisted Living, Memory Care & Skilled Nursing · Burlington, NC
Twin Lakes Memory Care
Nursing Home, Adult Day Care, Assisted Living, Memory Care & Skilled Nursing · Burlington, NC
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Twin Lakes Memory Care accepts Medicare.
Families in Burlington considering Twin Lakes Memory Care should know it is just one part of a bigger location. This 32-bed home is found inside the Twin Lakes Community, which is a retirement campus on Heritage Drive offering many levels of support, including memory care, assisted living, and nursing home services. With a Walk Score of 72, the area is very easy to walk around, meaning most daily errands and needs can be met just a short walk away.
Residents have access to rehab and short-term care, and staff are available around the clock. Along with regular activities, the community provides a special wellness plan called the Thrive Wellness Program. When state inspectors visit, they typically look at standard areas like how medicine is handled, fire safety, keeping the area safe from hazards, and checking that care plans are written down correctly.
Since the community takes Medicare, it is easier for families to plan how to pay for care over time. Because this facility is part of a larger retirement community, families get a benefit that smaller, independent places cannot provide: an easy way to move to skilled nursing or other levels of care without having to move to a new campus. This setup is a good choice for families who think their needs might change over the next few years, rather than just needing memory care right now.
32-bed community Rank #324 / 387Bed count — State benchmarkedThis home is ranked 324th out of 387 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 cover every community we track in North Carolina 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 moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 72 / 100 Rank #24 / 536Walk Score — State benchmarkedThis home is ranked 24th out of 536 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 cover every community we track in North Carolina 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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
StatusActive
CountyAlamance
License NumberHAL-001-165
AccreditationsCARF accredited
Inspection Rating5-star rating from the Center for Medicare/Medicaid Services
Wheelchair Accessible
Secured Perimeter
Emergency SystemsYes
Accept Medicare
Rehabilitation Services
Respite Care
24-Hour Staffing
Pets not allowed
Activities
Wellness ProgramThrive Wellness Program
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.
Since 2022 · 4 years of data
These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability.
6 deficiencies
3 inspections
0 penalties
6 inspections with deficiencies
Inspection Scorecard
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.
Since 2022 vs. North Carolina state average
Overall vs. NC average
1 Worse
Metrics worse than North Carolina average:
• Inspection deficiency rate (11% above) 3 Better Metrics better than North Carolina average:
• Total deficiencies (87% below)
• Deficiencies per inspection (9% below)
• Inspections with deficiencies (84% below)
• Inspection deficiency rate (11% above) 3 Better Metrics better than North Carolina average:
• Total deficiencies (87% below)
• Deficiencies per inspection (9% below)
• Inspections with deficiencies (84% below)
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 46 | This facility has 87% fewer total deficiencies than a typical North Carolina nursing home (6 vs. NC avg 46).↓ 87% better |
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Deficiencies per inspection
Average deficiencies per inspection.
| 2.0 | 2.2 | This facility has 9% fewer deficiencies per inspection than a typical North Carolina nursing home (2 vs. NC avg 2.2).↓ 9% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 3 | 21 | This facility has had 86% fewer total inspections than the North Carolina average (3 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 86% fewer |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 3 | 19 | This facility has 84% fewer inspections with deficiencies than a typical North Carolina nursing home (3 vs. NC avg 19).↓ 84% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 100% | 90% | This facility has 10 percentage points higher inspection deficiency rate than a typical North Carolina nursing home (100% vs. NC avg 90%).↑ 10% worse |
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.
Financial Trends
Historical financial and operational data for Twin Lakes Memory Care from 2012–2021, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 2021 — the home's most recent complete cost report, an older period than most facilities report.
Occupancy Rate
84.9%
↓ 6.7pp vs 2020
Net Patient Income
$177.9K
↓ ~$155.1K vs 2020
Payroll Costs
$2.1M
↑ ~$27.8K vs 2020
Operating Margin
6.7%
↓ 5.0pp vs 2020
Living Spaces & Floor Plans for Twin Lakes Memory Care
Places of interest near Twin Lakes Memory Care
0.1 miles from city center
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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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 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.
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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.
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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 58.6% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| River Landing At Sandy Ridge | NH AL IL MC | Colfax | 60
Facility
60
NC AVG
72
Rank
#230 / 387 |
90.3%
Facility
90.3%
NC AVG
70.6%
Rank
#58 / 232 | +28% | 6.40
Facility
6.40
NC AVG
3.98
Rank
#9 / 83 | -5% | +61% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 89 | 1
Facility
1
NC AVG
20.9
Rank
#1 / 85 | 1.0
Facility
1.0
NC AVG
5.0
Rank
#1 / 85 | - | 54 | - |
7
Facility
7
NC AVG
36
Rank
#476 / 536 | Khashana Blake | $12.9MFiscal year ending 09/2023
Facility
$12.9MFiscal year ending 09/2023
NC AVG
$15.7M
Rank
#38 / 84 | $17.6MFiscal year ending 09/2023
Facility
$17.6MFiscal year ending 09/2023
NC AVG
$8.2M
Rank
#5 / 84 | 135.9%Fiscal year ending 09/2023
Facility
135.9%Fiscal year ending 09/2023
NC AVG
58.6%
Rank
#4 / 84 | 345528 | ||||
| St. Joseph of the Pines, a CCRC | NH AL IL MC SNF | Southern Pines | 176
Facility
176
NC AVG
72
Rank
#5 / 387 |
41.6%
Facility
41.6%
NC AVG
70.6%
Rank
#192 / 232 | -41% | 4.44
Facility
4.44
NC AVG
3.98
Rank
#36 / 83 | -9% | +12% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 89 | 7
Facility
7
NC AVG
20.9
Rank
#27 / 85 | 2.3
Facility
2.3
NC AVG
5.0
Rank
#26 / 85 | - | 73 | A+ |
2
Facility
2
NC AVG
36
Rank
#526 / 536 | Timothy Buist | $10.4MFiscal year ending 06/2024
Facility
$10.4MFiscal year ending 06/2024
NC AVG
$15.7M
Rank
#65 / 84 | $14.1MFiscal year ending 06/2024
Facility
$14.1MFiscal year ending 06/2024
NC AVG
$8.2M
Rank
#14 / 84 | 135.4%Fiscal year ending 06/2024
Facility
135.4%Fiscal year ending 06/2024
NC AVG
58.6%
Rank
#5 / 84 | 345044 | ||||
| Friends Homes | NH AL IL MC SNF | Greensboro (Guilford College) | 69
Facility
69
NC AVG
72
Rank
#192 / 387 |
95.1%
Facility
95.1%
NC AVG
70.6%
Rank
#38 / 232 | +35% | 6.32
Facility
6.32
NC AVG
3.98
Rank
#12 / 83 | -65% | +59% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 89 | 2
Facility
2
NC AVG
20.9
Rank
#8 / 85 | 2.0
Facility
2.0
NC AVG
5.0
Rank
#14 / 85 | - | 66 | - |
35
Facility
35
NC AVG
36
Rank
#261 / 536 | Phi Management Services LLC | $18.9MFiscal year ending 09/2023
Facility
$18.9MFiscal year ending 09/2023
NC AVG
$15.7M
Rank
#18 / 84 | $10.8MFiscal year ending 09/2023
Facility
$10.8MFiscal year ending 09/2023
NC AVG
$8.2M
Rank
#21 / 84 | 57.4%Fiscal year ending 09/2023
Facility
57.4%Fiscal year ending 09/2023
NC AVG
58.6%
Rank
#19 / 84 | 345148 | ||||
| Givens Highland Farms | NH HC IL RC SNF | Black Mountain | 60
Facility
60
NC AVG
72
Rank
#230 / 387 |
79.7%
Facility
79.7%
NC AVG
70.6%
Rank
#105 / 232 | +13% | 6.09
Facility
6.09
NC AVG
3.98
Rank
#14 / 83 | +11% | +53% | $4.3k
Facility
$4.3k
NC AVG
$74.6k
Rank
#45 / 89 | 14
Facility
14
NC AVG
20.9
Rank
#47 / 85 | 4.7
Facility
4.7
NC AVG
5.0
Rank
#53 / 85 | - | 48 | - |
12
Facility
12
NC AVG
36
Rank
#440 / 536 | Givens Estates, Inc | $21.1MFiscal year ending 12/2023
Facility
$21.1MFiscal year ending 12/2023
NC AVG
$15.7M
Rank
#15 / 84 | $8.2MFiscal year ending 12/2023
Facility
$8.2MFiscal year ending 12/2023
NC AVG
$8.2M
Rank
#27 / 84 | 38.9%Fiscal year ending 12/2023
Facility
38.9%Fiscal year ending 12/2023
NC AVG
58.6%
Rank
#67 / 84 | 345078 | ||||
| Twin Lakes Memory Care | - | NH ADC AL MC SNF | Burlington | 32
Facility
32
NC AVG
72
Rank
#324 / 387 | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
72
Facility
72
NC AVG
36
Rank
#24 / 536 | $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 |
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.
Does Twin Lakes Memory Care operate as a for-profit or non-profit?
Twin Lakes Memory Care is registered as a non-profit in NC.
What is the overall rating for Twin Lakes Memory Care?
Twin Lakes Memory Care received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Twin Lakes Memory Care have?
Twin Lakes Memory Care has 32 beds.
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