Skip to main content
Complaint Investigation

Twin Lakes Rehabilitation And Healthcare Center

January 2, 2026 · Greensburg, PA · 227 Sand Hill Road
Citations 2
CMS Rating 1/5
Beds 137
Provider ID 395500
Healthcare Facility
Twin Lakes Rehabilitation And Healthcare Center
Greensburg, PA  ·  View full profile →
Inspection Summary

TWIN LAKES REHABILITATION AND HEALTHCARE CENTER in GREENSBURG, PA — inspection on January 2, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Advertisement

Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

prevent the alarm from going off due to the high winds that would set off the alarm.

She stated that she was not usually on that unit and was unsure how long the zip ties and gauze were on the doors.Interview with Maintenance Worker 6 on January 2, 2026, at 9:42 a.m. revealed that he was not aware of any exit doors being secured with zip ties or rolled gauze.Interview with the Nursing Home Administrator on January 2, 2026, at 9:45 a.m. revealed that the wind would rattle the emergency exit doors causing the door alarm to frequently trigger, which required staff to go to the doors and re-set the alarm. He stated that he was not aware that the exit doors on the short halls of the [NAME] and [NAME] units were secured shut with zip ties and rolled gauze. He confirmed that the doors should not have been secured shut with zip ties or rolled gauze and he was unaware who applied the zip ties and rolled gauze.Interview with the Director of Nursing on January 2, 2026, at 12:36 p.m. confirmed that she was not aware that there were emergency exit doors secured shut with zip ties and gauze on the [NAME] and [NAME] units.On January 2, 2026, at 12:41 p.m. the Nursing Home Administrator was informed that the health and safety of the residents was placed in Immediate Jeopardy due to the emergency exit doors on the short halls of the [NAME] and [NAME] units being secured shut with zip ties and rolled gauze which would have prevented resident egress from the facility during and emergency.

The Immediate Jeopardy template was also provided to the Nursing Home Administrator.The facility submitted and implemented an immediate action plan that included removing the zip ties and rolled gauze that secured the emergency exit doors shut, inspected all doors to ensure proper functioning, educated all staff on emergency doors and route of egress and the facility's policy that all emergency exit doors should be unobstructed, and maintenance would check all exit doors for proper functioning on a daily basis.The Immediate Jeopardy was lifted on January 2, 2026, at 4:46 p.m. when it was confirmed that the facility had removed the zip ties from the emergency exit doors, ensured that all exit doors were accessible, staff were educated, and all emergency exit doors were inspected/repaired by a door company.28 Pa.

Code 201.14(a) Responsibility of licensee.28 Pa.

Code 201.18(b)(1)(e)(1) Management.28 Pa.

Code 211.10(d) Resident care policies. 28 Pa.

Code 211.12(d)(1)(5) Nursing services.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/02/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Twin Lakes Rehabilitation and Healthcare Center

227 Sand Hill Road Greensburg, PA 15601

SUMMARY STATEMENT OF DEFICIENCIES

The facility failed to ensure these responsibilities were carried out, as evidenced by the emergency exit doors being secured shut with zip ties and rolled gauze, ensuring that all emergency exits were accessible to residents, allowing egress during an emergency situation.

This demonstrated a lack of effective oversight to address the safety of residents during an emergency situation.The job Description for the Director of Nursing, dated June 25, 2025, indicated that the Director of Nursing was responsible for the planning, developing, organizing, and directing the overall operation of the Nursing Service Department in accordance with current Federal, State, and local standards, guidelines and regulations that governed the facility; develop, maintain and periodically update written policies and procedures that govern the day to day functions of the nursing services department; monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies; and ensure that all resident care rooms, treatment areas, etc. are maintained in a clean, safe and sanitary manner.

The DON failed to ensure that all emergency exit doors were accessible to residents, allowing egress to the outside during an emergency situation.Based on the findings the facility's inability to ensure that all emergency exits were accessible to residents and allowed egress during an emergency situation resulted in Immediate Jeopardy to the health and safety of residents on the [NAME] and [NAME] units.

This demonstrates a systemic failure in the administration's oversight and resource allocation to ensure a safe environment for residents.The deficiency cited under the Code of Federal Regulatory Groups for Long Term Care, Quality of Care (F-F689) 483.25(d)(1)(2) Accidents, revealed the facility's administration did not fulfill essential job duties to ensure resident safety and regulatory compliance.

This included a failure to ensure that emergency exits on the [NAME] and [NAME] units were accessible to residents and allowed egress to the outside during an emergency situation.Refer F-F689 28 Pa.

Code: 201.14 (a) Responsibility of licensee28 Pa.

Code: 201.18 (b)(1)(3)(e)(1) Management28 Pa.

Code 211.12 (c)(d)(1)(3)(5)Nursing services

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GREENSBURG, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from TWIN LAKES REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement