Public Record
Twin Pines Health Care Center
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 119
- Avg. residents per day
- 113.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 28
- Inspections on file
- 5
- Last inspection
- 2025-03-07
*CMS
*CMS
*CMS
Citations
28 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0100Generalno actual harm
Meet other general requirements.
- 0324Generalno actual harm
Provide properly protected cooking facilities.
- 0374Generalpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0741Generalpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0006Generalno actual harm
Conduct risk assessment and an All-Hazards approach.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0929Generalpotential for harm
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0900Generalpotential for harm
Meet Health Care Facilities Code mechanical requirements.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
Inspection findings
What the surveyors documented
The verbatim CMS Form 2567 statement of deficiencies for each survey, straight from the federal record. Open a report for the full findings and plan of correction.
- Inspection12 deficiencies
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Based upon clinical record review and interview, it was determined…
Read full statement of deficiencies - Inspection8 deficiencies
F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on observation, it was determined that the facility failed to provide privacy and confidentiality of residents ' personal information on two of four nursing…
Read full statement of deficiencies
FAQ
Questions and answers
- What is Twin Pines Health Care Center?
- Twin Pines Health Care Center is a Medicare- and Medicaid-certified nursing home in West Grove, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 396114.
- What is the CMS rating for Twin Pines Health Care Center?
- Twin Pines Health Care Center has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Twin Pines Health Care Center have?
- Twin Pines Health Care Center is certified for 119 beds. It serves an average of 113.5 residents per day.
- How many citations does Twin Pines Health Care Center have?
- Twin Pines Health Care Center has 28 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Twin Pines Health Care Center last inspected?
- Twin Pines Health Care Center was last inspected on March 7, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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