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Twin Lakes Extended Care, Paris, IL: 4 star rating, fined $71,455 across 1 fine and had 1 payment denial

Twin Lakes Extended Care in Paris, IL is owned by Etn Family Holdings LLC, is rated 4 of 5 stars by Medicare, and was fined $71,455 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 11 health citations from inspections in that time, the latest survey on February 6, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Illinois
Address
310 Eads Avenue, Paris, IL 61944
Overall rating
4 of 5 stars
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
56
Residents per day
37 on average
Ownership type
For profit, corporation
Legal business name
Twin Lakes Extended Care LLC
Chain
Stern Consultants, 22 facilities
Fines
$71,455 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
11, of which 2 with actual harm or immediate jeopardy
Latest survey
February 6, 2026
CMS Certification Number
145466
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 14, 2023Fine$71,455Not listeddata.cms.gov
December 14, 2023Payment denialNot listedJanuary 6, 20244data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 6, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 7, 2026data.cms.gov
June 25, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B: pattern, minimal harm potentialWaiver grantedJuly 18, 2024data.cms.gov
June 25, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2024data.cms.gov
June 25, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2024data.cms.gov
June 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2024data.cms.gov
June 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2024data.cms.gov
December 14, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedJanuary 10, 2024data.cms.gov
December 14, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2024data.cms.gov
December 14, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2024data.cms.gov
December 14, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2024data.cms.gov
December 14, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 25 individual or personal trusts (5 owners, 10 managers, 3 officers, directors or trustees, 7 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Etn Family Holdings LLCDirect ownerNot listedDecember 1, 2024data.cms.gov
Etn Family Holdings LLCOperational or managerial controlNot listedDecember 1, 2024data.cms.gov
Tlco Holdings LLCOperational or managerial controlNot listedDecember 1, 2024data.cms.gov
Etn Family Holdings LLCAdditional disclosable partyNot listedFebruary 22, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.