Federal inspection record · CMS data as of October 1, 2026
Twin City Health Care
627 E North H Street, Gas City, IN · (765) 674-8516
- Certified beds
- 75
- Residents per day
- 40
- Ownership
- Government
- Chain
- Hcf Management Indiana
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 13, 1984
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Twin City Health Care carries 9 inspection points. That is fewer than 90% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Pharmacy Service3E
- D
Ensure 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
Ensure medication error rates are not 5 percent or greater.
- E
Ensure medication error rates are not 5 percent or greater.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-08-14
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-09-17
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-09-25
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 28 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.1 pts worse | 36.6% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 5.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts worse | 27.0% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 17.2% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.6 pts worse | 23.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.7 pts worse | 15.5% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.5 pts better | 13.9% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 1.9% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.1 pts better | 100.0% | 81.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12 pts better | 91.2% | 79.2% | 80.1% |
·
Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Witham Memorial Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 29 facilities |
| Bayston, Brett | Corporate Director · Individual | 0% | 29 facilities |
| Brand, John | Corporate Director · Individual | 0% | 29 facilities |
| Braverman, Kelly | Corporate Officer · Individual | 0% | 29 facilities |
| Castetter, Andrea | Corporate Director · Individual | 0% | 29 facilities |
| Hawkins, Claude | Corporate Director · Individual | 0% | 29 facilities |
| Hornbecker, Michael | Corporate Director · Individual | 0% | 29 facilities |
| Magnolia Health Management Vii | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Magnolia Health Systems 59, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Magnolia Health Systems Inc | Adp Of The SNF · Organization | 0% | 11 facilities |
| Offerle, Andrew | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Offerle, Andrew | Adp Of The SNF · Individual | 0% | 13 facilities |
| Reagan, Julie | Corporate Director · Individual | 0% | 28 facilities |
| Reed, Michael | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 13 facilities |
| Reed, Stuart | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Sabra Health Care Limited Partnership | Adp Of The SNF · Organization | 0% | 15 facilities |
| Sanders, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sanders, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sellers, Daniel | Corporate Officer · Individual | 0% | 29 facilities |
| Ward, Jonathan | Adp Of The SNF · Individual | 0% | 10 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
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