Federal inspection record · CMS data as of October 1, 2026
Twin Lakes Extended Care
310 Eads Avenue, Paris, IL · (217) 465-5395
- Certified beds
- 56
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- Stern Consultants
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 15, 1983
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 Illinois.
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Staffing
★★★★★no change
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 Illinois homes
Twin Lakes Extended Care carries 65.75 inspection points. That is fewer than 70% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: 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★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois 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
25 health citations on record since 2022. 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.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care5D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Rights4E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- C
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service3D
- D
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.
- 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
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.
Environmental3F
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- E
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning2E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Administration1F
- F
Ensure 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.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-06-25
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-05-18
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-05-17
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 50 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$71,455 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-14 | Fine | $71,455 |
| 2023-12-14 | Payment Denial · 4 day denial | $0 |
6
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 days0.8 pts better | 1.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 2.1 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 100.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts worse | 85.7% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms33.9 pts better | 22.0% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight8.9 pts worse | 15.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts worse | 20.0% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.7 pts better | 0.0% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.1 pts worse | 20.9% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts better | 8.7% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.1 pts better | 11.7% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.3 pts better | 1.5% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts better | 79.9% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.4 pts worse | 26.9% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.8 pts better | 76.0% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 27.4% | 25.6% | 23.4% |
·
Who owns and runs it
29 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 |
|---|---|---|---|
| Com Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 12% | 14 facilities |
| Dean, Genettia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dean, Genettia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Erblich, Avraham | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Erblich, Avraham | Adp Of The SNF · Individual | 0% | 21 facilities |
| Etn Family Holdings LLC | Direct Ownership Interest · Organization | 0% | 22 facilities |
| Etn Family Holdings LLC | Operational/Managerial Control · Organization | 0% | 22 facilities |
| Etn Family Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Friedman, Benjamin | Operational/Managerial Control · Individual | 0% | 24 facilities |
| Friedman, Benjamin | Adp Of The SNF · Individual | 0% | 24 facilities |
| Millman, Chaim | Indirect Ownership Interest · Individual | 0% | 21 facilities |
| Millman, Chaim | Managing Control - Governing Body · Individual | 0% | 21 facilities |
| Millman, Chaim | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Millman, Chaim | Trustee Of The SNF · Individual | 0% | 21 facilities |
| Millman, Chaim | Adp Of The SNF · Individual | 0% | 21 facilities |
| Newhouse, Eric | Indirect Ownership Interest · Individual | 0% | 19 facilities |
| Newhouse, Eric | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Newhouse, Eric | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Newhouse, Eric | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Newhouse, Temi | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Sheps, Boruch | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Sheps, Boruch | Adp Of The SNF · Individual | 0% | 22 facilities |
| Stern, Bezalel | Direct Ownership Interest · Individual | 0% | 20 facilities |
| The Estate Of Peter Schorr | Direct Ownership Interest · Organization | 0% | 3 facilities |
| The Estate Of Peter Schorr | Operational/Managerial Control · Organization | 0% | 3 facilities |
| The Estate Of Peter Schorr | Adp Of The SNF · Organization | 0% | 3 facilities |
| Tlco Holdings LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Zaman, Asad | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Zaman, Asad | Adp Of The SNF · Individual | 0% | 22 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness8F
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
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