The review set for Twin Lakes Therapy & Living shows a clear pattern of mixed experiences: several reviewers praise the staff and certain aspects of care, while a number of serious operational and clinical concerns are repeatedly reported. Positive accounts emphasize compassionate, attentive caregivers who preserve resident dignity, provide comfort during end-of-life moments, and foster reassuring relationships with families. Multiple reviewers specifically note good communication, accessibility of staff, memory care strengths, cleanliness, good food, and an overall sense that residents are well cared for. The facility’s high CMS rating and reports of adequate nursing staff are cited by some as supporting evidence of a generally solid level of care. Several reviewers singled out individual nurses and administrators for going “above and beyond,” and some families explicitly recommend the facility based on those positive interactions.
Counterbalancing these positives are significant and recurring negative themes that point to inconsistent care quality and potentially serious safety lapses. The most alarming reports concern missed medications — notably a missed diuretic that a reviewer linked to a relapse of pneumonia and congestive heart failure — and other clinical oversights. Reviewers also describe repeated failures in basic personal care: scheduled showers not provided, sheets not changed, and laundry not handled appropriately (delays, unwashed items, and unlabeled clothing). These hygiene and personal-care lapses extend to explicit unclean conditions in at least one account (feces found on a toilet lid), which raises infection-control and dignity concerns. Several families reported discharge processes that left their loved ones debilitated or unsafe at home, sometimes requiring supervision they had not expected to provide.
Management, policy, and communication issues are another prominent theme. Multiple reviewers describe policy confusion, miscommunication between staff and families, lack of follow-up after discharge, and at least one formal DHS investigation. Some family members also report coercive or threatening behavior related to therapy participation (for example, threats of eviction if a resident did not comply with a therapy program), and one reviewer noted negative attitudes from the head nurse. There are reports of serious adverse events associated with short stays (two reviewers reported dislocated hips after brief admissions), which, together with the medication and hygiene concerns, suggest variability in clinical oversight and risk management. The repetition of “buyer beware” and strong warnings to avoid the facility indicate that for some families the negative experiences overshadow the positives.
Taken together, the reviews portray Twin Lakes as a facility with notable strengths in staff compassion, certain clinical and memory-care areas, and some administrative support — but also as a place with inconsistent operational reliability and serious isolated failures that have real impacts on resident health and safety. The pattern suggests variability between shifts, individual caregivers, and possibly units: some families encountered highly skilled, empathetic staff and good communication, while others experienced missed medications, hygiene lapses, poor discharge planning, and troubling managerial behavior. Prospective residents and families should weigh both sides: verify medication administration procedures, ask about infection-control protocols, confirm laundry and personal-care routines, request documentation of therapy expectations and discharge planning, and inquire about how complaints and incidents are investigated and resolved. Where possible, speak directly with current residents’ families and request recent quality and incident reports to get a fuller picture before making placement decisions.
