Pricing ranges from
    $4,250 – 5,400/month

    Twin Lakes Manor

    777 Volz Ln, Santa Cruz, CA, 95062
    3.4 · 8 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    1.0

    Neglectful care, hidden fees, unsafe

    I toured the small, very clean house and liked the home-like feel, secure patio and initially friendly staff, but my overall experience was negative. In my experience staffing was inadequate and slow to respond, care was neglectful (my loved one became dehydrated, developed bedsores and needed hospitalization), and management failed to provide a care plan while fees jumped ~130% plus a $3,000 community fee. Some caregivers were compassionate and visits/COVID protocols were fine, but unsafe staffing, poor communication and surprise costs make me unable to recommend this place.

    Pricing

    $4,250+/moSemi-privateAssisted Living
    $5,400+/moSuiteAssisted Living

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    3.38 · 8 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      3.1
    • Meals

      2.0
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Friendly, helpful staff
    • Family-like atmosphere among staff
    • Compassionate and exemplary care reported by some families
    • Home-like, small residential feel
    • Clean facility
    • Secure enclosed patio and quiet, safe location
    • COVID protocols in place and visits allowed
    • Thorough tours and welcoming admission consults
    • Team approach to care
    • Some reports of improved appetite and cognitive ability
    • Expanded activities noted by at least one reviewer
    • Good relationship with management reported by some families
    • Residents appearing cared for and content in some observations

    Cons

    • Admission pressure from sales/consultants
    • High upfront community fee ($3,000 mentioned)
    • Large increase in care costs after admission (130% increase reported)
    • Care plan not provided or lacking
    • Understaffing and frequent situations with only one staff member
    • Slow response to resident needs
    • Inadequate supervision leading to safety concerns
    • Instances of neglectful or careless care (ignored resident)
    • Serious adverse outcomes reported: dehydration, bed sores, malnourishment, hospitalizations
    • Inconsistent quality of care between residents/reviews
    • Below-average meals reported
    • Poor management communication and inconsistent administration
    • No organized activities or lack of transportation (no bus service)
    • Overall negative/horrible experiences reported by some families

    Summary review

    Overall sentiment in the reviews for Twin Lakes Manor is strongly mixed, with distinct clusters of highly positive experiences and starkly negative ones. Multiple reviewers praise the staff for being friendly, helpful, and treating residents in a family-like manner; several specific comments describe compassionate, exemplary care, a team approach, and meaningful improvements in residents’ appetite and cognitive engagement. The facility itself is often described as clean, home-like, small and residential, with a secure enclosed patio and a quiet, safe location. COVID safety protocols and allowance of visits were also noted positively, and some families report a good relationship with management and thorough tours during admission.

    Contrasting sharply with those positive accounts are repeated, serious complaints that raise safety and quality-of-care concerns. A frequently mentioned issue is understaffing — reviewers explicitly state that staffing levels can drop to a single staff member on shift — leading to slow responses to needs, inadequate supervision, and safety risks. Several reviewers report outright neglectful care outcomes including dehydration, bed sores, malnourishment, and subsequent hospital stays. These reports suggest that, for some residents, standards of daily care and monitoring are not being met consistently.

    Financial and administrative practices are another consistent pain point. Multiple reviews describe high initial and ongoing costs: an upfront community fee of $3,000 is cited, and a dramatic post-admission increase in care charges (a 130% rise in one account) is specifically mentioned. Related to administration, reviewers also report pressure during the admission process from sales consultants, lack of transparency or failure to provide a care plan, and poor communication from management in some cases. However, these administrative criticisms are not universal — some families note a positive relationship with management — indicating inconsistency in operations and communication.

    Facility amenities and programmatic offerings present a mixed picture as well. The environment is praised as comfortable and home-like, with residents appearing content in some observations. Yet several reviewers point out limited organized activities and no bus transportation, which may reduce residents’ opportunities for social engagement and outings. One review mentioned expanded activities and improved engagement, but this appears to be an exception rather than the norm.

    Dining receives limited but consistent critique: meals are described as below average by at least one reviewer, which, combined with the mentioned malnutrition concerns in negative reports, underscores the need to examine nutrition and meal service more closely. Safety is described positively by some (secure patio, COVID protocols, visits allowed) but negatively by others due to understaffing and supervision failures — resulting in a polarized perception of how safe residents actually are.

    In summary, Twin Lakes Manor appears to deliver excellent, compassionate care for some residents in a small, clean, home-like setting with friendly staff and a team-oriented culture. Simultaneously, there are serious and recurring reports of understaffing, inconsistent management practices, inadequate documentation or sharing of care plans, surprising and significant fee increases, and concrete allegations of neglect with adverse health outcomes. These contradictions suggest significant variability in resident experience—possibly linked to staffing levels, specific shifts, management responsiveness, or individual resident needs. Prospective residents and families should weigh the positive accounts of personal, home-like care against the documented risks: ask for written, detailed care plans, clarify all fees and potential future cost increases up front, request current staffing ratios and turnover data, and seek references from current families to gauge consistency before deciding.

    Location

    Map showing location of Twin Lakes Manor

    About Twin Lakes Manor

    Twin Lakes Manor is a small assisted living and memory care home in a quiet residential part of Santa Cruz, on Volz Lane, with room for only 12 residents, so the place stays calm and personal, and people really get to know each other, and staff pay close attention to each person. The team specializes in dementia care, with skilled staff helping residents at every stage of memory loss, providing help with bathing, dressing, transfers, medication reminders, and daily living tasks around the clock, and families can visit, eat meals, and join activities with their loved ones. The home's focus on safety and dignity stands out, with secure indoor and outdoor space, emergency alert systems, 24-hour supervision, and personal care plans made for each resident's needs. Meals are cooked fresh by a chef, snacks are always available, and meal plans can be adjusted for diabetes or allergies, served in a cozy dining room with options for private, shared, or studio rooms, each fully furnished and always cleaned by housekeeping. Residents have access to cable TV, WiFi, their own phones, AC cooling, and use of small common areas like a reading room, spa, library, and outdoor walking paths, and there's always a mix of music, art, fitness, organized outings, movie nights, beauty services, and more, so no one feels bored or left out. Transportation is arranged for doctor visits, errands, and trips to places like restaurants, church, or even the mall, and move-in help is part of the process for new residents, along with regular health checks and care coordination with outside providers. The home follows a care-level system for pricing, with shared assisted living starting at $5,700 and memory care starting at $6,700, plus an initial entry fee, and there are flexible arrangements for respite care if a family needs short-term help. Twin Lakes Manor has earned strong reviews for its warm, home-like feel, 24/7 support, well-balanced meals, and meaningful activities, and the setting mostly feels like an extended family, where everyone is encouraged to be active in daily life, enjoy leisure, and keep a sense of purpose and comfort as they age.

    People often ask...

    State of California Inspection Reports

    16

    Inspections

    5

    Type A Citations

    5

    Type B Citations

    4

    Years of reports

    01 Mar 2025
    Investigated the hospice access allegation; found no staff interference with hospice services. Investigated the unlawful rate increase and injury allegations; found rate changes complied with care needs and the admission agreement, and injuries were linked to the resident’s medical condition and falls.
    • § 87464(d)
    19 Jan 2025
    Investigated three allegations: staff sleeping in a resident’s room during a shift; inadequate staffing to meet residents’ needs; and not providing activities to residents. Found no preponderance of evidence to prove the allegations, UNSUBSTANTIATED.
    12 Sept 2024
    Found deficiencies, including failure to update needs and services plans annually for residents with neurocognitive disorders. Also observed a resident’s bedroom with a strong odor and blood on the top bed sheet.
    12 Sept 2024
    Identified deficiencies in the care and services provided to residents during an unannounced inspection.
    • § 87307(a)(3)
    • § 87705(c)(5)
    • § 1569.695(c)
    03 Aug 2022
    Found staff wore masks, vaccination status was confirmed for residents and staff, and infection-control measures, PPE, and food supplies were adequate; temperature checks, a designated entry point, clear exits, and posted hand-washing and social-distancing signs were observed, though hand-washing signs did not specify a 20-second duration. No deficiencies cited.
    03 Aug 2022
    Confirmed no deficiencies during the inspection.
    09 Mar 2022
    Reviewed the amended LIC9099 and LIC9099D documents related to the allegation with the on-site representative and explained the purpose of the unannounced visit.
    09 Mar 2022
    Found incidents of abuse and neglect in violation of regulations.
    17 Sept 2021
    Found no deficiencies identified during the visit; observed staff wearing masks, all residents vaccinated, ample PPE and food supplies, temperature checks and symptom screening in place, and safety signs posted, though handwashing signs were not present in all bathrooms.
    17 Sept 2021
    No deficiencies were cited during the annual inspection. Advisory notes were issued.
    03 Aug 2021
    Found a medication mismanagement issue: five MARs did not align with five physician orders, with blank dates and missing notes for changes, and training proof for medication administration was not provided. Interactions with residents and staff did not support verbal abuse allegations, and staff stated meds were given as prescribed and MARs were properly updated.
    03 Aug 2021
    Confirmed that allegations of verbal abuse and medication mismanagement by staff were substantiated based on interviews and record reviews.
    • § 1569.69(a)(1)
    • § 87506(b)(14)
    02 Aug 2021
    Found that glucose testing for a resident was not performed as ordered and staff were not instructed on how to check glucose; hospital records showed elevated glucose and an altered mental status.
    02 Aug 2021
    Confirmed that no pressure injuries were observed on residents, and family members were notified of changes in condition, but found that required glucose testing for a resident was not completed according to doctor's orders, resulting in substantiated allegations of non-compliance with testing protocols.
    • § 87465(a)(1)
    • § 87628(a)
    04 Jun 2021
    Identified that staff did not perform a timely fall assessment or arrange prompt medical care after a resident’s fall, contributing to death from complications of a broken hip. Found insufficient evidence to support a separate claim about delays in notifying the spouse and the primary care physician.
    04 Jun 2021
    Confirmed allegations of neglect in response to a resident's fall resulting in death, with a civil penalty assessed and additional penalty pending.
    • § 87411(a)
    • § 87465(g)

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