Pricing ranges from
    $5,050 – 6,060/month

    Twin Cities Pavilion

    1053 E John Sims Pkwy, Niceville, FL 32578
    • Assisted Living

    Compassionate staff, clean welcoming community

    I'm very satisfied-compassionate, attentive staff went above and beyond during my mom's passing and I trust they'll care for my dad. Clean, well-maintained, centrally located residence with a lively, engaging community (bingo, beauty shop, volunteers), affordable and feels like home.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Date of Tour
    Time Window
    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

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

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.00·(17)

    Overall rating

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

      3.6
    • Staff

      4.0
    • Meals

      2.5
    • Amenities

      3.5
    • Value

      4.0

    Pros

    • Compassionate, attentive caregiving staff
    • Helpful and informative tour and admissions staff
    • Generally clean, well-maintained common areas
    • Responsive maintenance services
    • Affordable for fixed-income residents
    • Central, convenient town location
    • On-site beauty shop with regular hair and nail services
    • Lively resident community with volunteer engagement
    • Varied room-size options including double-occupancy layouts

    Cons

    • Inconsistent staffing levels, including weekend understaffing
    • Limited full-time registered nurse coverage
    • Sanitation inconsistencies in some areas
    • Inconsistent dining and meal quality
    • Limited or irregular activity programming
    • Dated physical plant and need for capital upgrades
    • Small single-occupancy room layouts
    • Inconsistent staff communication and reception

    Summary of reviews

    Twin Cities Pavilion appears to be a modest, community-oriented skilled nursing or assisted-living option with a central location and pricing that accommodates fixed-income residents. Many reviewers praised the caregiving team as compassionate, attentive, and supportive — including examples of staff providing strong end-of-life presence. Admissions and tour staff are frequently described as helpful, and families noted responsive maintenance and generally tidy, painted common areas. The site offers convenience features such as an on-site beauty shop and regular hair/nail services, plus a social atmosphere supported by volunteers and residents who seem engaged.

    At the same time, reviews reveal consistent operational weaknesses that families should evaluate. Staffing levels and coverage were a common concern; several accounts indicate reduced staffing on weekends and periods when resident needs may not be met promptly. Reviewers also flagged limited full-time registered nurse coverage, which affects clinical oversight for residents with higher medical needs. Cleanliness was praised in many areas but other comments point to sanitation inconsistencies in specific locations — an issue that prospective families should verify during a visit.

    Dining and activities show a mixed picture. The dining room is described as typical for a facility of this scale, but meal quality was characterized as inconsistent by some reviewers. Activity offerings include bingo and periodic programming, but several notes mention limited activity frequency or low variety during visits. The physical environment trends older: reviewers describe dated rooms, some with double-occupancy layouts that offer larger shared rooms but leave single rooms feeling small. There are references to a hospital-era design in parts of the facility and to uneven capital upgrades across units.

    Management and communication also show variability. Many families express confidence in the staff and note improvements over time, while isolated reports reference curt reception or dissatisfaction with front-desk interactions. Those patterns suggest generally strong hands-on caregiving with occasional lapses in administrative responsiveness.

    Practical considerations for prospective residents and families: schedule visits at different times (including a weekend) to assess staffing and activity levels; request the facility's RN staffing model and on-call arrangements; sample a meal or review recent menus; tour both single and double-occupancy rooms to judge size and condition; ask about planned capital improvements and housekeeping/cleaning schedules; and speak with current families or volunteers about the daily social environment. These targeted inquiries will help clarify whether the Pavilion’s caring staff and affordability align with an individual resident’s clinical and lifestyle needs.

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    Location

    Map showing location of Twin Cities Pavilion

    Twin Cities Pavilion is located at 1053 E John Sims Pkwy, Niceville, FL, 32578.

    About Twin Cities Pavilion

    Twin Cities Pavilion, found in Niceville, Florida, is a senior living community that's been around since 1981, and it's got a licensed capacity for up to 50 residents under State of Florida License #AL5462, offering assisted living, skilled nursing home services, rehab therapy, and special care for memory loss and dementia, so folks can get a range of care based on their own needs as they age. The residents stay in private apartments where they can fix up their own rooms any way they like, and they've got access to a shared dining room, a community kitchen, water and electricity already included, and plenty of comfy spaces furnished with TVs, plus options for getting cable, phone, or internet if they want it at their own cost.

    There's always staff nearby day and night, and they'll help with things like bathing, dressing, laundry, shampooing, or medication management-though staff supervise and record medications but don't actually give them-and meal services are put together with a registered dietitian watching over the nutrition, keeping an eye on salt, sugar, and fat for health reasons, which really makes a difference for folks who want to keep feeling good. The place has a calm, private setting with walking paths, a library, and a community garden, and you'll see residents enjoying a barber and salon, sitting down for daily activities, religious services, and catching a ride for shopping or doctor visits when needed, with medical escorts for extra support paid separately.

    For fun and staying social, there are choices like BINGO, crafts, board games, movies, and local community outings, even events put on by outside groups, and a lot of activities are run by residents themselves, so nobody has to feel alone or bored, and friendships tend to form pretty easily with all that going on. Magnolia Manor Senior Day, which was the first adult day care in Okaloosa County, is connected to Twin Cities Pavilion, and Magnolia Manor is a local adult day care center as well; plus, if memory care or dementia support is needed, Carington Manor over in Crestview handles that with private or shared rooms in a secure area.

    Assisted living here is set up to help folks keep their independence with just the right amount of support, including housekeeping based on each person's ability to manage their own space, and there's a strong focus on keeping people safe and healthy-so there's a good infection control plan, visitor health checks, and family can always visit, especially for end-of-life, emotional times, or big decisions, with at least two hours every day guaranteed for their main support person. There's hospice care toward the end of life, respite care, some allowance for pets, and low or no-sodium food choices, and the Pavilion works closely with programs like the Community Care for the Elderly Program, Meals on Wheels, and other groups to make sure seniors have support whether they're living here, staying with family, or getting care in their own house. The staff, led by Ms. Patti Tusai-Snow as Facility Director and Mrs. Kimberly Fraley as Administrator, pride themselves on being friendly, attentive, and dedicated to making sure everyone feels at home, and with daily activities, comfortable amenities, and a focus on dignity, Twin Cities Pavilion tries to give every resident a safe and caring place to call home for as long as they need.

    People often ask...

    Twin Cities Pavilion offers competitive pricing, with rates starting at a cost of $5,050 per month.

    Twin Cities Pavilion offers assisted living.

    There are 6 photos of Twin Cities Pavilion on Mirador.

    The full address for this community is 1053 E John Sims Pkwy, Niceville, FL 32578.

    No, Twin Cities Pavilion does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Florida, the Agency for Health Care Administration (AHCA) licenses assisted living facilities and publishes the results of its standard, complaint, and monitoring inspections.

    License number11911081
    StatusActive
    Facility typeAssisted Living Facility
    Capacity50 residents
    View the official license record

    Inspection Reports

    55

    Reports

    0

    Type A Citations

    0

    Type B Citations

    22

    Complaints

    16

    Years

    05 Jun 2024
    Identified that on June 5, 2024 an Emergency Environmental Control survey occurred. At the time, deficient practice was not identified.
    26 Oct 2023Complaint
    Found no deficiencies during a complaint investigation and concurrent licensure survey.
    26 Oct 2023Standard
    Conducted a biennial licensure survey with generator assessment, visitation policy review, and emergency management plan review; no deficiencies were found.
    29 Jun 2023Complaint
    Identified that a complaint investigation and a generator assessment were conducted, and no deficiencies were found at the time of the survey.
    08 Jun 2023Complaint
    Investigated a complaint on June 8, 2023, and found no deficiencies.
    12 Apr 2023Complaint
    Identified a complaint investigation and no deficiencies were reported.
    28 Sept 2022Monitor
    Identified no deficiencies during a generator assessment monitoring survey conducted on 9/28/22.
    04 Oct 2021Complaint
    Investigated an unannounced complaint survey; no deficient practice identified.
    23 Nov 2020Complaint
    Concluded no deficient practices were identified during an unannounced relicensing and program review, which addressed emergency management, infection control, and extended care-related complaints.
    18 Mar 2020Complaint
    Identified that a focused infection control survey occurred on March 18, 2020 in Niceville, Florida.
    20 Feb 2020Complaint
    Observed an unannounced complaint survey conducted; no deficient practice identified.
    12 Nov 2019Complaint
    Observed that an unannounced complaint investigation looked into an allegation and found no deficient practice at the time.
    09 Oct 2018Standard
    Identified no deficient practice at the time of the survey. An unannounced biennial survey with extended congregate care was conducted.
    03 Jan 2018Complaint
    Observed a follow-up visit found that previously cited deficiencies were corrected.
    08 Nov 2017Complaint
    Identified multiple deficiencies in areas of admissions residency, resident rights and procedures, medication assistance, and nutrition/food service.
    • Class 3A0010ADMISSIONS - CONTINUED RESIDENCY
    • Class 3A0025RESIDENT CARE - SUPERVISION
    • Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
    • Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
    • Class 3A0079STAFFING STANDARDS - LEVELS
    • Class 3A0093FOOD SERVICE - DIETARY STANDARDS
    08 Nov 2017Monitor
    Identified a deficient practice during an unannounced ECC monitoring visit connected to a complaint.
    20 Mar 2017Standard
    Reviewed a desk revisit; deficiencies were corrected following an acceptable plan of correction.
    24 Jan 2017Standard
    Identified deficiencies in licensure compliance, medication management, staff training, and background screening.
    • Class 3A0055MEDICATION - STORAGE AND DISPOSAL
    • Class 3A0075USE OF PERSONNEL; EMERGENCY CARE (AED)
    • Class 3A0081TRAINING - STAFF IN-SERVICE
    • Class 3A0082TRAINING - HIV/AIDS
    • Class 3A0093FOOD SERVICE - DIETARY STANDARDS
    • Class 4CZ814BACKGROUND SCREENING CLEARINGHOUSE
    • Class 4CZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
    15 Sept 2016Complaint
    Investigated a complaint about a licensed care provider; no deficient practices were identified during the visit.
    15 Sept 2016Monitor
    Identified no deficient practices after a complaint survey and monitoring visit related to extended congregate care services.
    18 May 2016Monitor
    Observed no deficiencies during the ECC monitoring visit conducted on May 18, 2016.
    30 Sept 2015Monitor
    Observed no deficient practices during an unannounced Extended Congregate Care monitoring visit.
    17 Aug 2015Monitor
    Found no deficiencies during an unannounced Extended Congregate Care monitoring visit.
    15 Apr 2015Monitor
    Identified no deficiencies during an unannounced ECC monitoring visit on April 15, 2015.
    13 Apr 2015Standard
    Conducted a follow-up licensure visit and found no deficiencies.
    17 Feb 2015Standard
    Identified deficiencies in medication administration, record-keeping, and storage practices.
    • Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
    • Class 3A0054MEDICATION - RECORDS
    • Class 3A0055MEDICATION - STORAGE AND DISPOSAL
    10 Nov 2014Monitor
    Found no deficiencies during an unannounced ECC monitoring visit.
    05 Sept 2014Complaint
    Found an unannounced second revisit survey and an Extended Congregate Care review showed no deficient practice at the time of the visit.
    05 Sept 2014Monitor
    Observed no deficiencies at the time of the survey.
    12 Aug 2014Complaint
    Investigated a complaint and found no deficient practice.
    03 Jun 2014Complaint
    Identified a repeat deficient practice concerning elopement risk and policy implementation for residents.
    03 Jun 2014Complaint
    Identified no deficient practices in the complaint portion of the investigation.
    03 Jun 2014Monitor
    Investigated a complaint and follow-up monitoring; no deficient practice was identified.
    15 Apr 2014Monitor
    Identified deficiencies related to staffing standards and two new complaints.
    • Class 3AE207ECC - SERVICES
    15 Apr 2014Complaint
    Observed a failure to implement elopement policy and procedures for a resident and related monitoring and identification issues.
    • Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
    15 Apr 2014Complaint
    Identified that previously cited deficiencies were corrected during the follow-up visit.
    • Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
    15 Apr 2014Monitor
    Identified deficiencies related to extended congregate care monitoring and a monthly nursing assessment not conducted for a resident.
    • Class 3AE207ECC - SERVICES
    12 Feb 2014Monitor
    Identified a deficiency where one of ten employees did not have an initial health clearance stating no communicable disease within 30 days of hire.
    • Class 3A0078STAFFING STANDARDS - STAFF
    07 Feb 2014Complaint
    Found several deficiencies in health assessments, medication records, staff training, and incident reporting.
    • Class 3A0008ADMISSIONS - HEALTH ASSESSMENT
    • Class 2A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
    • Class 3A0054MEDICATION - RECORDS
    • Class 2A0055MEDICATION - STORAGE AND DISPOSAL
    • Class 2A0077STAFFING STANDARDS - ADMINISTRATORS
    • Class 3A0081TRAINING - STAFF IN-SERVICE
    • Class 3A0084TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
    • Class 3A0090TRAINING - DO NOT RESUSCITATE ORDERS
    • Class 3A0165RISK MGMT & QA; ADVERSE INCIDENT REPORT
    21 Jan 2014Monitor
    Observed an unannounced ECC monitoring visit on January 21, 2014; no deficiencies were identified.
    03 Oct 2013Monitor
    Found no deficiencies during the ECC monitoring revisit conducted on October 3, 2013.
    03 Oct 2013Monitor
    Found no deficiencies during the unannounced ECC monitoring visit.
    20 Aug 2013Monitor
    Identified a deficiency where the service plan for a resident on ECC services was not reviewed or updated quarterly.
    • Class 3AE206ECC - SERVICE PLANS
    20 Aug 2013Complaint
    Identified deficiencies noted during the on-site visit; the related complaint had no findings.
    17 Apr 2013Monitor
    Determined that no deficiencies were found during the extended congregate care monitoring visit.
    17 Apr 2013Standard
    Identified that previously cited deficiencies were corrected during an unannounced revisit conducted on April 17, 2013.
    12 Feb 2013Standard
    Identified violations related to resident rights, self-administration of medications, and medication storage. Documented deficiencies included lack of written house rules in the admission package, insufficient assistance with self-administered meds, and improper medication storage and disposal.
    • Class 3A0030RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
    • Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
    • Class 3A0055MEDICATION - STORAGE AND DISPOSAL
    24 Jan 2013Monitor
    Found no deficiencies during an unannounced ECC monitoring survey conducted on January 24, 2013.
    24 Jan 2013Monitor
    Identified that previously cited deficiencies were corrected and no new deficiencies were identified.
    20 Nov 2012Monitor
    Identified failures in background screening processes and sign-off records for staff, with incomplete documentation and missing fingerprints.
    • Class 4AZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
    20 Nov 2012Complaint
    Identified deficiencies were noted, but no deficient practice was cited related to the allegations.
    23 Aug 2012Monitor
    Verified that prior deficiencies were corrected during a desk follow-up.
    06 Aug 2012Monitor
    Identified a background screening disqualification for an employee who was not eligible to work.
    • Class 3AE210ECC - TRAINING
    • Class 4AZ815BACKGROUND SCREENING; PROHIBITED OFFENSES
    06 Aug 2012Complaint
    Identified no deficiencies during the complaint survey conducted on August 6, 2012.
    21 Feb 2010Expansion
    Identified deficiencies from a prior survey were corrected; AHCA found compliance.

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    Mirador Living is not affiliated with the owner or operator(s) of Twin Cities Pavilion. The information above has not been verified or approved by the owner or operator. For exact information, please contact Twin Cities Pavilion directly. There is no cost for this service. We are compensated by the community you select.

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