ElderGrade
D

44/100

Below average

Twin Lakes Rehabilitation And Healthcare Center

227 Sand Hill Road, Greensburg, PA 15601

CMS 1/5 stars #17 of 19 in Westmoreland County (724) 837-6482
Certified beds
137
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $29,035 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -10 for 78 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.24 total nurse hours per resident per day (national median 3.77)
  • 0.51 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 47% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $29,035 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.15 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.51 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.96 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 47.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 83 citations

Last standard health inspection: November 20, 2025 (9 months ago).

D May 14, 2026 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D May 14, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D May 14, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D May 14, 2026 F0810 From a complaint

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

No actual harm, potential for more than minimal harm

D May 14, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Apr 17, 2026 F0585 From a complaint

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

No actual harm, potential for more than minimal harm

E Apr 17, 2026 F0908 From a complaint

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

D Feb 4, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
MWAMBU, PAUL Individual OPERATIONAL/MANAGERIAL CONTROL
ROSENZWEIG, STEVEN Individual OPERATIONAL/MANAGERIAL CONTROL
MWAMBU, PAUL Individual ADP OF THE SNF
ROSENZWEIG, STEVEN Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Twin Lakes Rehabilitation And Healthcare Center

What is the ElderGrade for Twin Lakes Rehabilitation And Healthcare Center? +

Twin Lakes Rehabilitation And Healthcare Center holds an ElderGrade of D (44 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Twin Lakes Rehabilitation And Healthcare Center? +

Residents receive an average of 3.15 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Twin Lakes Rehabilitation And Healthcare Center been cited for harming residents? +

Yes. 1 of the 83 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Twin Lakes Rehabilitation And Healthcare Center accept Medicaid? +

Yes, Twin Lakes Rehabilitation And Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.