Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Twin City Health Care during CMS and state inspections, most recent first.
The facility failed to document that residents or their representatives received the bed hold policy before hospital transfer for three residents. One resident had dementia, schizophrenia, and delusional disorder; another was cognitively intact with DM2, CKD stage 3, and depression; and a third had CHF, HTN, chronic pain syndrome, and severe cognitive impairment. Staff said transfer paperwork included the bed hold policy and should have been charted, but the records did not show who received it.
Opened insulin pens in the A Unit and C Unit med carts were found undated during med storage observations. QMA 3 stated the pens were not dated when opened and there was no way to know when they expired. An LPN and the DON confirmed insulin pens require an open date and expire based on manufacturer instructions, and the facility policy states multiple-dose injections such as insulin expire 28 days after opening unless otherwise noted.
The facility failed to adhere to transmission-based precautions for COVID-19, as observed with staff not wearing the required PPE when entering rooms of residents under isolation. Despite signage and available PPE, staff like a housekeeper and CNA did not consistently use N95 masks or face shields, indicating a misunderstanding or non-compliance with the facility's infection control policy.
A facility failed to adhere to proper medication administration protocols for a resident receiving medications via G-tube, resulting in an 8.89% medication error rate. The LPN did not perform necessary checks for tube placement, such as auscultating an air bolus and checking for residual stomach contents, as required by physician's orders and facility policy. The resident had a history of dysphagia, nausea, and vomiting, and the inconsistency in medication administration routes was noted.
Missing Documentation for Bed Hold Policy at Hospital Transfer
Penalty
Summary
The facility failed to ensure that residents or their representatives were provided with the bed hold policy before hospitalization for 3 of 4 residents reviewed for hospitalization. Resident 11 had diagnoses including unspecified dementia, schizophrenia, and delusional disorder, and a quarterly MDS dated 5/1/25 indicated the resident interview could not be completed. When the resident was transferred to the hospital on 6/22/25, the clinical record did not show who received the bed hold policy. Resident 19 had diagnoses including type 2 diabetes, chronic kidney disease stage three, and depression, and an admission MDS dated 7/2/25 indicated the resident was cognitively intact. A progress note dated 8/5/25 documented transfer to the hospital for increased confusion, but the record lacked information about who received the bed hold policy. Resident 25 had diagnoses including congestive heart failure, essential hypertension, and chronic pain syndrome, and a significant change MDS indicated severe cognitive impairment. A progress note dated 4/29/25 documented transfer to the hospital for wheezing, and the record also lacked information regarding who received the bed hold policy. Staff interviews indicated that forms including the bed hold policy were sent with residents during transfer and that the information should have been charted, but the records for these three residents did not document who received it.
Undated Opened Insulin Pens in Medication Carts
Penalty
Summary
Drugs and biologicals used in the facility were not labeled in accordance with accepted professional principles because opened insulin pens were left undated in medication carts. During a medication storage observation of the A Unit cart with QMA 3 present, one Basaglar 3 mL KwikPen 100 units/mL with the seal broken and approximately 150 units used, and another Basaglar 3 mL KwikPen 100 units/mL with the seal broken and approximately 75 units used, were observed without open dates. During a medication storage observation of the C Unit cart, one Lantus 3 mL KwikPen 100 units/mL with the seal broken and approximately 200 units used was also observed without an open date. During interview, QMA 3 stated the insulin pens were not dated when opened and there was no way to know when they expired because they were not dated. LPN 4 stated Basaglar insulin pens expire 28 days after opening and that different insulins expire based on manufacturer instructions. The DON stated all insulin pens were required to have an opened date, undated insulin pens could not be utilized and must be discarded, and insulin pens expired based on manufacturer instructions. The manufacturer instructions reviewed for Basaglar and Lantus both indicated opened pens stored at room temperature expire in 28 days, and the facility policy stated multiple dose injections such as insulin expire 28 days after opening unless otherwise noted by the manufacturer.
Failure to Adhere to Transmission-Based Precautions for COVID-19
Penalty
Summary
The facility failed to properly implement transmission-based precautions (TBP) for COVID-19, as observed during random checks on the 100 and 200 halls. Housekeeper 3 was seen entering and exiting a room with residents under TBP while only wearing gloves and a surgical mask, despite signage indicating the need for a gown, gloves, face shield, and mask. During an interview, Housekeeper 3 incorrectly believed that wearing glasses sufficed in place of a face shield. On another occasion, Housekeeper 3 entered a COVID-19 positive resident's room wearing only a gown and gloves, again not adhering to the required PPE as indicated by the signage. Further observations revealed that CNA 5 entered a resident's room wearing a gown, gloves, surgical mask, and face shield, but not the required N95 mask. Interviews with staff, including LPN 4 and the Director of Nursing (DON), indicated a misunderstanding or lack of adherence to the PPE requirements, with LPN 4 stating that an N95 mask was not necessary. The facility had adequate PPE supplies and had conducted an in-service on infection control, yet issues persisted. Resident 31, who was COVID-19 positive with symptoms, was under strict droplet isolation, but the facility's staff did not consistently follow the transmission-based precautions as per the facility's policy dated October 2015.
Failure to Follow G-tube Medication Administration Protocol
Penalty
Summary
The facility failed to ensure medications administered via gastrostomy tube (G-tube) were given according to physician's orders and facility policy, resulting in an 8.89% medication error rate. During an observation, a Licensed Practical Nurse (LPN) administered multiple medications to a resident through a G-tube without performing the required checks for tube placement, such as auscultating an air bolus and checking for residual stomach contents. The resident's medical record indicated that these checks were necessary before administering medications, as per the physician's orders and facility policy. The resident involved had a history of dysphagia, nausea, and vomiting, and was receiving medications via G-tube. The facility's policy required that the placement of the G-tube be verified by auscultating the abdomen and checking for gastric content before medication administration. However, these procedures were not followed, as confirmed by interviews with the LPN and the Director of Nursing (DON). The resident's medication administration had been inconsistent, alternating between oral and G-tube routes, which was discussed in a care plan meeting. Despite this, the failure to adhere to the established protocol for G-tube medication administration led to the identified deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Gas City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Colonial Oaks Health Care Center | 3.4 mi | ★★★★★ | 0 | 0 |
| Wesleyan Health Care Center | 4.1 mi | ★★★★★ | 9 | 0 |
| Aperion Care Marion Llc | 4.9 mi | ★★★★★ | 13 | 0 |
| University Nursing Center | 6.1 mi | ★★★★★ | 18 | 1 |
| Miller's Merry Manor | 6.5 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.