Home›Indiana›Grant County›TWIN CITY HEALTH CARE
C
Below Standard

TWIN CITY HEALTH CARE

627 E NORTH H STREET · GAS CITY, IN 46933

7656748516 · Government - County

75 beds36.6 residents72 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TWIN CITY HEALTH CARE receives an overall staffing grade of C (Below Standard). With 3.714 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4754 HPRD, below the recommended 0.75. It is 0.18 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.58% compared to weekdays. The facility has low agency staff usage (3.8% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Had 8 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.4754 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (3.8%) — mostly permanent, familiar staff
Total Nurse HPRD
3.714hrs/resident/day▼ 0.18
CMS benchmark: 3.48
RN HPRD
0.4754hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
21.58%
3.9553 weekday → 3.1016 weekend
⚠ Significant weekend reduction
Agency Staff
3.8%
17.25% of RN hours from contractors
Days with Zero RN
8days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.7725hrs/resident/day
Direct care aides
LPN HPRD
0.8832hrs/resident/day
Licensed practical nurses
Consistency
0.4941std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Grant County Average+0.09 HPRD
3.63
03.71 HPRD
vs. Indiana State Average-0.01 HPRD
3.72
03.71 HPRD
vs. National Average-0.18 HPRD
3.90
03.71 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TWIN CITY HEALTH CARE ★
GAS CITY · This facility
—
C
3.7140.4754★★★☆☆
COLONIAL OAKS HEALTH CARE CENTER
MARION
3.4 mi
D
3.53750.3316★★★★★
UNIVERSITY NURSING CENTER
UPLAND
6.1 mi
D
3.56310.3968★☆☆☆☆
MILLER'S MERRY MANOR
MARION
6.5 mi
C
3.87050.5107★★★☆☆
WESTMINSTER VILLAGE MUNCIE INC
MUNCIE
20.2 mi
A
4.42710.9318★★★★★
SIGNATURE HEALTHCARE OF MUNCIE
MUNCIE
21.7 mi
C
3.24720.779★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
10
Total Deficiencies
$0
Fines Assessed
Aug 14, 2025Health
2 deficiencies cited
▼
Sep 17, 2024Health
2 deficiencies cited
▼
Sep 25, 2023Health
4 deficiencies cited
▼
Aug 15, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.