nursing home in South Hill, VA
Twin Lakes Rehabilitation and Nursing
125 Buena Vista Circle, South Hill, VA 23970 · (434) 447-3151
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Twin Lakes Rehabilitation and Nursing at a glance
Twin Lakes Rehabilitation and Nursing is a 140-bed non-profit nursing home in South Hill, Virginia (Mecklenburg County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Virginia average of 3.
Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (May 3, 2023) found 6 health citations. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 72% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 140
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Eastern Healthcare Group
- Medicare-certified since
- October 14, 1987
- Resident/family council
- Resident
- County
- Mecklenburg County
- CMS Certification Number
- 495177
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.9 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.6 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.10 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.33 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.87 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.78 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 72% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 84.2% | 48.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 28 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 140 | 113 | 107 | |
| Average residents per day | 98 | 99 | 86 | |
| Occupancy | 69.9% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.5% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 8% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 14.2% | 14.2% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.3% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 12.9% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 17.1% | 18.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.4% | 20.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.5% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 64.7% | 90.9% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.9% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80.6% | 73.6% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 20.7% | 73.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 3, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected June 27, 2023 |
| May 3, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected November 28, 2023 |
| May 3, 2023 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Corrected June 27, 2023 |
| May 3, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected June 27, 2023 |
| May 3, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected November 28, 2023 |
| May 3, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 27, 2023 |
| May 3, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 16, 2023 |
| May 3, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 3, 2023 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 3, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 3, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 16, 2023 |
| May 3, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 16, 2023 |
| June 10, 2021 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected August 4, 2021 |
| June 10, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected August 4, 2021 |
| June 10, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 4, 2021 |
| June 10, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected August 4, 2021 |
| June 10, 2021 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 22, 2021 |
| June 10, 2021 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected July 22, 2021 |
| June 10, 2021 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 22, 2021 |
| June 10, 2021 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected July 22, 2021 |
| June 10, 2021 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 22, 2021 |
| May 30, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected August 1, 2019 |
| May 30, 2019 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 1, 2019 |
| May 30, 2019 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | G Actual harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | E Potential harm, pattern | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected July 31, 2019 |
| May 30, 2019 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 31, 2019 |
| May 30, 2019 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected July 12, 2019 |
| May 30, 2019 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected July 12, 2019 |
| May 30, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | C No harm, widespread | Corrected July 12, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| VA SNF OPERATIONS HOLDINGS 5 LLC Organization | 5% or greater direct ownership interest | 100% | 04/01/2025 |
| A&J POMONA ENTERPRISES LLC Organization | 5% or greater indirect ownership interest | 10% | 04/01/2025 |
| LYAM EASTERN HOLDCO LLC Organization | 5% or greater indirect ownership interest | 45% | 04/01/2025 |
| LYAM FAMILY TRUST Organization | 5% or greater indirect ownership interest | 45% | 04/01/2025 |
| BANKWELL BANK Organization | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| ACKERMAN, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 07/18/2025 |
| A&J POMONA ENTERPRISES LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| LYAM EASTERN HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| LYAM FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| SAMUELS, SHONDEL Individual | adp of the snf | NOT APPLICABLE | 07/18/2025 |
| SOUTH HILL VA PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| VA SNF MASTER CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 07/18/2025 |
| VA SNF REALTY HOLDINGS 5 LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| YDI EASTERN HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| YDI IRREVOCABLE TRUST Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| GITTLESON, YEHUDA Individual | corporate officer | NOT APPLICABLE | 04/01/2025 |
| SHAPIRO, AKIVA Individual | corporate officer | NOT APPLICABLE | 04/01/2025 |
| GITTLESON, LAYLA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/25/2025 |
| WEINBERG, SHELLEY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/18/2025 |
| GITTLESON, YEHUDA Individual | managing control - governing body | NOT APPLICABLE | 04/01/2025 |
| SAMUELS, SHONDEL Individual | managing control - governing body | NOT APPLICABLE | 04/01/2025 |
| SHAPIRO, AKIVA Individual | managing control - governing body | NOT APPLICABLE | 04/01/2025 |
| GITTLESON, YEHUDA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| VA SNF MASTER CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
Other nursing homes near Twin Lakes Rehabilitation and Nursing
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★★★★★1Much below averageWayland Nursing and Rehabilitation Center
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★★★★★4Above averageChase City Health and Rehab Center
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★★★★★5Much above averageWarren Hills Nursing Center
864 US Hwy 158 Business West, Warrenton, NC 27589 · 23.3 mi
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★★★★★3AverageHeritage Hall-Blackstone
900 S Main St, Blackstone, VA 23824 · 24.3 mi
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★★★★★4Above averageClarksville Health & Rehab Center
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Frequently asked questions
What is Twin Lakes Rehabilitation and Nursing's rating?
Twin Lakes Rehabilitation and Nursing has 3 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Twin Lakes Rehabilitation and Nursing receive?
Its most recent standard health inspection found 6 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Twin Lakes Rehabilitation and Nursing accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Twin Lakes Rehabilitation and Nursing?
It is non profit - corporation and part of Eastern Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Twin Lakes Rehabilitation and Nursing and how do I contact it?
Twin Lakes Rehabilitation and Nursing is at 125 Buena Vista Circle, South Hill, VA 23970. Phone: (434) 447-3151.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.