Federal inspection record · CMS data as of October 1, 2026
Twin Lakes Rehabilitation and Nursing
125 Buena Vista Circle, South Hill, VA · (434) 447-3151
- Certified beds
- 140
- Residents per day
- 95
- Ownership
- Non-Profit
- Chain
- Eastern Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 14, 1987
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Twin Lakes Rehabilitation and Nursing carries 28 inspection points. That is fewer than 79% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
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.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Assessment and Care Planning6D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- C
Provide and implement an infection prevention and control program.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service1D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
2023-05-03
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2021-06-10
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2019-05-30
16 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 13 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 13 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 79% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 1.8 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine31.7 pts worse | 59.5% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine14 pts worse | 79.3% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 4.2% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10 pts worse | 30.5% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 5.1% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts better | 10.7% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.8 pts worse | 15.0% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better | 13.9% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 15.4% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.2% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.3% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts worse | 25.4% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts worse | 6.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine54.1 pts worse | 20.1% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better | 9.4% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.8% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine42.7 pts worse | 30.6% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.4 pts worse | 27.4% | 22.0% | 23.4% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Va SNF Operations Holdings 5 LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Lyam Eastern Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 45% | 1 facilities |
| Lyam Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 45% | 3 facilities |
| A&J Pomona Enterprises LLC | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 1 facilities |
| A&J Pomona Enterprises LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ackerman, Christopher | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bankwell Bank | 5% Or Greater Security Interest · Organization | 0% | 12 facilities |
| Gittleson, Layla | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 4 facilities |
| Gittleson, Yehuda | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Gittleson, Yehuda | Corporate Officer · Individual | 0% | 4 facilities |
| Gittleson, Yehuda | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Lyam Eastern Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lyam Family Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Samuels, Shondel | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Samuels, Shondel | Adp Of The SNF · Individual | 0% | 2 facilities |
| Shapiro, Akiva | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Shapiro, Akiva | Corporate Officer · Individual | 0% | 18 facilities |
| South Hill Va Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Va SNF Master Consulting LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Va SNF Master Consulting LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Va SNF Realty Holdings 5 LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Weinberg, Shelley | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Ydi Eastern Holdco LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Ydi Irrevocable Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Install corridor and hallway doors that block smoke.
Services4F
- E
Have elevators that firefighters can control in the event of a fire.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Egress2E
- E
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.
- E
Have properly located and lighted "Exit" signs.
Miscellaneous2E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
Lawrenceville Health & Rehabilitation
Lawrenceville, VA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 22 min
- Fines
- $0
-
Wayland Nursing And Rehabilitation Center
Keysville, VA · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
Chase City Health And Rehab Center
Chase City, VA · Commonwealth Care Of Roanoke
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0