Twin Lakes Rehabilitation and Nursing

Nursing Home · South Hill, VA

CMS overall rating 3/5 Non profit - Corporation

CMS certification number495177

Contact & location

125 Buena Vista Circle
South Hill, VA 23970
Mecklenburg County
Phone
(434) 447-3151
ZIP code
23970 – all care providers

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Facility details

Certified beds
140
Residents per day
97.8 (70% occupied)
Ownership
Non profit - Corporation
Legal name
South Hill VA Opco LLC
Chain
Eastern Healthcare Group (18 facilities, avg 1.5★)
Medicare certified since
October 14, 1987
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.0
Health inspections★★★★★ 4/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 2.4
Quality measures★★★★★ 3/5
State avg 3.9
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.10 (state 3.76 · U.S. 3.86)
Registered nurses (RN)
0.33 (state 0.69 · U.S. 0.69)
Licensed practical nurses
0.90 (state 1.00 · U.S. 0.86)
Nurse aides
1.87 (state 2.07 · U.S. 2.32)
Weekend total
2.78 (state 3.29 · U.S. 3.42)
Nursing staff turnover
72.0 (state 48.1 · U.S. 45.8)%
RN turnover
84.2 (state 48.2 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
May 3, 2023
Health deficiencies (last cycle)
6.0 (state 14.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
27 health · 12 fire safety · includes actual harm
DateCitationSeverityStatus
2023-05-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-03 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-03 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-03 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2023-05-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-16
2021-06-10 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-07-22
2021-06-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-07-22
2021-06-10 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-07-22
2021-06-10 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-07-22
2021-06-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-07-22
2019-05-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2019-07-12
2019-05-30 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.
F0688 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2019-07-12
2019-05-30 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2019-07-12
2019-05-30 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-07-31
2019-05-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-07-31
2019-05-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-07-12
2019-05-30 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2019-07-12
2019-05-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2019-07-12

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
VA SNF Operations Holdings 5 LLC (organization)5%+ Direct Ownership Interest · 100%
A&J Pomona Enterprises LLC (organization)5%+ Indirect Ownership Interest · 10%
Lyam Eastern Holdco LLC (organization)5%+ Indirect Ownership Interest · 45%
Lyam Family Trust (organization)5%+ Indirect Ownership Interest · 45%
Bankwell Bank (organization)5%+ Security Interest · NOT APPLICABLE
A&J Pomona Enterprises LLC (organization)Administrator · NOT APPLICABLE
Ackerman, Christopher (individual)Administrator · NOT APPLICABLE
Lyam Eastern Holdco LLC (organization)Administrator · NOT APPLICABLE
Lyam Family Trust (organization)Administrator · NOT APPLICABLE
Samuels, Shondel (individual)Administrator · NOT APPLICABLE
South Hill VA Propco LLC (organization)Administrator · NOT APPLICABLE
VA SNF Master Consulting LLC (organization)Administrator · NOT APPLICABLE
VA SNF Realty Holdings 5 LLC (organization)Administrator · NOT APPLICABLE
Ydi Eastern Holdco LLC (organization)Administrator · NOT APPLICABLE
Ydi Irrevocable Trust (organization)Administrator · NOT APPLICABLE
Gittleson, Yehuda (individual)Corporate Officer · NOT APPLICABLE
Shapiro, Akiva (individual)Corporate Officer · NOT APPLICABLE
Gittleson, Layla (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Weinberg, Shelley (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Gittleson, Yehuda (individual)Managing Control - Governing Body · NOT APPLICABLE
Samuels, Shondel (individual)Managing Control - Governing Body · NOT APPLICABLE
Shapiro, Akiva (individual)Managing Control - Governing Body · NOT APPLICABLE
Gittleson, Yehuda (individual)Operational/managerial Control · NOT APPLICABLE
VA SNF Master Consulting LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Twin Lakes Rehabilitation and Nursing?

Twin Lakes Rehabilitation and Nursing has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Twin Lakes Rehabilitation and Nursing have?

It has 140 certified beds and cares for about 98 residents per day.

Has Twin Lakes Rehabilitation and Nursing been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Twin Lakes Rehabilitation and Nursing?

It is part of Eastern Healthcare Group and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Twin Lakes Rehabilitation and Nursing?

(434) 447-3151. The facility is located at 125 Buena Vista Circle, South Hill, VA 23970.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.