Nursing homeActive
Twin Lakes Rehabilitation and Nursing
125 Buena Vista Circle, South Hill, VA 239704344473151140 certified beds · 98 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
27
● 2● 22● 3
Penalties · 3 yrs
—
none on file
Last survey
2023-05-03
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Virginia Office of Licensure and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2023-05-03 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2021-06-10 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2019-05-30 | Standard | 2113 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Virginia Office of Licensure and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-16Record 495177-20230503-F607
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-16Record 495177-20230503-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-16Record 495177-20230503-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-16Record 495177-20230503-F686
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-16Record 495177-20230503-F695
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-16Record 495177-20230503-F880
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-22Record 495177-20210610-F655
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-07-22Record 495177-20210610-F725
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-07-22Record 495177-20210610-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-22Record 495177-20210610-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-07-22Record 495177-20210610-F842
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2019-07-12Record 495177-20190530-F686
F688Provide 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.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2019-07-12Record 495177-20190530-F688
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2019-07-12Record 495177-20190530-F692
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-07-31Record 495177-20190530-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-07-31Record 495177-20190530-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F690
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F691
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F725
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F744
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F756
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F842
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-07-12Record 495177-20190530-F881
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2019-07-12Record 495177-20190530-F732
F880Provide and implement an infection prevention and control program.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2019-07-12Record 495177-20190530-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.33
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day3.10
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours2.78
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover72%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover84%
Facility
Virginia
National
Virginia 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.0% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.5% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.2% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 10.3% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.1% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.4% | 20.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Va SNF Operations Holdings 5 LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| A&J Pomona Enterprises LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Lyam Eastern Holdco LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | — | — |
| Lyam Family Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | — | — |
| Gittleson, Yehuda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Va SNF Master Consulting LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| A&J Pomona Enterprises LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ackerman, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bankwell Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Gittleson, Layla Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gittleson, Yehuda Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gittleson, Yehuda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lyam Eastern Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lyam Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Samuels, Shondel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Samuels, Shondel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Shapiro, Akiva Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Shapiro, Akiva Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| South Hill Va Propco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Va SNF Master Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Va SNF Realty Holdings 5 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Weinberg, Shelley Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ydi Eastern Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ydi Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Eastern Healthcare Group — 18 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Virginia.
No county cost figures on file for Mecklenburg.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Wayland Nursing And Rehabilitation Center Keysville | 18.3 mi | 2025-04-16 | 1120 |
| Lawrenceville Health & Rehabilitation Lawrenceville | 16.5 mi | 2025-03-19 | 0170 |
| Chase City Health And Rehab Center Chase City | 18.7 mi | 2024-12-04 | 040 |
| Warren Hills Nursing Center Warrenton | 23.3 mi | 2026-02-26 | 1160 |
| Heritage Hall-Blackstone Blackstone | 24.3 mi | 2023-05-17 | 000 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |