How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Twin Lakes Rehabilitation and Nursing
125 Buena Vista Circle, South Hill, VA 23970 (opens Google Maps) · Mecklenburg County · (434) 447-3151· 140 certified beds · avg 98 residents/day · certified since Oct 14, 1987 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EASTERN HEALTHCARE GROUP (18 facilities, chain avg rating 1.5★)
4/5
Health inspection rating (on-site)
inspected May 3, 2023
3
Serious findings on record
most recent May 30, 2019
$0
Fines, last 3 years
3.28
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · May 30, 2019 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Actual harm, isolated · May 30, 2019 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 12, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · May 30, 2019 · F-0688
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
▲ Actual harm, isolated · May 30, 2019 · F-0688
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 12, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · May 30, 2019 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ Actual harm, isolated · May 30, 2019 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 12, 2019 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 27 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. F-0607
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. F-0657
View all 27 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 3, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| May 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| May 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| May 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| May 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| May 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 10, 2021 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Jun 10, 2021 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jun 10, 2021 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Jun 10, 2021 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jun 10, 2021 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| May 30, 2019 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| May 30, 2019 | ▲ G · Actual harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| May 30, 2019 | ▲ G · Actual harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 30, 2019 | F · Potential for more than minimal harm, widespread | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| May 30, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| May 30, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| May 30, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · F-0691 |
| May 30, 2019 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · F-0744 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| May 30, 2019 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| May 30, 2019 | C · Potential for minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
All citationsSerious citations (G–L)
2019
All citations: 16
Serious citations (G–L): 3
2021
All citations: 5
Serious citations (G–L): 0
2023
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 16 | 3 | G ▲ |
| 2021 | 5 | 0 | E |
| 2023 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.28
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.35
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.94
Virginia average: 3.21
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.28 | 3.67 | 3.95 | bottom 43% in Virginia; bottom 25% in the U.S. |
| Registered Nurse hours | 0.35 | 0.66 | 0.69 | bottom 17% in Virginia; bottom 16% in the U.S. |
| Weekend total nurse staffing | 2.94 | 3.21 | 3.50 | top 48% in Virginia; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.46 | 0.48 | bottom 18% in Virginia; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 72.0 | 48.1 | 45.8 | bottom 3% in Virginia; bottom 5% in the U.S. |
| RN turnover (%) | 84.2 | 48.2 | 42.9 | bottom 5% in Virginia; bottom 4% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.10, RN 0.33, weekend 2.78.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.10 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Twin Lakes Rehabilitation and Nursing. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 |
| VA SNF Operations Holdings 5 LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2025 |
| A&j Pomona Enterprises LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Ackerman, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Bankwell Bank | Organization | 5% or Greater Security Interest | 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 |
| Gittleson, Yehuda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Gittleson, Yehuda | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2025 |
| Gittleson, Yehuda | Individual | Operational/Managerial Control | 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 | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Samuels, Shondel | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Shapiro, Akiva | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Shapiro, Akiva | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2025 |
| South Hill VA Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| VA SNF Master Consulting LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| VA SNF Master Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Eastern Healthcare Group — 18 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Bay Pointe Rehabilitation and Nursing — Virginia Beach, VA · overall 2/5
- Birchwood Park Rehabilitation — Virginia Beach, VA · overall 1/5abuse
- Blue Ridge Rehabilitation and Nursing — Harrisonburg, VA · overall 2/5
- Cypress Pointe Rehabilitation and Nursing — Virginia Beach, VA · overall 2/5
- Deer Meadows Rehabilitation and Nursing — Abingdon, VA · overall 1/5
- Greene Acres Rehabilitation and Nursing — Stanardsville, VA · overall 3/5
- Mountain Laurel Rehabilitation and Nursing — Rural Retreat, VA · overall 1/5abuse
- Nans Pointe Rehabilitation and Nursing — Suffolk, VA · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 17 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 72% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lawrenceville Health & Rehabilitation | 16.5 mi | Lawrenceville, VA | ★☆☆☆☆ | 2/5 | |
| Wayland Nursing and Rehabilitation Center | 18.4 mi | Keysville, VA | ★★★★☆ | 3/5 | |
| Chase City Health and Rehab Center | 18.7 mi | Chase City, VA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Mecklenburg, VA — 3 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Clarksville Health & Rehab Center — Clarksville, VA · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 495177.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).