Twin Lakes Rehabilitation And Nursing
South Hill, Mecklenburg County, Virginia · CCN 495177 · Non-profit (Corporation) · part of Eastern Healthcare Group (18 facilities, chain average 1.5 stars)
CMS rates Twin Lakes Rehabilitation And Nursing 3 of 5 overall as of August 2026. 140 certified beds, 98 residents a day on average. 27 citations on record from the current inspection cycles, 3 involving actual harm; no fines on record.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.10163 hours per resident per day |
|---|---|
| Registered nurses | 0.33455 hours per resident per day |
| Weekend total | 2.77764 hours per resident per day |
| Nursing staff turnover | 72% (registered nurses 84.2%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2023-05-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-16 |
| 2023-05-03 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-16 |
| 2023-05-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-16 |
| 2023-05-03 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-16 |
| 2023-05-03 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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 Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-07-22 |
| 2021-06-10 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-07-22 |
| 2019-05-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0690 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0691 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-31 |
| 2019-05-30 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2019-07-12 |
| 2019-05-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2019-07-12 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Va Snf Operations Holdings 5 LLC Organization | 5% or greater direct ownership interest | 100% | 2025-04-01 |
| A&J Pomona Enterprises LLC Organization | 5% or greater indirect ownership interest | 10% | 2025-04-01 |
| Lyam Eastern Holdco LLC Organization | 5% or greater indirect ownership interest | 45% | 2025-04-01 |
| Lyam Family Trust Organization | 5% or greater indirect ownership interest | 45% | 2025-04-01 |
| Bankwell Bank Organization | 5% or greater security interest | — | 2025-04-01 |
| A&J Pomona Enterprises LLC Organization | adp of the snf | — | 2025-04-01 |
| Lyam Eastern Holdco LLC Organization | adp of the snf | — | 2025-04-01 |
| Lyam Family Trust Organization | adp of the snf | — | 2025-04-01 |
| South Hill Va Propco LLC Organization | adp of the snf | — | 2025-04-01 |
| Va Snf Master Consulting LLC Organization | adp of the snf | — | 2025-07-18 |
| Va Snf Realty Holdings 5 LLC Organization | adp of the snf | — | 2025-04-01 |
| Ydi Eastern Holdco LLC Organization | adp of the snf | — | 2025-04-01 |
| Ydi Irrevocable Trust Organization | adp of the snf | — | 2025-04-01 |
| Va Snf Master Consulting LLC Organization | operational/managerial control | — | 2025-04-01 |
| Ackerman, Christopher Individual | adp of the snf | — | 2025-07-18 |
| Samuels, Shondel Individual | adp of the snf | — | 2025-07-18 |
| Gittleson, Yehuda Individual | corporate officer | — | 2025-04-01 |
| Shapiro, Akiva Individual | corporate officer | — | 2025-04-01 |
| Gittleson, Layla Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-07-25 |
| Weinberg, Shelley Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-07-18 |
| Gittleson, Yehuda Individual | managing control - governing body | — | 2025-04-01 |
| Samuels, Shondel Individual | managing control - governing body | — | 2025-04-01 |
| Shapiro, Akiva Individual | managing control - governing body | — | 2025-04-01 |
| Gittleson, Yehuda Individual | operational/managerial control | — | 2025-04-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Twin Lakes Rehabilitation And Nursing.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Mecklenburg County.