Nursing Care Index

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

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-stay4 / 3 of 5

Staffing

Total nurse staffing3.10163 hours per resident per day
Registered nurses0.33455 hours per resident per day
Weekend total2.77764 hours per resident per day
Nursing staff turnover72% (registered nurses 84.2%)
Administrators who left2

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.

SurveyFindingSeverityStatus
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.

NameRoleShareSince
Va Snf Operations Holdings 5 LLC
Organization
5% or greater direct ownership interest100%2025-04-01
A&J Pomona Enterprises LLC
Organization
5% or greater indirect ownership interest10%2025-04-01
Lyam Eastern Holdco LLC
Organization
5% or greater indirect ownership interest45%2025-04-01
Lyam Family Trust
Organization
5% or greater indirect ownership interest45%2025-04-01
Bankwell Bank
Organization
5% or greater security interest2025-04-01
A&J Pomona Enterprises LLC
Organization
adp of the snf2025-04-01
Lyam Eastern Holdco LLC
Organization
adp of the snf2025-04-01
Lyam Family Trust
Organization
adp of the snf2025-04-01
South Hill Va Propco LLC
Organization
adp of the snf2025-04-01
Va Snf Master Consulting LLC
Organization
adp of the snf2025-07-18
Va Snf Realty Holdings 5 LLC
Organization
adp of the snf2025-04-01
Ydi Eastern Holdco LLC
Organization
adp of the snf2025-04-01
Ydi Irrevocable Trust
Organization
adp of the snf2025-04-01
Va Snf Master Consulting LLC
Organization
operational/managerial control2025-04-01
Ackerman, Christopher
Individual
adp of the snf2025-07-18
Samuels, Shondel
Individual
adp of the snf2025-07-18
Gittleson, Yehuda
Individual
corporate officer2025-04-01
Shapiro, Akiva
Individual
corporate officer2025-04-01
Gittleson, Layla
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-25
Weinberg, Shelley
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-18
Gittleson, Yehuda
Individual
managing control - governing body2025-04-01
Samuels, Shondel
Individual
managing control - governing body2025-04-01
Shapiro, Akiva
Individual
managing control - governing body2025-04-01
Gittleson, Yehuda
Individual
operational/managerial control2025-04-01

What changed

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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.