Twin Lakes Rehabilitation and Nursing
Twin Lakes Rehabilitation and Nursing is a 140-bed nursing home in SOUTH HILL, Virginia. CMS has certified it for Medicare and Medicaid since 1987-10-14. It averages 97.8 residents a day.
What harm was found in the violations cited at Twin Lakes Rehabilitation and Nursing?
CMS lists 27 health-inspection deficiencies for Twin Lakes Rehabilitation and Nursing since 2019-05-30: the highest scope-and-severity letter on record is G; the most recent health inspection was 2023-05-03.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2023-05-03 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2023-05-03 | F0607, F0657, F0686, F0695, F0880 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2021-06-10 | F0725, F0812 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2021-06-10 | F0655, F0814, F0842 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2019-05-30 | F0686, F0688, F0692 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide enough food/fluids to maintain a resident's health. | G |
| 2019-05-30 | F0881 | Implement a program that monitors antibiotic use. | F |
| 2019-05-30 | F0684, F0690, F0691, F0725 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2019-05-30 | F0641, F0656, F0695, F0744, F0756, F0842 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2019-05-30 | F0732, F0880 | Post nurse staffing information every day. / Provide and implement an infection prevention and control program. | C |
How is Twin Lakes Rehabilitation and Nursing staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.10163 | 3.75779 |
| Total nursing staff turnover (%) | 72.0 | 48.1 |
| Average number of residents per day | 97.8 | 99.5 |
Who owns Twin Lakes Rehabilitation and Nursing, and what chain is it in?
Twin Lakes Rehabilitation and Nursing is registered with CMS as Non profit - Corporation, operates under the legal business name SOUTH HILL VA OPCO LLC and belongs to the EASTERN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | VA SNF OPERATIONS HOLDINGS 5 LLC | since 04/01/2025 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | A&J POMONA ENTERPRISES LLC, LYAM EASTERN HOLDCO LLC, LYAM FAMILY TRUST | since 04/01/2025 |
| 5% OR GREATER SECURITY INTEREST | BANKWELL BANK | since 04/01/2025 |
| MANAGING CONTROL - GOVERNING BODY | GITTLESON, YEHUDA, SAMUELS, SHONDEL, SHAPIRO, AKIVA | since 04/01/2025 |
| CORPORATE OFFICER | GITTLESON, YEHUDA, SHAPIRO, AKIVA | since 04/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | VA SNF MASTER CONSULTING LLC, GITTLESON, YEHUDA | since 04/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | GITTLESON, LAYLA, WEINBERG, SHELLEY | since 07/18/2025 |
| ADP OF THE SNF | A&J POMONA ENTERPRISES LLC, LYAM EASTERN HOLDCO LLC, LYAM FAMILY TRUST, SOUTH HILL VA PROPCO LLC, VA SNF MASTER CONSULTING LLC, VA SNF REALTY HOLDINGS 5 LLC, YDI EASTERN HOLDCO LLC, YDI IRREVOCABLE TRUST, ACKERMAN, CHRISTOPHER, SAMUELS, SHONDEL | since 04/01/2025 |
Were you or a family member harmed at Twin Lakes Rehabilitation and Nursing?