Twin Lakes Rehabilitation and Nursing — nursing home in South Hill, VA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 140 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 95.1 CMS, MDS-derived
CMS Certification Number: 495177
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 14, 1987
Ownership type: Non profit - Corporation
Operator (legal business name): South Hill VA Opco LLC
CMS chain: Eastern Healthcare Group 18 facilities
Phone: (434) 447-3151
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest May 3, 2023

Citations

39

27 health · 12 fire

Harm or worse

3

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D18	E14	F2
Minimal	A·	B·	C2

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 495177
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 140
First approved: Oct 14, 1987
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Virginia.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 3, 2023	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
May 3, 2023	Health	Health Standard	6	Potential harm	—	Open →
Jun 10, 2021	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 10, 2021	Health	Health Standard	5	Potential harm	—	Open →
May 30, 2019	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 30, 2019	Health	Health Standard	16	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D18	E14	F2
Minimal	A·	B·	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction
May 3, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 27, 2023
May 3, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 27, 2023
May 3, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Waiver granted Jun 27, 2023
May 3, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 28, 2023
May 3, 2023	K-0531	Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 27, 2023
May 3, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted Nov 28, 2023
May 3, 2023	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 16, 2023
May 3, 2023	F-0657	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 · Clinical care	D · Potential harm Isolated	Corrected Jun 16, 2023
May 3, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 16, 2023
May 3, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 16, 2023
May 3, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 16, 2023
May 3, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 16, 2023
Jun 10, 2021	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2021
Jun 10, 2021	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 4, 2021
Jun 10, 2021	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2021
Jun 10, 2021	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 4, 2021
Jun 10, 2021	F-0655	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 22, 2021
Jun 10, 2021	F-0725	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 · Staffing & supervision	E · Potential harm Pattern	Corrected Jul 22, 2021
Jun 10, 2021	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 22, 2021
Jun 10, 2021	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 22, 2021
Jun 10, 2021	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 22, 2021
May 30, 2019	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jul 12, 2019
May 30, 2019	F-0688	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 · Clinical care	G · Actual harm Isolated	Corrected Jul 12, 2019
May 30, 2019	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jul 12, 2019
May 30, 2019	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 1, 2019
May 30, 2019	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 1, 2019
May 30, 2019	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2019
May 30, 2019	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2019
May 30, 2019	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 31, 2019
May 30, 2019	F-0690	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 · Clinical care	E · Potential harm Pattern	Corrected Jul 12, 2019
May 30, 2019	F-0691	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 12, 2019
May 30, 2019	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2019
May 30, 2019	F-0725	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 · Staffing & supervision	E · Potential harm Pattern	Corrected Jul 12, 2019
May 30, 2019	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2019
May 30, 2019	F-0756	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 · Medication management	D · Potential harm Isolated	Corrected Jul 12, 2019
May 30, 2019	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2019
May 30, 2019	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jul 12, 2019
May 30, 2019	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Jul 12, 2019
May 30, 2019	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	C · Minimal Widespread	Corrected Jul 12, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 2.5

Quality measuresstate 4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.22

State avg 3.88US avg 3.90

Registered nurse (RN)0.27

State avg 0.71US avg 0.69

Licensed practical nurse1.07

State avg 1.03US avg 0.86

Nurse aide1.88

State avg 2.14US avg 2.35

Weekend total nurse2.75

State avg 3.35US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.16 (case-mix index 1.43).

Staff turnover

Total nursing staff turnover60.4%

State avg 47.5%US avg 45.3%

Registered nurse turnover78.6%

State avg 46.5%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 3, 2023
Cycle 1 health score: 28
Total weighted score: 28

Operating entity

South Hill VA Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Eastern Healthcare Group

18 facilities in 1 states. CMS chain ID 608.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 1.5

Ownership disclosures

Disclosures

24

Organizations

10

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
VA SNF Operations Holdings 5 LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2025
Lyam Eastern Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	45%	Apr 1, 2025
Lyam Family Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	45%	Apr 1, 2025
A&J Pomona Enterprises LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Apr 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
VA SNF Operations Holdings 5 LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2025
Lyam Eastern Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	45%	Apr 1, 2025
Lyam Family Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	45%	Apr 1, 2025
A&J Pomona Enterprises LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Apr 1, 2025
Layla Gittleson	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 25, 2025
Shelley Weinberg	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 18, 2025
Yehuda Gittleson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2025
Shondel Samuels	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2025
Akiva Shapiro	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2025
VA SNF Master Consulting LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Yehuda Gittleson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Yehuda Gittleson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2025
Akiva Shapiro	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2025
Bankwell Bank	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Apr 1, 2025
A&J Pomona Enterprises LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Lyam Eastern Holdco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Lyam Family Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
South Hill VA Propco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
VA SNF Master Consulting LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2025
VA SNF Realty Holdings 5 LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Ydi Eastern Holdco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Ydi Irrevocable Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Christopher Ackerman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2025
Shondel Samuels	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2025

Same chain in Virginia

All 17 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Bay Pointe Rehabilitation and Nursing 1148 First Colonial Rd, Virginia Beach, VA 23454 CCN 495086	112	Aug 24, 2023	591 IJ	—
Blue Ridge Rehabilitation and Nursing 94 South Avenue, Harrisonburg, VA 22801 CCN 495146	117	May 6, 2026	672 harm	$43k
River Edge Rehabilitation and Nursing 1221 Rosser Ave, Waynesboro, VA 22980 CCN 495147Abuse icon	109	May 8, 2026	452 IJ1 harm1 open	$59k
Birchwood Park Rehabilitation 340 Lynn Shores Drive, Virginia Beach, VA 23452 CCN 495150Abuse icon	150	Apr 4, 2025	1372 IJ5 harm	$131k
Seven Hills Rehabilitation and Nursing 2081 Langhorne Road, Lynchburg, VA 24501 CCN 495151	120	Jun 17, 2026	914 IJ2 harm	$109k
Old Southwest Health and Rehabilitation 324 King George Ave SW, Roanoke, VA 24016 CCN 495156	130	Jul 16, 2024	1533 harm	$136k
Old Dominion Rehabilitation and Nursing 4 Ridgewood Parkway, Newport News, VA 23602 CCN 495204Abuse icon	115	May 7, 2026	1081 IJ1 harm	$368k
Northern Cardinal Rehabilitation and Nursing 4775 Bridge Road, Suffolk, VA 23435 CCN 495206	120	Jan 8, 2025	701 IJ	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 125 Buena Vista Circle, South Hill, VA 23970
ZIP: 23970
County: Mecklenburg County FIPS 51117
State: Virginia
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	495177	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	495177	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 495177

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction