CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4951772026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Twin Lakes Rehabilitation And Nursing

125 Buena Vista Circle · South Hill, VA 23970 · Mecklenburg County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds140CMS provider file
Recent citation rows39current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-05-0362023-05-036
Cycle 22021-06-1052021-06-104
Cycle 32019-05-30162019-05-302
02 / CITATION DETAIL

39 rows in the current release

3 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2023-05-03 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2023-06-16
2023-05-03 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2023-06-16
2023-05-03 · HEALTHF0684Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2023-06-16
2023-05-03 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2023-06-16
2023-05-03 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2023-06-16
2023-05-03 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2023-06-16
2023-05-03 · FIREK0222Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2023-06-27
2023-05-03 · FIREK0345Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2023-06-27
2023-05-03 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Waiver has been granted · 2023-06-27
2023-05-03 · FIREK0363Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2023-11-28
2023-05-03 · FIREK0531Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Correction field: Deficient, Provider has date of correction · 2023-06-27
2023-05-03 · FIREK0761Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Correction field: Waiver has been granted · 2023-11-28
2021-06-10 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2021-07-22
2021-06-10 · HEALTHF0725Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction field: Deficient, Provider has date of correction · 2021-07-22
2021-06-10 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2021-07-22
2021-06-10 · HEALTHF0814Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Correction field: Deficient, Provider has date of correction · 2021-07-22
2021-06-10 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2021-07-22
2021-06-10 · FIREK0293Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2021-08-04
2021-06-10 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2021-08-04
2021-06-10 · FIREK0521Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2021-08-04
2021-06-10 · FIREK0761Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Correction field: Deficient, Provider has date of correction · 2021-08-04
2019-05-30 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2019-07-12
2019-05-30 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2019-07-31
2019-05-30 · HEALTHF0684Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2019-07-31
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • VA SNF OPERATIONS HOLDINGS 5 LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 04/01/2025
  • A&J POMONA ENTERPRISES LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    10% · since 04/01/2025
  • LYAM EASTERN HOLDCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    45% · since 04/01/2025
  • LYAM FAMILY TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    45% · since 04/01/2025
  • BANKWELL BANKOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 04/01/2025
  • GITTLESON, YEHUDAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2025
  • SAMUELS, SHONDELIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2025
  • SHAPIRO, AKIVAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2025
  • GITTLESON, YEHUDAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 04/01/2025
  • SHAPIRO, AKIVAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 04/01/2025
  • VA SNF MASTER CONSULTING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2025
  • GITTLESON, YEHUDAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2025
  • GITTLESON, LAYLAIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/25/2025
  • WEINBERG, SHELLEYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/18/2025
  • A&J POMONA ENTERPRISES LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2025
  • LYAM EASTERN HOLDCO LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2025
  • LYAM FAMILY TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2025
  • SOUTH HILL VA PROPCO LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.10per resident day
RN hours0.33per resident day
Weekend nurse hours2.78per resident day
Staff turnover72.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Virginia ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.