Nursing HomeInspections

Twin Lakes Rehabilitation and Nursing

Nursing home in South Hill, VA

Medicare & Medicaid certified3★ overall (CMS)

Call (434) 447-3151Send a messageMap ↗

Public-record details

Address
125 Buena Vista Circle, South Hill, VA 23970
Phone
(434) 447-3151
Listed under
Nonprofit, No fines in 3 years
Medicare CCN
495177
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
140
Average residents per day
98
Ownership
Nonprofit, corporation
Legal business name
South Hill Va Opco LLC
Chain
Eastern Healthcare Group (18 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 14, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 495177. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 3, 2023. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 30, 2019 to May 3, 2023): 0 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
May 3, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 3, 2023Develop 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		D
Potential for more than minimal harm, isolated
May 3, 2023Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 3, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 3, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 3, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jun 10, 2021Create 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		D
Potential for more than minimal harm, isolated
Jun 10, 2021Dispose of garbage and refuse properly.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jun 10, 2021Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 10, 2021Provide 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		E
Potential for more than minimal harm, pattern
Jun 10, 2021Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
May 30, 2019Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.10 hours
Registered nurse (RN) time per resident per day
0.33 hours
Nurse aide time per resident per day
1.87 hours
Total nurse staffing on weekends
2.78 hours
Nursing staff turnover (yearly)
72%
RN turnover (yearly)
84%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.