Twin Lakes Rehabilitation and Nursing
125 BUENA VISTA CIRCLE, SOUTH HILL, VA 23970 · CCN 495177
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 140
- Avg residents/day
- 99.7
- Phone
- 4344473151
Inspection history vs Virginia & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Virginia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2023-05-03 | 6 | 14.4 | 9.5 | -8.4 better |
| 2 | 2021-06-10 | 5 | 12.3 | 9.8 | -7.3 better |
| 3 | 2019-05-30 | 16 | 11.9 | 9.3 | +4.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.92 | 59.8% |
| RN staffing (reported) | 0.45 | 61.1% |
| Total nurse staffing (adjusted) | 3.12 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (27)3 actual harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-06-10 · Health · corrected 2021-07-22
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-06-10 · Health · corrected 2021-07-22
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-06-10 · Health · corrected 2021-07-22
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2021-06-10 · Health · corrected 2021-07-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-06-10 · Health · corrected 2021-07-22
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-05-30 · Health · corrected 2019-07-31
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-05-30 · Health · corrected 2019-07-31
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-05-30 · Health · corrected 2019-07-12
Actual harm
- GF0688Provide 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.2019-05-30 · Health · corrected 2019-07-12
Actual harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- EF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2019-05-30 · Health · corrected 2019-07-12
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2019-05-30 · Health · corrected 2019-07-12
Potential for minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
- CF0880Provide and implement an infection prevention and control program.2019-05-30 · Health · corrected 2019-07-12
Potential for minimal harm
- FF0881Implement a program that monitors antibiotic use.2019-05-30 · Health · corrected 2019-07-12
Potential for more than minimal harm
Ownership
No ownership records.
Other facilities in SOUTH HILL
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.