Twin Lakes Rehabilitation and Nursing
125 Buena Vista Circle, South Hill, VA 23970
Twin Lakes Rehabilitation and Nursing, a 140-bed non profit - corporation nursing facility in South Hill, VA, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #158 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4344473151
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #158 of 286
- In-state rank among rated VA homes
- 3.10
- Well below average · nurse hrs/day · nat'l 3.86
- 27
- Inspection findings · 3 serious
The verdict
Twin Lakes Rehabilitation and Nursing, a 140-bed non profit - corporation nursing facility in South Hill, VA, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #158 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #158 of 286
- In-state rank among rated VA homes
- 3.10
- Nurse hrs/resident-day · national 3.86
- 27
- Inspection findings · 3 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 289 VA nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 495177
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 140
- Residents
- 98
- In Hospital
- Yes
- County
- Mecklenburg
- Last Inspection
- May 3, 2023
Staffing Data
How the 3.10 total nursing hours per resident-day are staffed:
- RN Hours
- 0.33 (nat'l avg: 0.69)
- LPN Hours
- 0.90
- CNA Hours
- 1.87
- Total Nursing Hours
- 3.10 (nat'l avg: 3.86)
- PT Hours
- 0.18
- Nursing Turnover
- 72.0%
- RN Turnover
- 84.2%
What the CMS Record Reveals About Twin Lakes Rehabilitation and Nursing
According to CMS Nursing Home Compare, Twin Lakes Rehabilitation and Nursing ranks #158 of 286 rated nursing homes in VA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Twin Lakes Rehabilitation and Nursing operates 140 certified beds in South Hill, VA with approximately 98 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 4★ · staffing 1★ · quality 3★).
The inspection file contains 27 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.10 total nursing hours (national average 3.86) and 0.33 RN hours.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Twin Lakes Rehabilitation and Nursing falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 72.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (27 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 16, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 16, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 16, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 16, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 16, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 16, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 22, 2021
Dispose of garbage and refuse properly.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 22, 2021
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 22, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 22, 2021
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 22, 2021
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 12, 2019
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 12, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 12, 2019
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Jul 12, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 12, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 12, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 31, 2019
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 12, 2019
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 12, 2019
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 12, 2019
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 12, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 31, 2019
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Jul 12, 2019
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 12, 2019
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.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 12, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 12, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 17.1% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 64.7% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 8.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 96.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 25.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 20.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 80.6% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Twin Lakes Rehabilitation and Nursing, both outside VA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside VA (140 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside VA (3.28 here).
Nearby Nursing Homes in VA
288 other nursing homes are on record in VA; 6 are shown here.
Abingdon Health & Rehab Center
Abingdon, VA
Albemarle Health & Rehabilitation Center
Charlottesville, VA
Alexandria Rehabilitation and Healthcare Center
Alexandria, VA
Alleghany Health and Rehab
Clifton Forge, VA
Amelia Rehabilitation and Healthcare Center
Amelia, VA
Annandale Healthcare Center
Annandale, VA
Understanding Nursing Home Data
What the CMS records show for Twin Lakes Rehabilitation and Nursing
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The VA registry aggregates state averages and the highest-rated homes in this cohort. View VA registry
- Peer homes near 140 beds show how CMS stars vary at a similar scale in VA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Twin Lakes Rehabilitation and Nursing?
Where does Twin Lakes Rehabilitation and Nursing rank among nursing homes in VA?
What are the staffing levels at Twin Lakes Rehabilitation and Nursing?
How many beds does Twin Lakes Rehabilitation and Nursing have?
Does Twin Lakes Rehabilitation and Nursing have any deficiencies on record?
Has Twin Lakes Rehabilitation and Nursing received any fines or penalties?
Who owns Twin Lakes Rehabilitation and Nursing?
When was Twin Lakes Rehabilitation and Nursing last inspected?
What quality measures are tracked for Twin Lakes Rehabilitation and Nursing?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
