The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Twin Lakes Rehabilitation and Nursing
SOUTH HILL, VA · Medicare-certified · 140 beds
In good standing
Non-profitChain member
3 of 5 overall
Twin Lakes Rehabilitation and Nursing in South Hill, VA has a 3-star overall rating, with a 4-star health inspection rating, 3-star quality measures, and a 1-star staffing rating. Reported nurse staffing is 2.97 hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9728 hrs/resident/day
Quality measures
Last inspection: May 3, 2023Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9728.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.83
- Nurse aides
- 1.77
- Weekend nursing
- 2.71
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 77%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.3%15.6%Worsening
Residents with a fall causing major injury
1.2%6.8%Worsening
Residents with pressure ulcers (bedsores)
6.7%10.1%Worsening
Residents with a urinary tract infection
2.4%1.2%Improving
Residents who lost too much weight
9.7%5.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.2%10.5%Improving
Residents whose ability to walk got worse
9.4%9.7%No change
Long-stay residents on antianxiety or sleep medication
6.6%8.8%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.2%0%Improving
Residents with new or worsening incontinence
6.9%37.3%Worsening
Residents with depressive symptoms
0%25.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.5%—
Long-stay residents given the pneumonia vaccine
77.1%59.1%Worsening
Short-stay residents given the seasonal flu vaccine
—80.6%—
Short-stay residents given the pneumonia vaccine
77.4%20.7%Worsening
What the inspectors found
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited May 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited May 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to monitor antibiotic use properly. Cited May 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of EASTERN HEALTHCARE GROUP · 18 homes · 1.3 stars avg
- Occupancy
- 99.1 residents on an average day (71% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.