125 Buena Vista Circle, South Hill, VA 23970 · Mecklenburg County · (434) 447-3151
140 certified beds, about 98 residents a day · Non profit - Corporation · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495177 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 3, 2023, inspectors cited 6 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 27 health citations since May 2019, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.10 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
72.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Eastern Healthcare Group, an affiliated group of 18 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 27 health citations on file.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to obtain orders for the care and treatment of a colostomy for one of 20 residents, Resident #67.
Inspectors wroteBased on review of employee files, staff interview, and review of facility policy, the facility failed to implement their abuse prevention policy for the screening of new employees. The facility failed to obtain a Sworn Statement from seven of 24 new hired employees.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to revise the comprehensive care plan for one of twenty residents in the survey sample (Resident #47).
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review the facility staff failed to follow infection control practices during the care and treatment of a pressure ulcer for one of 20 residents, Resident #58.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to administer oxygen at the physician ordered rate for one of twenty residents in the survey sample (Resident #47).
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review the facility staff failed to follow their infection control policy for hand washing during the care and treatment of a pressure ulcer for one of 20 residents, Resident #58, and failed to follow infection control practices during a medication pass on Unit 1.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to ensure sufficient staffing to provide resident care for 3 of 23 residents in the survey sample, Resident #74, Resident #11, and Resident #33. Resident #74, Resident #11, and Resident #33 did not receive their showers as scheduled.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to store and prepare food in a sanitary manner. Frozen meat patties were stored uncovered and unlabeled in the freezer. Sliced cheese was stored in the refrigerator without a date opened or use by date. The manual can opener in the main kitchen was dirty.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to develop a baseline care plan regarding a PICC (peripherally inserted central catheter) line, for one of 23 residents, Resident #29.
Inspectors wroteBased on observation and staff interview, the facility staff failed to dispose of garbage/waste in a sanitary manner. Bags of garbage and a broken blind were on the ground and not contained within the dumpster/compactor.
Inspectors wroteBased on record review, and staff interview the facility staff failed to ensure a complete and accurate record for one of 23 residents in the survey sample, Resident # 87.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure two of 28 residents did not develop pressure ulcers, and failed to ensure one of 28 residents had prevalon boots in place as ordered by the physician. 1. Resident #24 developed full thickness skin loss to her first (thumb) and fourth finger on her left hand. This was identified as harm by the survey team. 2. Resident #5 did not have weekly skin assessments completed by the nursing staff. On 02/01/2019 a Stage III pressure ulcer was discovered on her left heel. This was identified as harm by the survey team. 3. Resident #2 was not wearing physician ordered prevalon boots.
Inspectors wroteBased on observation, staff interview, clinical record review, the facility staff failed to provide services to prevent an avoidable decline in range of motion for one of 28 residents, Resident #24. Resident #24 suffered an increase in the contractions of her left hand. Restorative nursing was being provided three times per week and was stopped on 03/21/201 pending an evaluation by occupational therapy for a hand orthotic. The evaluation was not done until 03/28/2019. At the time of the evaluation on 03/28/2019, Resident #24's hand had contracted into a fixed fist and the skin on her fingers had fused together. This was identified as harm by the survey team.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to ensure sufficient fluid intake to maintain proper hydration for one of 28 residents in the survey sample, Resident #45. Resident #45 was admitted to the hospital with a primary diagnoses of dehydration due to not receiving physician ordered fluids to keep hydrated. This was identified as harm. The Findings Include: Resident #45 was admitted to the facility on [DATE]. Diagnoses for Resident #45 included; Anemia, chronic kidney disease, crohn's disease, and dumping syndrome. The most current MDS (minimum data set) was a initial assessment with an ARD (assessment reference date) of 3/7/19. Resident #45 was assessed with a score of 15 indicating cognitively intact. On 5/29/19 at 8:45 AM Resident #45 was interviewed. [...]
Inspectors wroteBased staff interview and facility document review, the facility staff failed to establish an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use.
Inspectors wroteBased on staff interview, medication pass and pour observation, and clinical record review, facility staff failed to follow physician orders for five of 28 residents in the survey sample, Residents #56, #91, #350, #61, #37; and also failed to timely assess vital signs for one of 28 residents in the survey sample, Resident #150. 1. Facility staff failed to follow physician orders for obtaining weekly vital signs and obtaining left leg, vascular assessments every eight hours for Resident #56. 2. Facility staff failed to follow physician orders for obtaining weekly vital signs and monthly weights for Resident #91. 3. Resident #350 was ordered 400 mg of Amiodarone by mouth every day. LPN (licensed practical nurse) #5 administered 200 mg in error. This resulted in a medication error rate of 3.13% (one error/32 opportunities). 4. [...]
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow physician orders for bladder irrigation for one of 28 residents in the survey sample: Resident # 59.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow physician orders for flushing a nephrostomy tube for one of 28 residents in the survey sample: Resident # 73.
Inspectors wroteBased on resident interview, family interview, a resident group interview and staff interview, the facility staff failed to respond to call bells in a timely manner. Residents, the resident council group and family members reported lengthy call bell response with waiting between 30 minutes and up to 1 hour for staff response.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate MDS (minimum data set) for one of 28 resident in the survey sample, Resident #63. The facility staff incorrectly coded the resident with the diagnosis of bipolar disorder.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed for two of 28 residents in the survey sample, Residents # 26 and 63, to develop a person-centered plan of care. For Resident # 26, the facility failed to develop a person-centered plan of care to address behaviors. For Resident # 63, the facility failed to develop a person-centered plan of care to address anxiety and/or depression
Inspectors wroteBased on observation, resident interview and staff interview, the facility staff failed to ensure on oxygen was administered per physician's orders for one of 28 residents, Resident #98.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed for two of 28 residents in the survey sample, Residents # 14 and 82, to develop a person-centered plan of care to address dementia care. For Resident # 14, the facility failed to develop a person-centered dementia plan of care to address Lewy Body dementia. For Resident # 82, the facility failed to develop a person-centered plan of care to address Non-Alzheimer's dementia.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to act on a pharmacy recommendation for a gradual dose reduction (GDR) for two of 28 residents in the survey sample: Resident # 81 and Resident # 9. The physician did not provide clinical justification for not attempting a requested GDR by the pharmacy.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to maintain the integrity of the clinical record for one of 28 residents in the survey sample, Resident # 26. Information related to another resident was contained in the Clinical Notes section of Resident # 26's Electronic Health Record.
Inspectors wroteBased on observation and staff interview, the facility staff failed to post daily nurse staffing in a visible area in the facility.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to develop a water management program for the prevention of legionella or other waterborne pathogens.
12 fire safety citations on file: 6 on May 3, 2023, 4 on June 10, 2021, 2 on May 30, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.10 | 3.76 | 3.86 |
| Registered nurses | 0.33 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.78 | 3.29 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 72.0% | 48.1% | 45.8% |
| Registered nurse turnover | 84.2% | 48.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.23 on weekdays and 2.78 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.98 in April to June 2025 to 3.10 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.10 | 0.33 | 3.23 | 2.78 | 3.7% | 0 of 90 | 98 |
| Oct to Dec 2025 | 2.97 | 0.37 | 3.08 | 2.71 | 0.9% | 3 of 92 | 99 |
| Jul to Sep 2025 | 2.92 | 0.45 | 3.16 | 2.31 | 0.0% | 1 of 92 | 100 |
| Apr to Jun 2025 | 2.98 | 0.50 | 3.22 | 2.40 | 0.0% | 2 of 91 | 93 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.3 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.9 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.2 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.6 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.5 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Twin Lakes Rehabilitation and Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (71.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
71.9% this home
Better than the national rate
US median of homes 51.5% · Virginia: 101 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 113 eligible stays.
9.2% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 138 eligible stays.
5.8% this home
No different from the national rate
US median of homes 7.1% · Virginia: 2 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 89 eligible stays.
43.3% this home
Median of homes: Virginia60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 60 residents counted.
0.0% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 84 residents counted.
5.9% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 84 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SOUTH HILL VA OPCO LLC. CMS links this home to Eastern Healthcare Group, a group of 18 nursing homes averaging 1.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| VA SNF Operations Holdings 5 LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2025 |
| A&j Pomona Enterprises LLC | 5% or greater indirect ownership interest | Organization | 10% | 04/01/2025 |
| Lyam Eastern Holdco LLC | 5% or greater indirect ownership interest | Organization | 45% | 04/01/2025 |
| Lyam Family Trust | 5% or greater indirect ownership interest | Organization | 45% | 04/01/2025 |
| Bankwell Bank | 5% or greater security interest | Organization | 04/01/2025 | |
| Gittleson, Yehuda | Managing control - governing body | Individual | 04/01/2025 | |
| Samuels, Shondel | Managing control - governing body | Individual | 04/01/2025 | |
| Shapiro, Akiva | Managing control - governing body | Individual | 04/01/2025 | |
| Gittleson, Yehuda | Corporate officer | Individual | 04/01/2025 | |
| Shapiro, Akiva | Corporate officer | Individual | 04/01/2025 | |
| VA SNF Master Consulting LLC | Operational/managerial control | Organization | 04/01/2025 | |
| Gittleson, Yehuda | Operational/managerial control | Individual | 04/01/2025 | |
| Gittleson, Layla | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/25/2025 | |
| Weinberg, Shelley | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/18/2025 | |
| A&j Pomona Enterprises LLC | Adp of the SNF | Organization | 04/01/2025 | |
| Lyam Eastern Holdco LLC | Adp of the SNF | Organization | 04/01/2025 | |
| Lyam Family Trust | Adp of the SNF | Organization | 04/01/2025 | |
| South Hill VA Propco LLC | Adp of the SNF | Organization | 04/01/2025 | |
| VA SNF Master Consulting LLC | Adp of the SNF | Organization | 07/18/2025 | |
| VA SNF Realty Holdings 5 LLC | Adp of the SNF | Organization | 04/01/2025 | |
| Ydi Eastern Holdco LLC | Adp of the SNF | Organization | 04/01/2025 | |
| Ydi Irrevocable Trust | Adp of the SNF | Organization | 04/01/2025 | |
| Ackerman, Christopher | Adp of the SNF | Individual | 07/18/2025 | |
| Samuels, Shondel | Adp of the SNF | Individual | 07/18/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.