Public Record
Twin Lakes Rehabilitation and Nursing
Operated by Eastern Healthcare Group
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 140
- Avg. residents per day
- 99.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 27
- Fire safety findings
- 12
- Inspections on file
- 6
- Last inspection
- 2023-05-03
*CMS
*CMS
*CMS
*CMS
Citations
27 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
- 0880Generalno actual harm
Provide and implement an infection prevention and control program.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0688Seriousactual harm
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.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0691Generalpotential for harm
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0744Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety6 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspectionFire Safety4 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspectionFire Safety2 deficiencies
- View inspection reportInspection16 deficiencies
Ownership
Eastern Healthcare Group
18nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Twin Lakes Rehabilitation and Nursing?
- Twin Lakes Rehabilitation and Nursing is a Medicare- and Medicaid-certified nursing home in South Hill, VA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 495177.
- What is the CMS rating for Twin Lakes Rehabilitation and Nursing?
- Twin Lakes Rehabilitation and Nursing has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Twin Lakes Rehabilitation and Nursing have?
- Twin Lakes Rehabilitation and Nursing is certified for 140 beds. It serves an average of 99.1 residents per day.
- How many citations does Twin Lakes Rehabilitation and Nursing have?
- Twin Lakes Rehabilitation and Nursing has 27 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Twin Lakes Rehabilitation and Nursing last inspected?
- Twin Lakes Rehabilitation and Nursing was last inspected on May 3, 2023. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/495177-twin-lakes-rehabilitation-and-nursing