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Skilled nursing facility · CMS certification number 495177

Twin Lakes Rehabilitation and Nursing

SOUTH HILL, Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 140

Finances, as filed

Not yet extracted for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
VA SNF OPERATIONS HOLDINGS 5 LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/01/2025
A&J POMONA ENTERPRISES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%since 04/01/2025
LYAM EASTERN HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization45%since 04/01/2025
LYAM FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization45%since 04/01/2025
BANKWELL BANK5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 04/01/2025
A&J POMONA ENTERPRISES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2025
ACKERMAN, CHRISTOPHERADP OF THE SNFIndividualNOT APPLICABLEsince 07/18/2025
LYAM EASTERN HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2025
LYAM FAMILY TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2025
SAMUELS, SHONDELADP OF THE SNFIndividualNOT APPLICABLEsince 07/18/2025
SOUTH HILL VA PROPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2025
VA SNF MASTER CONSULTING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 07/18/2025
VA SNF REALTY HOLDINGS 5 LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2025
YDI EASTERN HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2025
YDI IRREVOCABLE TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2025
GITTLESON, YEHUDACORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2025
SHAPIRO, AKIVACORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2025
GITTLESON, LAYLAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/25/2025
WEINBERG, SHELLEYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/18/2025
GITTLESON, YEHUDAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/01/2025
SAMUELS, SHONDELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/01/2025
SHAPIRO, AKIVAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/01/2025
GITTLESON, YEHUDAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2025
VA SNF MASTER CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SOUTH HILL VA OPCO LLC (enrollment ID O20250926003645).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
VA SNF OPERATIONS HOLDINGS 5 LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
A&J POMONA ENTERPRISES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST104/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
LYAM EASTERN HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST454/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
LYAM FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST454/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
YDI EASTERN HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST454/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
YDI IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST454/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BANKWELL BANKOrganization5% OR GREATER SECURITY INTEREST854/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
A&J POMONA ENTERPRISES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRISTOPHER J ACKERMANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/18/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYAM EASTERN HOLDCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
LYAM FAMILY TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHONDEL SAMUELSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/18/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOUTH HILL VA PROPCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
VA SNF MASTER CONSULTING LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/18/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
VA SNF REALTY HOLDINGS 5 LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
YDI EASTERN HOLDCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
YDI IRREVOCABLE TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
AKIVA SHAPIROIndividualCORPORATE OFFICER04/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YEHUDA GITTLESONIndividualCORPORATE OFFICER04/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AKIVA SHAPIROIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHONDEL SAMUELSIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YEHUDA GITTLESONIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VA SNF MASTER CONSULTING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
YEHUDA GITTLESONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
13 May 20233 May 202366
210 June 202110 June 202154
330 May 201930 May 2019162

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

27 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
3 May 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correction16 June 2023
3 May 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction16 June 2023
3 May 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correction16 June 2023
3 May 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction16 June 2023
3 May 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction16 June 2023
3 May 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction16 June 2023
10 June 2021HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction22 July 2021
10 June 2021HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction22 July 2021
10 June 2021HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction22 July 2021
10 June 2021HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correction22 July 2021
10 June 2021HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction22 July 2021
30 May 2019HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction31 July 2019
30 May 2019HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correction31 July 2019
30 May 2019HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0688Quality of Life and Care DeficienciesProvide 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.GNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.ENoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0691Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.ENoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.CNoDeficient, Provider has date of correction12 July 2019
30 May 2019HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.FNoDeficient, Provider has date of correction12 July 2019

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameSOUTH HILL VA OPCO LLC
Date First Approved to Provide Medicare and Medicaid Services1987-10-14
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanN
County/ParishMecklenburg
Telephone Number4344473151
Chain NameEASTERN HEALTHCARE GROUP
Chain ID608
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds140
Average Number of Residents per Day97.8
Overall Rating3
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating3
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on Twin Lakes Rehabilitation and Nursing: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: A&J POMONA ENTERPRISES LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Twin Lakes Rehabilitation and Nursing

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 495177.