B

Twin Lakes Rehabilitation and Nursing

125 BUENA VISTA CIRCLE, SOUTH HILL, VA 23970
Score: 71 / 100

Twin Lakes Rehabilitation And Nursing earns a solid B grade from CMS data, with a score of 71/100. Performing above average across most metrics, this South Hill facility ranks in the 70th percentile among Virginia nursing homes.

With 2.92 total nurse hours per resident per day, Twin Lakes Rehabilitation And Nursing falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 27 deficiencies at Twin Lakes Rehabilitation And Nursing. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.92 3.8 Below Average
Registered Nurses (RN) 0.45 0.7 Below Average
Licensed Practical Nurses (LPN) 0.78 0.7 Above Average
Certified Nursing Assistants (CNA) 1.70 2.4 Below Average
Weekend Total Nursing 2.31 3.8 Below Average
Weekend RN Hours 0.12 0.7 Below Average

🔍 Inspection & Deficiency History

27
Total Deficiencies
May 2, 2023
Most Recent Inspection
⚪ 2 Minor 🟠 25 Moderate
View recent deficiencies (5 shown)
  • Tag 0684 Severity E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    May 2, 2023 · Quality of Life and Care Deficiencies
  • Tag 0607 Severity D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    May 2, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    May 2, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    May 2, 2023 · Quality of Life and Care Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    May 2, 2023 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.4% 4.5% Worse
Falls with major injury 2.5% 3.0% Better
On antipsychotic medication 13.4% 14.5% Average
Urinary tract infections 0.9% 2.5% Better
ADL decline (daily activities) 10.4% 14.0% Better
Excessive weight loss 2.2% 7.5% Better
New/worsened incontinence 16.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 71 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
140
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 2, 2023
Deficiencies (Cycle 1)
6