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Lakes At Litchfield

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Lakes At Litchfield is a for profit - limited liability company facility in Pawleys Island, SC with 24 certified beds and a 5-star overall CMS rating. The facility has 9 deficiency records on file. Total penalties: $5K.

120 Lakes At Litchfield Drive, Pawleys Island, SC 29585

Phone: 8432359393

Overall Rating

5/5

Health Inspection

5/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

N/A

Facility Information

Provider Number
425380
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
24
Residents
15
In Hospital
No
County
Georgetown
Last Inspection
Mar 11, 2025

Staffing Data

RN Hours
1.34 (nat'l avg: 0.68)
LPN Hours
1.18
CNA Hours
2.81
Total Nursing Hours
5.33 (nat'l avg: 3.89)
PT Hours
0.18
Nursing Turnover
56.3%
RN Turnover
50.0%

What the CMS Record Reveals About Lakes At Litchfield

Lakes At Litchfield operates 24 certified beds in Pawleys Island, SC with approximately 15 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $5K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 5.33 total nursing hours per resident day (national average 3.89), with RN coverage at 1.34 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Lakes At Litchfield falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.3%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

D — Isolated - Minimal harm Mar 11, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 19, 2025

D — Isolated - Minimal harm Nov 28, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 12, 2024

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 27, 2023

D — Isolated - Minimal harm Jul 26, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 27, 2023

D — Isolated - Minimal harm Dec 15, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 10, 2022

D — Isolated - Minimal harm Dec 15, 2021 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Feb 10, 2022

F — Widespread - Minimal harm Dec 15, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 10, 2022

D — Isolated - Minimal harm Dec 15, 2021 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 13, 2022

E — Pattern - Minimal harm Dec 15, 2021 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 13, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 87.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 90.3% No
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History 1 penalties totaling $5K

Date Type Amount
Jun 5, 2023 Fine $5K

Frequently Asked Questions

What is the overall CMS rating for Lakes At Litchfield?
Lakes At Litchfield has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Lakes At Litchfield?
Lakes At Litchfield reports 5.33 total nursing hours per resident day (national average: 3.89). RN hours are 1.34 per resident day (national average: 0.68). Nursing staff turnover is 56.3%.
How many beds does Lakes At Litchfield have?
Lakes At Litchfield has 24 certified beds with approximately 15 residents. The facility is located at 120 Lakes At Litchfield Drive, Pawleys Island, SC 29585.
Does Lakes At Litchfield have any deficiencies on record?
Yes, Lakes At Litchfield has 9 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Lakes At Litchfield received any fines or penalties?
Yes, Lakes At Litchfield has received 1 penalties totaling $5K.
Who owns Lakes At Litchfield?
Lakes At Litchfield is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Lakes At Litchfield last inspected?
The most recent health inspection for Lakes At Litchfield was on Mar 11, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Lakes At Litchfield?
Lakes At Litchfield is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial