Cycle 1
Health 2025-03-11 · Fire 2025-03-11
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Pawleys Island, SC
Lakes At Litchfield
5-star overall rating with 5-star inspections with $5,244 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
120 Lakes At Litchfield Drive, Pawleys Island, SC
(843) 235-9393
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
24
Certified beds
Average residents
15
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Senior Living Communities
Operator or chain grouping
Approved since
2003-08-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
1.34
Registered nurse staffing
LPN hours / resident day
1.18
Licensed practical nurse staffing
Aide hours / resident day
2.81
Nurse aide staffing
Weekend hours
4.80
Weekend nurse staffing
RN turnover
50%
Annual RN turnover
Total nurse turnover
56%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.7% |
79.8%
7.9 pts better
|
81.7%
6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 27.9% |
14.1%
13.8 pts worse
|
12.0%
15.9 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.6%
0.5 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.3% |
78.0%
12.3 pts better
|
79.7%
10.6 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.0% |
24.7%
7.3 pts worse
|
23.9%
8.1 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-18 · Fire 2023-05-18
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-12-15 · Fire 2021-12-15
8 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-11
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-05-02
D · Potential for more than minimal harm
2025-03-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-11
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-03-19
D · Potential for more than minimal harm
2023-11-28
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-12
D · Potential for more than minimal harm
2023-07-26
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-07-26
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-27
F · Potential for more than minimal harm
2021-12-15
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-10
E · Potential for more than minimal harm
2021-12-15
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-01-13
D · Potential for more than minimal harm
2021-12-15
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-01-13
D · Potential for more than minimal harm
2021-12-15
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-02-10
D · Potential for more than minimal harm
2021-12-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-10
Penalties and ownership
What sits behind the stars
$5,244
2023-06-05
Fine
Fine · fine $5,244
Fine
Ownership
Senior Living Commuities LLC
5% Or Greater Direct Ownership Interest · Organization
Brenda U. Thompson 2020 Irrevocable Trust Dated December 30, 2020
5% Or Greater Indirect Ownership Interest · Organization
Maxwell Group, Inc.
Operational/Managerial Control · Organization
Thompson, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Thompson, Benjamin
Operational/Managerial Control · Individual
Thompson, Benjamin
Corporate Officer · Individual
Thompson, Donald
5% Or Greater Indirect Ownership Interest · Individual
Thompson, Donald
Corporate Director · Individual
Thompson, Joshua
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
NHC Healthcare - Garden City
Garden City, SC
3-star overall rating with 3-star inspections with $6,380 in total fines with 4 recent health deficiencies
#2
Oak Hollow of Georgetown Rehabilitation Center LLC
Georgetown, SC
2-star overall rating with 2-star inspections with $14,892 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Prince George Healthcare Center
Georgetown, SC
3-star overall rating with 3-star inspections with 4 recent health deficiencies
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