SNF
Lakes At Litchfield
CCN: 425380 · Pawleys Island, SC 29585 · Georgetown County
CCRC
Overview
- Address
- 120 Lakes At Litchfield Drive, Pawleys Island, SC 29585
- Phone
- 8432359393
- Certified beds
- 24
- Avg daily residents
- 15 (61% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2003-08-05
- Setting
- Rural
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.33 | 4.58 | 4.49 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.34 | 0.80 | 1.13 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.18 | 1.02 | 0.99 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.81 | 2.76 | 2.37 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.52 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.18 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.80
hrs / resident / day
RN (weekend)
1.06
hrs / resident / day
Total nurse (adjusted, weekend)
4.05
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
56.3%
annual
RN turnover
50.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.62
higher acuity than avg
Case-Mix Index Ratio
1.18
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-11 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2023-05-18 | 3 | 0 | 3 | 12 | 0 | 12 |
Total weighted health score
6.0
lower is better
Infection-control citations
2
last cycle
Deficiencies (9)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
9 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-03-11 | 2025-03-19 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-28 | 2024-01-12 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-26 | 2023-07-27 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-07-26 | 2023-07-27 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2021-12-15 | 2022-01-13 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2021-12-15 | 2022-01-13 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-12-15 | 2022-02-10 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2021-12-15 | 2022-02-10 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2021-12-15 | 2022-02-10 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$5,244
| Date | Type | Fine amount |
|---|---|---|
| 2023-06-05 | Fine | $5,244 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Operating performance
Total Margin
2.2%
Occupancy Rate
87.0%
Cost per Resident Day
$123
Revenue & costs
Net Patient Revenue
$3.9M
Total Costs
$936K
Net Income
$378K
Balance sheet
Total Assets
$23.1M
Total Liabilities
$36.3M
Fund Balance
-$13.1M
Current Ratio
0.31
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SENIOR LIVING COMMUNITIES
- Chain ID
470- Facilities in chain
- 9
- Legal business name
- LITCHFIELD RETIREMENT, LLC
Chain-average star ratings (for peer context)
Overall
4.3
Health
3.8
Staffing
4.6
QM
3.4
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| SENIOR LIVING COMMUITIES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/06/2005 |
| BRENDA U. THOMPSON 2020 IRREVOCABLE TRUST DATED DECEMBER 30, 2020 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| MAXWELL GROUP, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 12/06/2005 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| THOMPSON, BENJAMIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| THOMPSON, DONALD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/06/2005 |
| THOMPSON, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| THOMPSON, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2022 |
| THOMPSON, DONALD | CORPORATE DIRECTOR | since 11/01/2005 |
| THOMPSON, BENJAMIN | CORPORATE OFFICER | since 07/01/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 111 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $123 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.31 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 27.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $378,242 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $3,905,039 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 87.0% | metrics.occupancy_rate |
| Cost Report | Total Assets ($) | $23,132,960 | metrics.total_assets |
| Cost Report | Total Costs ($) | $936,104 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-13,143,908 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $36,276,868 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.2% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.99319 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.36919 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.12954 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.49193 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.04949 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 14.6 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.01666 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.76305 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.80135 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.58105 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.03771 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 470 | Chain ID |
| Provider Information | Chain Name | SENIOR LIVING COMMUNITIES | Chain Name |
| Provider Information | City/Town | Pawleys Island | City/Town |
| Provider Information | CMS Certification Number (CCN) | 425380 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Georgetown | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2003-08-05 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.4742 | Latitude |
| Provider Information | Legal Business Name | LITCHFIELD RETIREMENT, LLC | Legal Business Name |
| Provider Information | Location | 120 Lakes At Litchfield Drive,Pawleys Island,SC,29585 | Location |
| Provider Information | Long-Stay QM Rating | — | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | 2 | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -79.107 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 24 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 2 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 9 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.62286 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.17799 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 120 Lakes At Litchfield Drive | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Lakes At Litchfield | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 210 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 4 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-11 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 0 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-05-18 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 12 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 0 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 12 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 3 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.05614 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 50.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.51866 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.17843 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.81108 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.17889 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.34022 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.32974 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | SC | State |
| Provider Information | Telephone Number | 8432359393 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 5244.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.80479 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 56.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 6.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 29585 | ZIP Code |