Provider Name: LAKES AT LITCHFIELD
Address: 120 LAKES AT LITCHFIELD DRIVE, PAWLEYS ISLAND, SC 29585
Phone: (843) 235-9393
County: Georgetown (210)
Ownership Type: For profit - Limited Liability company
Certified Beds: 24
Average Residents Per Day: 14.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LITCHFIELD RETIREMENT, LLC
First Approved Date: August 5, 2003
Affiliated Entity: SENIOR LIVING COMMUNITIES (470)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 3 ()
QM Rating: 1 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 1 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.80947, LPN Staff Hours Per Day: 0.7785, RN Staff Hours Per Day: 1.7731, Licensed Staff Hours Per Day: 2.5517
Total Nurse Staff Hours Per Day, per resident: 5.36117
Weekend Nurse Staff Hours: 4.58592, Weekend RN Staff Hours: 1.5698
PT Staff Hours Per Day, per resident: 0.1517
Nurse Staff Turnover: 39.1, Nurse Turnover Note:
RN Turnover: 25.0, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2928, Case Mix LPN Hours Per Day: 0.7727, Case Mix RN Hours Per Day: 0.4293
Adjusted Nurse Aide Hours Per Day, per resident: 2.49625, Adjusted LPN Hours Per Day: 0.7434, Adjusted RN Hours Per Day: 1.5563
Total Adjusted Nurse Hours Per Day, per resident: 4.83516
Adjusted Weekend Nurse Hours Per Day, per resident: 4.13598
Health Survey Dates and Scores: Cycle 1: 2023-05-18 (Score: 12), Cycle 2: 2021-12-15 (Score: 40), Cycle 3: 2020-03-12 (Score: 8)
Total Weighted Health Score: 27.333
Reported Incidents: 3, Substantiated Complaints: 0
Infection Control Citations: 2
Fines and Penalties: Number of Fines: 4, Total Fines in Dollars: 11949.08, Payment Denials Number: 0, Total Penalties Number: 4
Location and GPS: 120 LAKES AT LITCHFIELD DRIVE,PAWLEYS ISLAND,SC,29585 (33.4742, -79.107)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-01-12
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-07-27
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-07-27
Type: Health, Deficiency: Protect each resident from the wrongful use of the resident's belongings or money.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-28
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-13
Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-13
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-10
Type: Health, Deficiency: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-10
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-10
Type: Health, Deficiency: Protect each resident from the wrongful use of the resident's belongings or money.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-31
Type: Health, Deficiency: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-31
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: