LAKES AT LITCHFIELD Nursing Home


LAKES AT LITCHFIELD (CCN: 425380) is a For profit - Limited Liability company facility located in PAWLEYS ISLAND, SC (29585). The facility has an overall rating of 3/5, health inspection rating of 3/5, and a staffing rating of 5/5. It offers 24 certified beds and maintains an average of 14.9 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 5.36117 total hours per resident per day. It has been certified since August 5, 2003 and the last listed health inspection was on May 18, 2023, The facility is located in Georgetown county and provides senior and nursing home care.

LAKES AT LITCHFIELD Summary


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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


Health Inspection Citations Details

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:

Citation on 2023-11-28

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

Citation on 2023-07-26

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

Citation on 2023-07-26

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

Citation on 2022-11-08

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

Citation on 2021-12-15

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

Citation on 2021-12-15

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

Citation on 2021-12-15

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

Citation on 2021-12-15

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

Citation on 2021-12-15

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

Citation on 2020-03-12

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

Citation on 2020-03-12

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


Fire Safety Citations Details

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: