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Lakes at Litchfield

120 Lakes at Litchfield Drive, Pawleys Island, SC 29585 · Georgetown County · (843) 235-9393

24 certified beds, about 15 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425380 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 5, 2026, inspectors cited 0 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

None of its 2 health citations since May 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.30 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 1.50 of those hours.

51.4% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to Senior Living Communities, an affiliated group of 9 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 2 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
0F
Potential for minimal harm
0A
0B
0C
March 5, 2026Standard inspection · 0 citations
March 11, 2025Standard inspection · 1 citation
  1. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2025
    Inspectors wroteBased on the facility policy, record reviews and interviews, the facility failed to ensure Resident (R)15 and RA received the CMS form 10055 for Medicare Part A services. Specifically R15 and RA received CMS form R-131 for Medicare Part B Services for 2 of 2 residents that were discharged from Medicare Part A services and remained in the facility.
November 28, 2023Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on record reviews and interviews, the facility failed to ensure Resident (R)1 received all medications ordered by the physician. Specifically, R1 did not receive Trelegy Ellipta (a prescription medicine used long term to treat COPD, including chronic bronchitis, emphysema, or both and to treat asthma in adults) or Linzess (a prescription medication used to treat irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) in adults) as ordered, for 1 of 1 residents reviewed for medication administration.
May 18, 2023Standard inspection · 0 citations

Fire safety inspections

3 fire safety citations on file: 1 on March 5, 2026, 2 on March 11, 2025.

Every fire safety citation3 citations
  1. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 5, 2026 · Corrected (the home has a date of correction)
  2. D
    Address subsistence needs for staff and patients.
    E 15 · March 11, 2025 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 11, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeSouth CarolinaUnited States
All nursing staff (RN, LPN and aides)5.303.843.86
Registered nurses1.500.630.69
All nursing staff on weekends4.473.333.42
Nurse aides2.77
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)51.4%45.9%45.8%
Registered nurse turnover50.0%42.1%42.9%
Administrators who left1

CMS expects 4.67 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.63 on weekdays and 4.47 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.19 in April to June 2025 to 5.30 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.301.505.634.47 9.3%0 of 9015
Oct to Dec 20255.891.376.175.18 19.3%0 of 9214
Jul to Sep 20255.331.345.534.80 5.5%0 of 9215
Apr to Jun 20255.191.535.454.51 11.7%0 of 9115
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
South Carolina, Jan to Mar 20263.620.533.813.137.2%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeSouth CarolinaUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.51.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.524.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
26.113.912.0

Owners and operators

Legal business name: LITCHFIELD RETIREMENT, LLC. CMS links this home to Senior Living Communities, a group of 9 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
Thompson, DonaldManaging control - governing bodyIndividual11/01/2005
Thompson, DonaldCorporate directorIndividual11/01/2005
Thompson, BenjaminCorporate officerIndividual07/01/2022
Maxwell Group, Inc.Operational/managerial controlOrganization12/06/2005
Thompson, BenjaminOperational/managerial controlIndividual07/01/2022
Maxwell Group, Inc.Adp of the SNFOrganization01/31/2025
Mason, JosephAdp of the SNFIndividual10/02/2025
Zakhary, ChristopherAdp of the SNFIndividual10/02/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 11, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 28, 2023: "Ensure that residents are free from significant medication errors."
  3. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

South Carolina contacts for a concern about a nursing home

These are the official offices in South Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is Lakes at Litchfield's Medicare star rating?
CMS rates Lakes at Litchfield 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lakes at Litchfield get at its last inspection?
0 health deficiencies at the standard inspection on March 5, 2026. The South Carolina average is 3.7.
Has Lakes at Litchfield been fined?
CMS lists no fines in the last three years.
Does Lakes at Litchfield accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Lakes at Litchfield?
CMS lists 8 owners and managers, and links the home to Senior Living Communities. Legal business name: LITCHFIELD RETIREMENT, LLC.

Sources

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