Home / South Carolina / Seneca
101 Lila Doyle Drive, Seneca, SC 29672 · Oconee County · (864) 885-7675
120 certified beds, about 94 residents a day · For profit - Corporation · Medicare and Medicaid since 1971
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425075 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 24, 2026, inspectors cited 0 health deficiencies (the South Carolina average is 3.7, the national average 9.2).
Of 8 health citations since July 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $18,106 in the last three years; the largest was $9,318, and the latest is dated February 4, 2026.
Nurses and nurse aides worked 3.71 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
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.
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 8 health citations on file.
Inspectors wroteBased on observation, interview, record review, facility document review, and facility policy review, the facility failed to assess a resident to determine the level of supervision required while outside and ensure the environment was safe. On 11/22/2025, Resident (R)4, a resident with severe cognitive impairment, was taken outside by a staff member and left without direct supervision of staff. The staff failed to ensure the gate that enclosed the area was secured and the resident's wheelchair brakes were locked. R4 rolled down a hill, fell out of their wheelchair, and sustained an impacted left femoral neck fracture. The facility failed to ensure fall risk interventions were implemented for R2 and R8. These deficient practices affected 3 (R2, R4, and R8) of 6 sampled residents reviewed for accidents.
Inspectors wroteBased on interviews, record review, document review, and policy review, the facility failed to ensure 1 (Resident (R)2) of 2 sampled residents reviewed for abuse was not sexually abused by a visitor of the facility. On 10/30/2023, a certified nursing assistant (CNA) witnessed a visitor fondle (stroke or caress lovingly, or erotically) the breast of a cognitively impaired resident, R2. Instead of immediately intervening to separate the resident from the visitor, the CNA left the resident alone in their room to report the incident to a nurse, Licensed Practical Nurse (LPN)6. LPN6 then removed the resident from their room but did not escort the visitor out of the facility, as listed in the facility's abuse policy. The visitor hung around the facility and was later observed to be in close proximity of the resident and offered R2 some ice cream. [...]
Inspectors wroteBased on interviews, record review, document review, and policy review, the facility failed to conduct a thorough investigation following an allegation of sexual abuse for 1 resident (Resident #2) of 2 sampled residents reviewed for abuse.
Inspectors wroteBased on observations, interviews, record review, and review of the facility's policy, the facility failed to promote the dignity of 1 (Resident (R) 6) of 1 resident who was observed with staff standing while assisting the resident to eat.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement the care plan for 1 (Resident (R)43) of 1 resident reviewed for skin conditions. Specifically, the failure to apply the skin protection devices placed R43 at risk for additional skin tears.
Inspectors wroteBased on interview and record review, the facility failed to ensure 1 (Resident (R)135) of 3 sampled residents reviewed for nutrition and/or hydration status had accurate care plans. This placed R135 at risk for choking and/or aspiration related to the consistency of liquids.
Inspectors wroteBased upon observation, interview, and record review, the facility failed to ensure 1 (Resident (R) 135) of 6 residents observed receiving medications, received nectar thick liquids with the medication pass as ordered by the physician. This placed R135 at risk of choking and aspiration.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure 1 (Resident (R)5) of 5 sampled residents reviewed for vaccinations were up to date with the pneumococcal vaccination. This placed R5 at increased risk for serious illness related to respiratory infections. Additionally, the facility failed to ensure physician standing orders for the pneumococcal vaccine were individualized to the resident.
4 fire safety citations on file: 4 on March 27, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| February 4, 2026 | Fine | $8,788 |
| November 5, 2023 | Fine | $9,318 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.71 | 3.84 | 3.86 |
| Registered nurses | 0.51 | 0.63 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.33 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 1.24 | ||
| Nursing staff turnover (share who left in a year) | not reported | 45.9% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.88 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.89 on weekdays and 3.26 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.97 in April to June 2025 to 3.71 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.71 | 0.51 | 3.89 | 3.26 | 14.2% | 0 of 90 | 94 |
| Jul to Sep 2025 | 4.08 | 0.82 | 4.30 | 3.51 | 9.6% | 0 of 92 | 87 |
| Apr to Jun 2025 | 3.97 | 0.62 | 4.19 | 3.41 | 8.0% | 0 of 91 | 86 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Carolina, Jan to Mar 2026 | 3.62 | 0.53 | 3.81 | 3.13 | 7.2% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Carolina, all employers | |||
| CNAs (nursing assistants) | $17.90 | $16.81 to $19.08 | 21,760 |
| LPNs and LVNs | $29.72 | $27.59 to $34.24 | 9,400 |
| Registered nurses | $39.60 | $37.17 to $46.75 | 49,750 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.8 | 11.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.5 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.7 | 12.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.4 | 15.3 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.9 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.1 | 13.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lila Doyle Post Acute's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (66.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
66.4% this home
Better than the national rate
US median of homes 51.5% · South Carolina: 53 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 412 eligible stays.
11.4% this home
No different from the national rate
US median of homes 10.7% · South Carolina: 0 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 397 eligible stays.
7.4% this home
No different from the national rate
US median of homes 7.1% · South Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 287 eligible stays.
52.7% this home
Median of homes: South Carolina57.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 205 residents counted.
1.1% this home
Median of homes: South Carolina0.5% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 282 residents counted.
0.8% this home
Median of homes: South Carolina2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 282 residents counted.
100.0% this home
Median of homes: South Carolina98.3% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 55 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: KINGSTON FALLS HEALTHCARE LLC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Smith, Stephen | Managing control - governing body | Individual | 11/28/2023 | |
| Thatcher, Brent | Managing control - governing body | Individual | 11/01/2022 | |
| Burnam, Soon | Corporate officer | Individual | 11/01/2022 | |
| Peterson, Forrest | Corporate officer | Individual | 11/01/2022 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Thatcher, Brent | Corporate officer | Individual | 11/01/2022 | |
| Thatcher, Brent | Operational/managerial control | Individual | 11/01/2022 | |
| Hartwell Health Holdings LLC | Adp of the SNF | Organization | 11/01/2022 | |
| Standard Bearer Healthcare Op LP | Adp of the SNF | Organization | 11/01/2022 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 11/01/2022 | |
| Smith, Stephen | Adp of the SNF | Individual | 04/09/2025 | |
| Thatcher, Brent | Adp of the SNF | Individual | 04/09/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in South Carolina. NursingHomeClear cannot take or act on complaints.