The Lakes At Litchfield Snf - Pawleys Island Nursing Home
General Information
UPDATEFederal Provider Number
425380
Provider Name
THE LAKES AT LITCHFIELD SNF
Provider Address
120 LAKES AT LITCHFIELD DRIVE
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
Provider Phone Number
(843) 235-9393
Provider SSA County
210
Provider County Name
Georgetown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
17
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LITCHFIELD RETIREMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-08-05
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.57143
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
3.38929
Reported Licensed Staffing Hours per Resident per Day
3.38929
Reported Total Nurse Staffing Hours per Resident per Day
7.96072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.49643
Expected CNA Staffing Hours per Resident per Day
2.33000
Expected LPN Staffing Hours per Resident per Day
0.67580
Expected RN Staffing Hours per Resident per Day
1.34827
Expected Total Nurse Staffing Hours per Resident per Day
4.35407
Adjusted CNA Staffing Hours per Resident per Day
4.81412
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.87832
Adjusted Total Nurse Staffing Hours per Resident per Day
7.36986
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-02-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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