Lakes at Litchfield Assisted Living
Nursing Home · South Carolina, SC
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Lakes at Litchfield Assisted Living

Nursing Home · South Carolina, SC
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Lakes at Litchfield Assisted Living accepts Medicare and private pay.

Overview of Lakes at Litchfield Assisted Living

The Lakes at Litchfield is a continuing care retirement community located in Pawleys Island, SC. It offers a range of services including Assisted Living, Memory Care, Skilled Nursing, and Short-Term Rehabilitation. The community focuses on helping members live longer, healthier, and happier lives.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 70.6% Above SC avg. ▲ 70.6% Above SC avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 81.8% Above SC avg. ▲ 81.8% Above SC avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 35.6% Above SC avg. ▲ 35.6% Above SC avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 42.7% Below SC avg. ▼ 42.7% Below SC avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to South Carolina state averages

Total nursing care / resident Info This home is ranked 19th out of 112 homes in South Carolina. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 50m per day
Rank #19 / 112Nurse hours — State benchmarkedThis home is ranked 19th out of 112 homes in South Carolina. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 112 South Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility South Carolina avg (4h 5m per day)
vs South Carolina avg
+18%
Staff typeHours / Day / Residentvs state avg
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 4h 31m per day

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Higher occupancy than the South Carolina average: 82.1%
Occupancy rate 87% Rank #53 / 121Occupancy rate — State benchmarkedThis home is ranked 53rd out of 121 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay 43 days
Occupancy rate
87% Rank #53 / 121Occupancy rate — State benchmarkedThis home is ranked 53rd out of 121 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
43 days
Bed community size
79-bed community Rank #174 / 312Bed count — State benchmarkedThis home is ranked 174th out of 312 homes in South Carolina. Shows this facility's certified or reported bed count compared to other South Carolina SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
27 years in operation Rank #15 / 27Years in operation — State benchmarkedThis home is ranked 15th out of 27 homes in South Carolina. Shows how long this facility has been in operation compared to other South Carolina SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Awards

Awards6X National Award Winner for innovation in wellness programming, social programming, person-centered care, and team member advancement.

License Details

Facility TypeCommunity Residential Care Facilities
StatusActive
License NumberCRC-1116
CMS Certification Number425380

Ownership & Operating Entity

Lakes at Litchfield Assisted Living is administrated by Joseph Mason.

Owner NameLitchfield Retirement LLC

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactNancy McKinstry

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Amenities & Lifestyle

Specific ProgramsActive Adult

Contact Lakes at Litchfield Assisted Living

Health Inspection History

Inspections since 2021
Total health inspections 4

South Carolina average 3.9


Last Health inspection on Mar 2025

Total health citations
9 Rank #38 / 113Health citations — State benchmarkedThis home is ranked 38th out of 113 homes in South Carolina. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 113 SC SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Carolina average 13.7

Citations per inspection
2.25 Rank #27 / 113Citations per inspection — State benchmarkedThis home is ranked 27th out of 113 homes in South Carolina. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 113 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Carolina average 3.44


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 9 citations resulted from standard inspections; and 3 of 9 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than South Carolina average

South Carolina average: 1


Serious health citations
0
100% better than South Carolina average

South Carolina average: 0.3

0 critical citations South Carolina average: 1

0 serious citations South Carolina average: 0.3

9 moderate citations South Carolina average: 12.3

0 minor citations South Carolina average: 0.1
Citations history (last 5 years)
Resident Rights moderate citation Mar 11, 2025
Corrected

Pharmacy moderate citation Nov 28, 2023
Corrected

Abuse/Neglect moderate citation Jul 26, 2023
Corrected

Resident Rights moderate citation Jul 26, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 101
Employees 32
Contractors 69
Staff to resident ratio 6.73:1
267% better than South Carolina average
South Carolina average ratio: 1.84:1 South Carolina average ratio: 1.84:1See full South Carolina ranking
Avg staff/day 21
Average shift 6 hours
24% worse than South Carolina average
South Carolina average: 7.9 hours South Carolina average shift: 7.9 hoursSee full South Carolina ranking
Total staff hours (quarter) 11,528

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 5.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 44
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

This role is partially covered by contractors.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

30.9%

3,557 contractor hours this quarter

Certified Nursing Assistant: 29 Licensed Practical Nurse: 16 Respiratory Therapy Technician: 7 Speech Language Pathologist: 6 Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Medical Director: 1 Feeding Assistant: 1 Therapeutic Recreation Specialist: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant1529443,77592100%7
Licensed Practical Nurse616221,89192100%7.2
Other Dietary Services Staff2021,0318188%7.7
Registered Nurse4048179098%5.3
Speech Language Pathologist0665867986%4.4
Clinical Nurse Specialist2025406571%5.7
Administrator1015066571%7.8
Dental Services Staff1014806065%8
Physical Therapy Aide0334086672%4.8
Nurse Practitioner1013586368%5.7
Physical Therapy Assistant0222726975%3.8
Respiratory Therapy Technician0772646874%3.2
Feeding Assistant0112283841%6
Qualified Social Worker0222206571%3.4
Medical Director0111143841%3
Therapeutic Recreation Specialist011251314%1.9
Occupational Therapy Assistant0111489%1.8
44 Certified Nursing Assistant
% of Days 100%
22 Licensed Practical Nurse
% of Days 100%
2 Other Dietary Services Staff
% of Days 88%
4 Registered Nurse
% of Days 98%
6 Speech Language Pathologist
% of Days 86%
2 Clinical Nurse Specialist
% of Days 71%
1 Administrator
% of Days 71%
1 Dental Services Staff
% of Days 65%
3 Physical Therapy Aide
% of Days 72%
1 Nurse Practitioner
% of Days 68%
2 Physical Therapy Assistant
% of Days 75%
7 Respiratory Therapy Technician
% of Days 74%
1 Feeding Assistant
% of Days 41%
2 Qualified Social Worker
% of Days 71%
1 Medical Director
% of Days 41%
1 Therapeutic Recreation Specialist
% of Days 14%
1 Occupational Therapy Assistant
% of Days 9%

Penalties and fines

Includes penalties issued in 2023

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $5K Rank #47 / 114Federal fines — State benchmarkedThis home is ranked 47th out of 114 homes in South Carolina. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 114 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
84% lower than South Carolina average

South Carolina average: $34K

Number of fines 1
59% fewer fines than South Carolina average

South Carolina average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than South Carolina average

South Carolina average: 0.1

Fines amount comparison
Fines amount comparison
This facility $5K
South Carolina average $34K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jun 5, 2023 · $5K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 5, 2023
$5K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.4%
In line with South Carolina average

South Carolina average: 79.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
33% better than South Carolina average

South Carolina average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.3%
16% better than South Carolina average

South Carolina average: 78.0%

Breakdown by payment type

Medicare

53% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

47% of new residents, often for short stays.

Typical stay 2 - 3 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 15
Medicare
15
100% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$18.6M
Profit
$378.2K
Privately-owned community Operated by a business corporation.
Home revenue
$18.6M Rank #30 / 116Revenue — State benchmarkedThis home is ranked 30th out of 116 homes in South Carolina. Shows this facility's annual revenue compared to the South Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$378.2K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #65 / 116Payroll — State benchmarkedThis home is ranked 65th out of 116 homes in South Carolina. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.2M
33.5% of revenue Rank #108 / 116Payroll % — State benchmarkedThis home is ranked 108th out of 116 homes in South Carolina. Shows payroll as a percentage of revenue versus the South Carolina average. Well-run South Carolina SNFs typically land around 53–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.9M
Total costs $18.2M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Places of interest near Lakes at Litchfield Assisted Living

Address 3884.4 miles from city center Info Estimated distance in miles from Pawleys Island's city center to Lakes at Litchfield Assisted Living's address, calculated via Google Maps.

Calculate Travel Distance to Lakes at Litchfield Assisted Living

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Address

Financial Assistance for
Nursing Home in South Carolina

Lakes at Litchfield Assisted Living is located in PAWLEYS ISLAND, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.

Get Financial aid guidance

Community Long Term Care (CLTC)

SC Medicaid CLTC

Age 65+ or disabled
General South Carolina resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
SC

High rural demand; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

South Carolina Respite Care Program

SC NFCSP Respite

Age Caregiver of someone 60+ (or with dementia)
General South Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
SC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

South Carolina Medicare Savings Program

Age 65+ or disabled
General SC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
SC

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

South Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General SC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
SC

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Carolina SFMNP

Age 60+
General SC resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SC

Vouchers (~$50/season); serves ~20,000 annually via 10 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Homestead Exemption Program

South Carolina Homestead Exemption

Age 65+ (or disabled/blind)
General SC resident 1+ year, homeowner.
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed; home-focused.
SC

Saves ~$500-$1,000/year avg.; applies to primary residence.

Benefits
Property tax exemption (~$50,000 value, ~$500-$1,000/year savings)

Elderly Simplified Application Project (ESAP)

South Carolina ESAP (SNAP for Seniors)

Age 60+
General SC resident, no earned income, not on SCCAP.
Income Limits (2025) ~$1,732/month 133% FPL, individual
Asset Limits $4,250 individual, higher than standard SNAP
SC

Simplified process; serves ~50,000 seniors annually.

Benefits
EBT card for food (~$100-$300/month based on income)

Frequently Asked Questions about Lakes at Litchfield Assisted Living

Who is the owner of Lakes at Litchfield Assisted Living?

The legal owner and operator of Lakes at Litchfield Assisted Living is Litchfield Retirement Llc.

What is the license number of Lakes at Litchfield Assisted Living?

According to SC state health department records, Lakes at Litchfield Assisted Living's license number is CRC-1116.

What is the best email address for Lakes at Litchfield Assisted Living?

The team at Lakes at Litchfield Assisted Living can be reached at [email protected].

Who is the administrator of Lakes at Litchfield Assisted Living?

Joseph Mason is the administrator of Lakes at Litchfield Assisted Living.

How many beds does Lakes at Litchfield Assisted Living have?

Lakes at Litchfield Assisted Living has 79 beds.

Are there photos of Lakes at Litchfield Assisted Living?

Yes — there are 16 photos of Lakes at Litchfield Assisted Living in the photo gallery on this page.

What is the address of Lakes at Litchfield Assisted Living?

Lakes at Litchfield Assisted Living is located at 120 LAKES AT LITCHFIELD DR.

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