Seneca Health and Rehabilitation Center

Nursing Home & Skilled Nursing · Seneca, SC

CMS overall rating

140 Tokeena Rd, Seneca, SC 29678-1799 View map

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Seneca Health and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Seneca Health and Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Overview of Seneca Health and Rehabilitation Center

Seneca Health and Rehabilitation Center is a 132-bed skilled nursing and rehabilitation facility in Seneca, South Carolina. Owned by Seneca Facility LLC and administered by Kathleen S. Wilson, the community is situated in Oconee County and accredited by The Joint Commission. Medicaid, Medicare, and private pay are accepted. The facility primarily serves long-term care residents, with 61 percent Medicaid admissions and an average stay of 115 days.
CMS rates Seneca Health and Rehabilitation Center at 1 star, 66 percent below the South Carolina average, with all four sub-categories trailing the state benchmark. The health inspection rating is 27 percent below the state average. 18 total health citations were recorded across four inspections since 2021, above the South Carolina average of 13.7. Two serious citations stand out, placing the facility 16th of 23 South Carolina nursing homes in that category and 567 percent above the state average of 0.3 serious citations. Top deficiency categories include quality of life and care, infection control, and resident rights. The most recent inspection in February 2025 produced three infection control citations and a nutrition citation, all corrected. Two civil money penalties totaling $5,000 were assessed in September and October 2023, below the South Carolina average of $34,000, with no payment denials. Meanwhile, staffing runs below state benchmarks across most categories. Total nursing hours reach 3 hours and 28 minutes per resident per day, 15 percent below the South Carolina average of 4 hours and 5 minutes. RN hours at 23 minutes per day are 39 percent below the state average of 38 minutes, and weekend RN coverage at 13 minutes per day is 46 percent below the South Carolina benchmark. Long-stay hospitalization and ED visit rates are better than the South Carolina average, a meaningful upside in a facility serving primarily long-stay residents. Walking ability decline at 36.7 percent of long-stay residents is 126 percent worse than the state average, and the short-stay re-hospitalization rate of 36.2 percent is 47 percent above the 24.7 percent state figure.
Seneca Health and Rehabilitation Center serves Oconee County families primarily in a long-term care capacity. Families considering placement should ask directly about the two serious citations, staffing levels, and current infection control and care planning practices.

Facility Direct Line (864) 882-1642

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

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

Total nursing care / resident

3h 28m per day

This facility South Carolina avg (4h 0m per day)

vs South Carolina avg

-13%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +13% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	25m per day	▼ 33% State avg: 38m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 9m per day	▲ 13% State avg: 1h 1m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 58m per day	▼ 11% State avg: 2h 13m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	3h 6m per day	▼ 8% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	3m per day	▼ 33% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	12m per day	▼ 49% State avg: 24m per day · National avg: 28m per day

Capacity and availability

115 days

132-bed community

A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate

85%

Similar to the South Carolina average: 82.1%

Occupied beds

112 / 132

Average occupied beds in South Carolina homes 90 beds

Facility TypeHl- Nursing Home

StatusActive

CountyOconee

License NumberNCF-1076

Business TypeLimited Liability

CMS Certification Number425139

AccreditationsAccredited by The Joint Commission

Seneca Health and Rehabilitation Center is legally operated by Seneca Facility LLC, and administered by Kathleen S Wilson.

Owner NameSeneca Facility LLC

Institutional Nursing Home

132 units

Total beds

132 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Delicious Meals

Touring HoursMon - Sun: 8:00am-8:00pm

Inspections since 2021

Total health inspections 4

State average 3.9

Last Health inspection on Feb 2025

Total health citations

State average 13.7

Citations per inspection

4.5

State average 3.44

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

17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)

Critical health citations

100% better than State average

State average: 1

Serious health citations

567% worse than State average

State average: 0.3

0 critical citations State average: 1

2 serious citations State average: 0.3

16 moderate citations State average: 12.3

0 minor citations State average: 0.1

Citations history (last 5 years)

Infection Control moderate citation Feb 13, 2025

Corrected

Infection Control moderate citation Feb 13, 2025

Corrected

Infection Control moderate citation Feb 13, 2025

Corrected

Nutrition moderate citation Feb 13, 2025

Corrected

Total staff 155

Employees 153

Contractors 2

Staff to resident ratio 1.40 : 1

24% fewer staff per resident than South Carolina average

Avg staff/day 54

Average shift 8.4 hours

6% better than South Carolina average

Total staff hours (quarter) 41,860

Nursing staff breakdown

9.9 hours

10 hours

8.1 hours

Contractor staffing

96 contractor hours this quarter

Clinical Nurse Specialist: 2

Staff by category


Certified Nursing Assistant	85	0	85	20,253	92	100%	8.1
Licensed Practical Nurse	28	0	28	11,834	92	100%	10
Registered Nurse	9	0	9	1,801	92	100%	9.9
Clinical Nurse Specialist	4	2	6	1,698	64	70%	8
Mental Health Service Worker	3	0	3	1,054	63	68%	7.8
Other Dietary Services Staff	3	0	3	954	88	96%	7.1
Nurse Practitioner	2	0	2	837	66	72%	8
Physical Therapy Aide	4	0	4	815	69	75%	6.8
Respiratory Therapy Technician	3	0	3	571	70	76%	6.5
Administrator	1	0	1	528	66	72%	8
Qualified Social Worker	4	0	4	497	62	67%	6.9
Physical Therapy Assistant	2	0	2	460	67	73%	6.9
Speech Language Pathologist	3	0	3	431	57	62%	6.8
Dietitian	2	0	2	126	17	18%	7.4

85 Certified Nursing Assistant

% of Days 100%

28 Licensed Practical Nurse

% of Days 100%

9 Registered Nurse

% of Days 100%

6 Clinical Nurse Specialist

% of Days 70%

3 Mental Health Service Worker

% of Days 68%

3 Other Dietary Services Staff

% of Days 96%

2 Nurse Practitioner

% of Days 72%

4 Physical Therapy Aide

% of Days 75%

3 Respiratory Therapy Technician

% of Days 76%

1 Administrator

% of Days 72%

4 Qualified Social Worker

% of Days 67%

2 Physical Therapy Assistant

% of Days 73%

3 Speech Language Pathologist

% of Days 62%

2 Dietitian

% of Days 18%

View All Staffing Data

Total fines amount $5K

85% lower than South Carolina average

South Carolina average: $34K

Number of fines 2

18% fewer fines than South Carolina average

South Carolina average: 2.4

Payment Denials 0

100% fewer payment denials than South Carolina average

South Carolina average: 0.1

Fines amount comparison

This facility $5K

South Carolina average $34K

Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Oct 2, 2023

$2K

Civil Money Penalty Sep 11, 2023

$3K

Last updated: Jan 2026

High-risk clinical events score 15.6

78% worse than South Carolina average

South Carolina average: 8.7

Functional decline score 27.5

78% worse than South Carolina average

South Carolina average: 15.5

Long-stay resident measures

Average South Carolina avg: 3.9

Need for Help with Daily Activities Increased 23.8%

82% worse than South Carolina average

South Carolina average: 13.1%

Walking Ability Worsened 36.7%

126% worse than South Carolina average

South Carolina average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence 22.0%

30% worse than South Carolina average

South Carolina average: 17.0%

Falls with Major Injury 2.6%

12% better than South Carolina average

South Carolina average: 3.0%

High Risk Residents with Pressure Ulcers 4.4%

27% better than South Carolina average

South Carolina average: 6.1%

Urinary Tract Infection 0.3%

84% better than South Carolina average

South Carolina average: 1.6%

Lost Too Much Weight 10.3%

67% worse than South Carolina average

South Carolina average: 6.2%

Depressive Symptoms 4.2%

54% worse than South Carolina average

South Carolina average: 2.8%

Antipsychotic Use 10.8%

25% better than South Carolina average

South Carolina average: 14.5%

Pneumococcal Vaccine 92.4%

In line with South Carolina average

South Carolina average: 90.5%

Influenza Vaccine 98.1%

8% better than South Carolina average

South Carolina average: 90.6%

Hospitalizations per 1,000 days 1.50

26% better than South Carolina average

South Carolina average: 2.03

ED visits per 1,000 days 1.70

11% better than South Carolina average

South Carolina average: 1.91

Short-stay resident measures

Significantly below average South Carolina avg: 2.8

Pneumococcal Vaccine 65.9%

17% worse than South Carolina average

South Carolina average: 79.5%

Antipsychotic medication increase 0.9%

49% better than South Carolina average

South Carolina average: 1.7%

Influenza Vaccine 53.6%

31% worse than South Carolina average

South Carolina average: 78.0%

Re-hospitalized after SNF stay 36.2%

47% worse than South Carolina average

South Carolina average: 24.7%

Emergency department visits 16.1%

14% worse than South Carolina average

South Carolina average: 14.1%

Falls with major injury 0.0%

100% better than South Carolina average

South Carolina average: 0.8%

Ability to care for self at discharge 65.2%

21% better than South Carolina average

South Carolina average: 53.7%

Successful return to home or community 36.6%

28% worse than South Carolina average

South Carolina average: 50.6%

Breakdown by payment type

Medicare

7% of new residents, usually for short-term rehab.

Typical stay 3 - 4 months

Private pay

32% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

61% of new residents, often for long-term daily care.

Typical stay 3 - 4 months

Total residents 111

Medicare

19.8% of residents

Medicaid

73.9% of residents

Private pay or other

6.3% of residents

Programs & Services

Residents Group

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

Active Resident Council

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

Financial Trends

Historical financial and operational data for Seneca Health and Rehabilitation Center from 2011–2021, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2021 — the home's most recent complete cost report, an older period than most facilities report.

Occupancy Rate 74.0% ↓ 1.9pp vs 2020

Net Patient Income -$1.8M ↓ ~$145.8K vs 2020

Payroll Costs $4.7M ↓ ~$722.3K vs 2020

Operating Margin -18.7% ↓ 2.5pp vs 2020

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021
Occupancy %	90.3%	91.8%	93.0%	90.7%	88.3%	88.7%	90.7%	87.7%	84.9%	76.0%	74.0%
Beds	132	132	132	132	132	132	132	132	132	132	132
Net Income	$379,118	$579,788	$1,440,391	$590,112	-$6,090	$1,162,203	$79,921	-$636,972	-$924,751	-$754,051	-$686,317
Gross Revenue	$12,422,756	$12,750,070	$13,887,729	$14,301,022	$13,018,297	$28,220,165	$36,113,772	$35,100,256	$35,773,170	$34,063,935	$32,356,696
Operating Expenses	$9,694,990	$9,268,059	$9,562,812	$10,419,199	$10,250,575	$9,806,155	$10,879,464	$11,169,462	$11,357,696	$12,198,608	$11,713,958
Net Patient Income	$353,418	$560,043	$1,423,169	$577,647	-$15,549	$1,152,687	-$20,048	-$653,918	-$942,190	-$1,695,551	-$1,841,335
Net Patient Revenue	$10,048,408	$9,828,102	$10,985,981	$10,996,846	$10,235,026	$10,958,842	$10,859,416	$10,515,544	$10,415,506	$10,503,057	$9,872,623
Payroll Costs	$5,366,594	$5,282,201	$5,415,199	$5,566,259	$5,216,051	$5,141,990	$5,414,802	$5,502,494	$5,264,379	$5,374,630	$4,652,326
Operating Margin %	3.5%	5.7%	13.0%	5.3%	-0.2%	10.5%	-0.2%	-6.2%	-9.1%	-16.1%	-18.7%
Medicare %	25.7%	23.2%	23.4%	21.3%	19.5%	16.0%	17.0%	15.8%	13.9%	11.8%	8.8%
Medicaid %	61.1%	59.2%	60.3%	62.2%	66.6%	69.6%	68.8%	62.9%	62.7%	70.2%	74.9%
Private %	13.2%	17.6%	16.3%	16.5%	13.8%	14.4%	14.2%	21.3%	23.4%	18.0%	16.4%
Net Patient Revenue/Day	$231	$222	$245	$252	$241	$256	$249	$249	$255	$286	$277
Cost/Day	$223	$209	$213	$238	$241	$229	$249	$264	$278	$332	$329
Avg Length of Stay	129.5 days	127.0 days	107.0 days	123.8 days	58.3 days	85.6 days	75.1 days	78.8 days	72.5 days	99.7 days	101.3 days

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2021. This is an older period than most facilities report, so compare with that in mind.

Net patient revenue

$9.9M

Net patient income

-$1.8M

For-profit Operated by a single business entity.

Net patient revenue

$9.9M

Net patient income

-$1.8M

Payroll costs

$4.7M 47.1% of net patient revenue

Other operating costs

$7.1M

Total costs

$11.7M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (61% of admissions), and a typical Medicaid stay runs around 3 - 4 months.

Coverage residents most often arrive under.

Medicare 7%

Private pay 32%

Medicaid 61%

Coverage residents most often leave under.

Medicare 7%

Private pay 32%

Medicaid 61%

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Seneca Health and Rehabilitation Center	NH SNF	Seneca	132 Facility 132 SC AVG 90 Rank #37 / 307	84.5% Facility 84.5% SC AVG 84.8 Rank #69 / 94	0%	3.47 Facility 3.47 SC AVG 4.00 Rank #81 / 118	-38%	-13%	$4.9k Facility $4.9k SC AVG $34.8k Rank #58 / 120	18 Facility 18 SC AVG 13.7 Rank #94 / 119	4.5 Facility 4.5 SC AVG 3.4 Rank #94 / 119	2	112	-	-	James King	$9.9MFiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $9.9MFiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. SC AVG $13.0M Rank #6 / 121	$4.7MFiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $4.7MFiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. SC AVG $5.4M Rank #99 / 121	47.1%Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 47.1%Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. SC AVG 44% Rank #121 / 121	425139

Nursing Home Explorer

Who is the owner of Seneca Health and Rehabilitation Center?

Seneca Health and Rehabilitation Center is legally operated by Seneca Facility LLC, and administered by Kathleen S. Wilson.

What is the license number of Seneca Health and Rehabilitation Center?

According to SC state health department records, Seneca Health and Rehabilitation Center's license number is NCF-1076.

What is the occupancy rate at Seneca Health and Rehabilitation Center?

Seneca Health and Rehabilitation Center's occupancy is 85%.

Are pets allowed at Seneca Health and Rehabilitation Center?

No, Seneca Health and Rehabilitation Center has a no-pet policy.

Does Seneca Health and Rehabilitation Center operate as a for-profit or non-profit?

Seneca Health and Rehabilitation Center is registered as a for-profit in SC.

Who is the administrator of Seneca Health and Rehabilitation Center?

Kathleen S. Wilson is the administrator of Seneca Health and Rehabilitation Center.

How many beds does Seneca Health and Rehabilitation Center have?

Seneca Health and Rehabilitation Center has 132 beds.

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Seneca Health and Rehabilitation Center

Overview of Seneca Health and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Seneca Health and Rehabilitation Center

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

85 Certified Nursing Assistant

28 Licensed Practical Nurse

9 Registered Nurse

6 Clinical Nurse Specialist

3 Mental Health Service Worker

3 Other Dietary Services Staff

2 Nurse Practitioner

4 Physical Therapy Aide

3 Respiratory Therapy Technician

1 Administrator

4 Qualified Social Worker

2 Physical Therapy Assistant

3 Speech Language Pathologist

2 Dietitian

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Seneca Health and Rehabilitation Center

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