Skilled nursing facility · CMS certification number 425075
Lila Doyle Post Acute
Seneca, South Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $18,106.00 · Payment denials: 0. The most recent penalty on file: February 4, 2026, Fine, $8,788. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 27, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,032,245 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$213,792 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,246,037 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,154,978 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,091,059 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $835 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,091,894 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,091,894 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,454 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,700 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,155 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,309 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 287 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 293 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 587 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,957.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441518, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,719,648 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,123,185 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,842,833 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,881,729 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,896 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,939 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$14,957 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$14,957 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,469 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 563 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,441.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1377743, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for November 1, 2022 to December 31, 2022 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 26, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,619,464 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$284,557 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,904,021 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,965,467 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$61,446 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$61,446 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $107,084 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,397 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 646 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372641, read from the public cost report file SNF10FY2023.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HARTWELL HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2022 |
| SMITH, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/09/2025 |
| STANDARD BEARER HEALTHCARE OP LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2022 |
| THATCHER, BRENT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/09/2025 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2022 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2022 |
| PETERSON, FORREST | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2022 |
| SATO, AMI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/09/2024 |
| THATCHER, BRENT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2022 |
| SMITH, STEPHEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/28/2023 |
| THATCHER, BRENT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2022 |
| THATCHER, BRENT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of KINGSTON FALLS HEALTHCARE LLC (enrollment ID O20230103003038).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HOPEWELL HEALTHCARE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/14/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENT THATCHER | Individual | ADP OF THE SNF | Not stated in the filing | 4/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HARTWELL HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STANDARD BEARER HEALTHCARE OP LP | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEPHEN L SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 4/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMI SATO | Individual | CORPORATE OFFICER | 0 | 9/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT THATCHER | Individual | CORPORATE OFFICER | 0 | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORREST PETERSON | Individual | CORPORATE OFFICER | 0 | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | 0 | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT THATCHER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN L SMITH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT THATCHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRENT THATCHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM WILLITS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRENT THATCHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRENT THATCHER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AMI SATO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FORREST PETERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HARTWELL HEALTH HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STEPHEN L SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STEPHEN L SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- December 1, 2023: PRISMA HEALTH-UPSTATE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: PRISMA HEALTH-UPSTATE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: POLLY H MILLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: POLLY H MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: POLLY H MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: KRISTI A LAWRENCE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: KRISTI A LAWRENCE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MICHAEL BURKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MICHAEL BURKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MICHAEL BURKE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: SOON E BURNAM (OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: HOPEWELL HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since July 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: CRAIG FITCH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: BRENT THATCHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: BRENT THATCHER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: BRENT THATCHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: ADAM WILLITS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since July 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Recent changes on this record
- October 27, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRENT THATCHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM WILLITS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRENT THATCHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRENT THATCHER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AMI SATO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FORREST PETERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HARTWELL HEALTH HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STEPHEN L SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STEPHEN L SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 14, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- January 26, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
- December 1, 2023: PRISMA HEALTH-UPSTATE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: PRISMA HEALTH-UPSTATE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: POLLY H MILLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: POLLY H MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: POLLY H MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: KRISTI A LAWRENCE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: KRISTI A LAWRENCE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MICHAEL BURKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MICHAEL BURKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: MICHAEL BURKE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: SOON E BURNAM (OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: HOPEWELL HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since July 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: CRAIG FITCH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: BRENT THATCHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: BRENT THATCHER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: BRENT THATCHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: ADAM WILLITS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since July 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 24, 2026 | June 24, 2026 | 1 | 0 |
| 2 | March 27, 2025 | March 27, 2025 | 0 | 4 |
| 3 | July 13, 2023 | July 13, 2023 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 4, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| November 5, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | November 24, 2023 |
| November 5, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 24, 2023 |
| July 13, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| July 13, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| July 13, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| July 13, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| July 13, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 4, 2026 | Fine | $8,788 | 139659 | ||
| November 5, 2023 | Fine | $9,318 | 32884 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | KINGSTON FALLS HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1971-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Oconee |
| Telephone Number | 8648857675 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 93.5 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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