LAKE CITY HEALTHCARE CENTER
NPI 1245314699
Skilled Nursing Facility in Scranton, SC

Active since October 24, 2006CLIA 42D0899388 · Waiver
1/5
Overall Rating
1940 BOYD RD, SCRANTON, SC 29591(843) 389-9201(843) 389-9202 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake City Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CITY HEALTHCARE CENTER (NPI 1245314699) is a healthcare organization registered as a skilled nursing facility in Scranton, South Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Susan Goldsmith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245314699
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePALMETTO LAKE CITY OPERATING LLC
Location Address1940 BOYD RDScranton, SC 29591-5835
Mailing Address1940 Boyd RdScranton, SC 29591-5835 · (843) 389-9201 · Fax (843) 389-9202
Fax(843) 389-9202
Organization SubpartNo
Authorized OfficialSusan GoldsmithAdministrator · (843) 389-9201
Enumeration DateOctober 24, 2006
Last NPPES UpdateDecember 30, 2014
NPI 1245314699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in SC · NCF-846
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1940 BOYD RD, Scranton, SC 29591

Other Names 1

Doing Business AsLake City Healthcare Center

Other Identifiers 2

Medicaid0928NFSC
Medicare OSCAR/certification425149SC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0899388

Lake City-Scranton Healthcare · Scranton, SC
Active · expires Mar 28, 2027
CLIA Number42D0899388
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDuncan Tyson MD
Laboratory Phone(843) 389-9201
Laboratory LocationLake City-Scranton Healthcare1940 Boyd Street, Scranton, SC 29591
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Lake City Scranton Healthcare Center (CMS certification number 425149), from CMS Care Compare.

Lake City Scranton Healthcare Center

Nursing home · Scranton, SC
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number425149
Certified Beds88 beds84 residents per day on average
Medicare & Medicaid Participant SinceJuly 21, 1983
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
72
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.77 · LPN 0.92 · RN 0.36
3.05 hrs per resident per day
Weekend Nurse Staffing
2.58 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
51.3%
Registered Nurse Turnover
66.7%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
3
Substantiated Complaints
0
Infection-Control Citations
0
Fines
9 totaling $33,950.50
Medicare Payment Denials
0
Total Penalties
9
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Contractor
1940 BOYD RD
SCRANTON, SC 29591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palmetto Lake City Operating LLC's NPI number?

The NPI number for Palmetto Lake City Operating LLC is 1245314699. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Lake City Healthcare Center.

Where is Palmetto Lake City Operating LLC located?

Palmetto Lake City Operating LLC is located at 1940 Boyd Rd, Scranton, SC 29591. The listed phone number is (843) 389-9201.

What is Palmetto Lake City Operating LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Palmetto Lake City Operating LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0899388) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Palmetto Lake City Operating LLC a Medicare-certified nursing home?

Yes. Lake City Scranton Healthcare Center is a Medicare-certified nursing home with 88 certified beds.

What quality rating does Palmetto Lake City Operating LLC have?

CMS rates Lake City Scranton Healthcare Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Palmetto Lake City Operating LLC accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Palmetto Lake City Operating LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmetto Lake City Operating LLC was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.