Seneca Health & Rehabilitation Center

Name: Seneca Health & Rehabilitation Center
Address: 140 Tokeena RD, Seneca, SC, 29678, US
Telephone: 8648821642

140 Tokeena Rd, Seneca, SC 29678 · Oconee County · 132 certified beds · avg 116 residents/day · certified since Feb 18, 1981

3/5

Health inspection rating (on-site)

Serious findings on record

$4,893

Fines, last 3 years

3.63

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 10, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Feb 13, 2025	F · Potential for harm, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Feb 13, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 13, 2025	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 13, 2025	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Feb 13, 2025	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 26, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jun 9, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 9, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 9, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 9, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jun 9, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 3).

Year	Citations	Worst severity that year
2023	5	D
2024	1	D
2025	9	F
2026	4	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $4,893.

Date	Type	Amount / length
Oct 2, 2023	Fine	$1,748
Sep 11, 2023	Fine	$3,145

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	South Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.63	4.08	3.95	bottom 35% in South Carolina; bottom 43% in the U.S.
Registered Nurse hours	0.48	0.67	0.69	bottom 36% in South Carolina; bottom 35% in the U.S.
Weekend total nurse staffing	3.16	3.55	3.50	bottom 38% in South Carolina; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.41	0.48	bottom 21% in South Carolina; bottom 13% in the U.S.
Total nursing staff turnover (%)	51.5	45.9	45.8	bottom 33% in South Carolina; bottom 33% in the U.S.
RN turnover (%)	30.0	42.1	42.9	top 33% in South Carolina; top 29% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.45, weekend 2.93. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
BHGSC Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	99%	12/15/2022
Bokor, Michael	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/15/2022
Carestrong LLC	Organization	5% or Greater Indirect Ownership Interest	—	12/15/2022
Greenwald, Michael	Individual	5% or Greater Indirect Ownership Interest	—	12/15/2022
Michael Allen Bokor Revocable Living Trust Agreement Dated May29, 2008	Organization	5% or Greater Indirect Ownership Interest	—	12/15/2022
SCSNF Investment Group LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/15/2022
Bokor, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/15/2022
Bokor, Michael	Individual	Corporate Officer	NOT APPLICABLE	11/01/2022
Bokor, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	12/15/2022
Bokor, Michael	Individual	ADP of the SNF	NOT APPLICABLE	12/15/2022
Budhoo, David	Individual	Operational/Managerial Control	NOT APPLICABLE	12/15/2022
Budhoo, David	Individual	ADP of the SNF	NOT APPLICABLE	12/15/2022
King, James	Individual	Operational/Managerial Control	NOT APPLICABLE	12/15/2022
King, James	Individual	ADP of the SNF	NOT APPLICABLE	12/15/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Who is your infection preventionist, and what training do they have?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Lila Doyle Post Acute	3.0 mi	Seneca, SC	★★★★☆	3/5
Pruitthealth - Pickens	14.3 mi	Six Mile, SC	★★★★★	4/5
Linley Park Post Acute	19.4 mi	Anderson, SC	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Seneca →

Facility data as of CMS processing date 2026-08-01. CCN 425139.

The Care File

Visit checklist — Seneca Health & Rehabilitation Center

140 Tokeena Rd, Seneca, SC 29678 · 8648821642

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $4,893

Questions for the administrator:

☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Who is your infection preventionist, and what training do they have?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 425139 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)