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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Aiken Rehabilitation and Care Center is a privately owned nursing home in Aiken, South Carolina, providing short-term rehabilitation, long-term skilled nursing care, respite services, and dietary support. The community is operated by Pepper Hill SNF Operations Holdings LLC, with a 125-bed capacity. Medicare, Medicaid, and private-pay options are all accepted, supporting access for residents with a variety of coverage and financial situations.
The resident mix includes both short-term rehabilitation and long-term care populations, with occupancy averaging 85.1%, above the South Carolina average.
The community holds a 3-star overall CMS rating, performing slightly above the South Carolina average overall. Health inspection performance ranks approximately 9% above the state benchmark, while staffing scores align closely with statewide averages. On the other hand, quality measures fall roughly 43% below South Carolina averages.
Total nursing and licensed practical nurse coverage averages are both higher than the state average, making it one of the community’s strongest staffing indicators. Nurse aide coverage and weekend nursing hours also perform above the state average. Registered nurse staffing, however, is notably lower than average at 23 minutes per resident daily, with weekend RN coverage also significantly below the statewide average.
Inspection performance over the past five years reflects a mixed but generally stable compliance history, with a total of six health inspections. This is above the South Carolina average of 3.9 inspections, and the most recent survey was completed in March 2025. A total of 16 health citations are recorded, slightly above the statewide average, though the average number of citations per inspection remained below state norms, suggesting improving compliance performance over time.
Importantly, no critical or serious citations were identified during the five-year review period. All recorded deficiencies were classified as moderate or minor in severity, and all were corrected. Citation categories included pharmacy services, abuse prevention and neglect safeguards, and quality of care and quality of life standards. A wide range of amenities and social features, including a therapy gym, solariums used for dining and activities, organized outings, transportation services, and seasonal recreational events, are provided.
Aiken Rehabilitation and Care Center is a solid option for older adults in Aiken County seeking post-acute rehabilitation or long-term skilled nursing support, particularly those who prioritize strong licensed practical nurse and nurse aide staffing levels. Interested families with more medically complex conditions, however, should consider its lower-than-average RN and weekend RN coverage when assessing overall clinical oversight needs.
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.
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.
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.
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.
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.
This home is ranked 28th out of 112 homes in South Carolina for nurse hours. 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.
| 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.
| 20m per day | ▼ 46% 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 6m per day | ▲ 9% 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.
| 2h 14m per day | ■ Avg 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 13m per day | ▼ 4% 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 | ▼ 41% 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.
| 13m per day | ▼ 48% State avg: 24m per day · National avg: 28m per day |
Similar to the South Carolina average: 82.1%Aiken Rehabilitation and Care Center is legally operated by Pepper Hill Snf Operations Llc, and administrated by Charles N Guzman.
South Carolina average 3.9
Last Health inspection on Mar 2025
South Carolina average 13.7
South Carolina average 3.44
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 16 citations resulted from standard inspections; and 4 of 16 resulted from complaint investigations.
100% better than South Carolina averageSouth Carolina average: 1
100% better than South Carolina averageSouth Carolina average: 0.3
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
46% more staff per resident than South Carolina average
0% compared with South Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
28 total: 16 full-time employees and 12 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
78 total: 28 full-time employees and 50 contractors.
78
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
149 total: 93 full-time employees and 56 contractors.
149
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,458 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 93 | 56 | 149 | 23,996 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 28 | 50 | 78 | 9,584 | 92 | 100% | 8.3 |
| RN Director of Nursing | 5 | 0 | 5 | 2,296 | 67 | 73% | 8.2 |
| Registered Nurse | 16 | 12 | 28 | 2,010 | 88 | 96% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,163 | 80 | 87% | 8.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 936 | 66 | 72% | 8.2 |
| Therapeutic Recreation Specialist | 6 | 0 | 6 | 863 | 76 | 83% | 6 |
| Respiratory Therapist | 6 | 0 | 6 | 759 | 79 | 86% | 6.1 |
| Dietitian | 2 | 0 | 2 | 560 | 63 | 68% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 535 | 72 | 78% | 6.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 528 | 71 | 77% | 7.4 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 442 | 66 | 72% | 6.7 |
| Qualified Activities Professional | 1 | 0 | 1 | 440 | 51 | 55% | 8.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 416 | 52 | 57% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 207 | 48 | 52% | 4.3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.3
41% worse than South Carolina averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.2
56% worse than South Carolina averageSouth Carolina average: 15.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.5%
34% worse than South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
25.4%
56% worse than South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.6%
74% worse than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
77% worse than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.7%
43% worse than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
3.4%
106% worse than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
4.7%
23% better than South Carolina averageSouth Carolina average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.6%
78% better than South Carolina averageSouth Carolina average: 2.8%
Percent of long-stay residents who received an antipsychotic medication
23.3%
60% worse than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than South Carolina averageSouth Carolina average: 90.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
70.1%
23% worse than South Carolina averageSouth Carolina average: 90.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.05
In line with South Carolina averageSouth Carolina average: 2.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.31
21% worse than South Carolina averageSouth Carolina average: 1.91
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.3%
14% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
45% worse than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.2%
19% worse than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.8%
In line with South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
30% better than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
12% worse than South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
36.3%
32% worse than South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.3%
19% better than South Carolina averageSouth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
42% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
109Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Aiken Rehabilitation and Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #54 / 116Payroll — State benchmarkedThis home is ranked 54th out of 116 homes in South Carolina for payroll. 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
2771.8 miles from city center
Estimated distance in miles from Aiken's city center to Aiken Rehabilitation and Care Center's address, calculated via Google Maps.
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Aiken Rehabilitation and Care Center is located in AIKEN, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
The legal owner and operator of Aiken Rehabilitation and Care Center is Pepper Hill Snf Operations Llc.
According to SC state health department records, Aiken Rehabilitation and Care Center's license number is NCF-1069.
According to SC state health department records, Aiken Rehabilitation and Care Center's license expires on September 30, 2026.
Aiken Rehabilitation and Care Center's occupancy is 85%.
The team at Aiken Rehabilitation and Care Center can be reached at [email protected].
Charles N. Guzman is the administrator of Aiken Rehabilitation and Care Center.
Aiken Rehabilitation and Care Center has 125 beds.
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