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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.
The Reserve Healthcare and Rehabilitation is located in Hanahan, SC. It offers skilled nursing and in-house therapy services. The facility provides a variety of activities to help residents stay active.
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 71st 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.
| 32m per day | ▼ 15% 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 7m per day | ▲ 10% 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 44m per day | ▼ 22% 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 0m per day | ▼ 10% 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 | ▼ 38% 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.
| 27m per day | ▲ 11% State avg: 24m per day · National avg: 28m per day |
Lower than the South Carolina average: 82.1%The Reserve Healthcare and Rehabilitation is legally operated by Railroad Crossing Healthcare Inc, and administrated by Hicks, Gregory, Jr..
In South Carolina, the Department of Public Health, Bureau of Healthcare Quality conducts unannounced inspections to ensure care providers meet all health and safety codes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the South Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | SC Average | vs. SC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 8 | 12 | This facility has 33% fewer total deficiencies than a typical South Carolina nursing home (8 vs. SC avg 12).↓ 33% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 2.7 | 4 | This facility has 33% fewer deficiencies per year than a typical South Carolina nursing home (2.7 vs. SC avg 4).↓ 33% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.6 | 3 | This facility has 47% fewer deficiencies per inspection than a typical South Carolina nursing home (1.6 vs. SC avg 3).↓ 47% better |
Inspections
| This Facility | SC Average | vs. SC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 4 | This facility has 25% more total inspections than a typical South Carolina nursing home (5 vs. SC avg 4).↑ 25% worse |
South Carolina average 3.9
Last Health inspection on Sep 2023
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.
1 of 9 citations resulted from standard inspections; and 8 of 9 resulted from complaint investigations.
100% worse 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.
7% fewer staff per resident than South Carolina average
6% better than 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.
24 total: 16 full-time employees and 8 contractors.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
55 total: 30 full-time employees and 25 contractors.
55
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
71 total: 58 full-time employees and 13 contractors.
71
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,168 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 58 | 13 | 71 | 19,079 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 30 | 25 | 55 | 11,429 | 92 | 100% | 8.9 |
| Registered Nurse | 16 | 8 | 24 | 4,400 | 92 | 100% | 8.9 |
| Dental Services Staff | 3 | 0 | 3 | 1,467 | 66 | 72% | 7.9 |
| Qualified Social Worker | 5 | 0 | 5 | 1,383 | 67 | 73% | 7.6 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,213 | 66 | 72% | 7 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,174 | 68 | 74% | 6.4 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 922 | 74 | 80% | 8.1 |
| RN Director of Nursing | 3 | 0 | 3 | 877 | 65 | 71% | 8.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 789 | 68 | 74% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 594 | 66 | 72% | 9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 572 | 65 | 71% | 6.4 |
| Qualified Activities Professional | 1 | 0 | 1 | 560 | 66 | 72% | 8.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 414 | 62 | 67% | 6.7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 357 | 56 | 61% | 6.4 |
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 (Data as of Jan 2026)
231% higher than South Carolina averageSouth Carolina average: $34K
59% fewer fines than South Carolina averageSouth Carolina average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than South Carolina averageSouth Carolina average: 0.1
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.
9.6
10% worse than South Carolina averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
7% better 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
8.1%
38% better than South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
10.1%
38% better than South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
47% worse than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
13% worse than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
10.6%
74% worse than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.6%
65% better than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
16.0%
159% worse than South Carolina averageSouth Carolina average: 6.2%
Percent of long-stay residents who have depressive symptoms
11.7%
323% worse than South Carolina averageSouth Carolina average: 2.8%
Percent of long-stay residents who received an antipsychotic medication
6.9%
53% better than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
9% better than South Carolina averageSouth Carolina average: 90.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
6% worse than South Carolina averageSouth Carolina average: 90.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.57
27% worse than South Carolina averageSouth Carolina average: 2.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.41
26% better 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
95.0%
19% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
16% worse than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.2%
In line with South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
In line with South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
7% better than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.8%
In line with South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.5%
20% 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.
36% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 The Reserve Healthcare and Rehabilitation 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 #105 / 116Payroll — State benchmarkedThis home is ranked 105th 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.
9741.7 miles from city center
Estimated distance in miles from Hanahan's city center to The Reserve Healthcare and Rehabilitation's address, calculated via Google Maps.
Add your location
The Reserve Healthcare and Rehabilitation is located in HANAHAN, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
The legal owner and operator of The Reserve Healthcare and Rehabilitation is Railroad Crossing Healthcare Inc.
According to SC state health department records, The Reserve Healthcare and Rehabilitation's license number is NCF-1097.
The Reserve Healthcare and Rehabilitation's occupancy is 62%.
The team at The Reserve Healthcare and Rehabilitation can be reached at [email protected].
Gregory, Jr. Hicks is the administrator of The Reserve Healthcare and Rehabilitation.
The Reserve Healthcare and Rehabilitation has 135 beds.
Yes — there are 7 photos of The Reserve Healthcare and Rehabilitation in the photo gallery on this page.
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