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NHC Healthcare - Garden City

9405 Hwy 17 Bypass, Garden City, SC 29576 · Horry County · (843) 650-2213

148 certified beds, about 136 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425324 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 1, 2026, inspectors cited 0 health deficiencies (the South Carolina average is 3.7, the national average 9.2).

None of its 13 health citations since April 2023 was rated as actual harm or immediate jeopardy.

CMS lists 1 fine totaling $4,147 in the last three years; the largest was $4,147, and the latest is dated January 9, 2025.

Nurses and nurse aides worked 3.43 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

39.2% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to National Healthcare Corporation, an affiliated group of 71 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
1E
1F
Potential for minimal harm
0A
0B
0C
April 1, 2026Standard inspection · 0 citations
January 9, 2025Standard inspection · 4 citations
  1. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 24, 2025
    Inspectors wroteBased on review of the facility policy, observations and interviews, the facility failed to ensure medications and biologicals were properly stored in 3 of 7 medication carts.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide respiratory care consistent with professional standards of practice for 1 of 1 residents reviewed for respiratory care, Resident (R)70.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on review of facility policy, observations, record review and interviews, the facility failed to ensure a medication administration error rate of less than 5 percent. The facility additionally failed to ensure an ordered medication for Resident (R)526 was administered timely. The medication administration error rate was 12.12 percent.
  4. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observation, record review, interview, and review of manufacturer guidelines, the facility failed to ensure no significant medication errors for Resident (R)85 and R86. Specifically, R85's insulin pen was not primed prior to administering and an extended release medication for R86 was crushed and placed in applesauce with all the other medications for 2 of 4 residents reviewed.
April 13, 2023Standard inspection · 9 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observation, interview, record review, review of Resident Council meeting minutes, facility recipe review, and facility policy review, the facility failed to have sufficient dietary staff to assure resident meals were served as scheduled and standardized recipes were followed to provide properly cooked, well-seasoned and hot food to residents. The facility's failure to have sufficient dietary staff to prepare and serve meals had the potential to affect 127 residents who received meals that were prepared in the kitchen.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure one (Resident (R)55) out of 29 sampled residents, was provided personal privacy. This had the potential for the risk of R55 not being provided dignity and the potential for psychological harm.
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to determine if self-administration of a nasal spray was safe and clinically appropriate for one (Resident (R) 10) of 29 sampled residents. This failure placed the resident at risk for inappropriate and unsafe medication use.
  4. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a comfortable environment for one (Resident (R) 41) of 29 sampled residents. Specifically, R41's bed was not maintained in good condition and comfortable for the resident.
  5. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on interview and record review, the facility failed to transmit discharge a Minimum Data Set (MDS) assessment within the required timeframe for one (Resident (R) 260) of three residents reviewed for MDS 3.0 Missing Omnibus Budget Reconciliation Act (OBRA) Assessment.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on interview, record review, and review of hospital documentation, the facility failed to ensure one (Resident (R)360) out of 29 sampled residents, was provided surgical wound treatment for his biliary tube (allows bile to flow out from a blocked bile duct) insertion/surgical site. This had the potential for the increased risk of biliary tube complications for R360.
  7. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observation, interview, record review, resident selective menu review, and facility policy review, the facility failed to serve foods that were selected and written on a selective menu for one (Resident (R) 89) of four sampled residents reviewed for menus being followed and adequate.
  8. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observation, interview, record review, recipe review, and facility policy review, the facility failed to serve food that was properly cooked and well-seasoned to three (Resident (R) 42, R98, and R89) of four sampled residents reviewed for food palatability.
  9. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide thickened liquids in the prescribed consistency for one (Resident (R)105) of one sampled residents who had a diagnosis of dysphagia (difficulty with swallowing) and received thickened liquids.

Fines and payment denials

DatePenaltyAmount or length
January 9, 2025Fine $4,147

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeSouth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.433.843.86
Registered nurses0.520.630.69
All nursing staff on weekends2.923.333.42
Nurse aides1.85
Licensed practical nurses1.06
Nursing staff turnover (share who left in a year)39.2%45.9%45.8%
Registered nurse turnover37.5%42.1%42.9%
Administrators who left0

CMS expects 3.47 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.63 on weekdays and 2.92 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.43 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.430.523.632.92 0.0%0 of 90136
Oct to Dec 20253.380.523.582.85 0.0%0 of 92138
Jul to Sep 20253.420.603.612.91 0.0%0 of 92139
Apr to Jun 20253.500.623.762.86 0.0%0 of 91135
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
South Carolina, Jan to Mar 20263.620.533.813.137.2%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for South Carolina

JobMedianMiddle halfEmployed
South Carolina, all employers
CNAs (nursing assistants)$17.90$16.81 to $19.0821,760
LPNs and LVNs$29.72$27.59 to $34.249,400
Registered nurses$39.60$37.17 to $46.7549,750
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeSouth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.311.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.312.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.35.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.015.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.424.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.813.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.81.8

Owners and operators

Legal business name: NHC HEALTHCARE-GARDEN CITY LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
NHC/Delaware IncIndirect ownership interestOrganization10/01/2001
Moorhouse, BradleyManaging control - governing bodyIndividual07/01/2018
Moorhouse, BradleyCorporate officerIndividual07/01/2018
National Healthcare CorporationOperational/managerial controlOrganization10/01/2001
NHC-Op LPOperational/managerial controlOrganization10/01/2001
Dodson, VickiOperational/managerial controlIndividual06/01/2019
Kidd, BrianOperational/managerial controlIndividual01/01/2017
Moorhouse, BradleyOperational/managerial controlIndividual07/01/2018
Santiago, KennethOperational/managerial controlIndividual05/01/2019
Sellars, AlexanderOperational/managerial controlIndividual07/01/2018
Shelly, TimothyOperational/managerial controlIndividual07/12/2024
Taylor, SkylerOperational/managerial controlIndividual08/01/2016
Ussery, RobertOperational/managerial controlIndividual01/01/2017
Blackrock IncAdp of the SNFOrganization03/20/2019
Dimensional Fund Advisors LPAdp of the SNFOrganization03/07/2023
Morgan StanleyAdp of the SNFOrganization11/08/2024
National Health CorporationAdp of the SNFOrganization10/01/2001
National Healthcare CorporationAdp of the SNFOrganization10/01/2001
NHC-Op LPAdp of the SNFOrganization10/01/2001
Vanguard Group IncAdp of the SNFOrganization03/27/2017
Dodson, VickiAdp of the SNFIndividual06/01/2019
Kidd, BrianAdp of the SNFIndividual01/01/2017
Santiago, KennethAdp of the SNFIndividual05/01/2019
Sellars, AlexanderAdp of the SNFIndividual04/13/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on April 13, 2023: "Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 9, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 13, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 9, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the South Carolina average of 3.33.

Other nursing homes nearby

South Carolina contacts for a concern about a nursing home

These are the official offices in South Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is NHC Healthcare - Garden City's Medicare star rating?
CMS rates NHC Healthcare - Garden City 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Healthcare - Garden City get at its last inspection?
0 health deficiencies at the standard inspection on April 1, 2026. The South Carolina average is 3.7.
Has NHC Healthcare - Garden City been fined?
Yes. CMS lists 1 fine totaling $4,147 in the last three years.
Does NHC Healthcare - Garden City accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns NHC Healthcare - Garden City?
CMS lists 24 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-GARDEN CITY LLC.

Sources

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