Home / South Carolina / Georgetown
Oak Hollow of Georgetown Rehabilitation Center LLC
2715 South Island Road, Georgetown, SC 29440 · Georgetown County · (843) 546-4123
84 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1974
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425048 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 1 health deficiency (the South Carolina average is 3.7, the national average 9.2).
Of 11 health citations since September 2022, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $10,312 in the last three years; the largest was $5,156, and the latest is dated August 15, 2024.
Nurses and nurse aides worked 3.08 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
41.7% of nursing staff left within the year CMS measured (South Carolina average 45.9%).
CMS links it to Regional Health Properties, an affiliated group of 5 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.
209/22
808/24
108/25
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
1F
Potential for minimal harm
0A
0B
0C
August 28, 2025Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteNumber of residents sampled: 1Number of residents cited: 1Based on observation, interview, record review, facility document and policy review, and review of Centers for Disease Control and Prevention (CDC) and Centers for Medicare & Medicaid Services (CMS) guidelines, the facility failed to follow enhanced barrier precautions (EBP) for 1 (Resident (R)6) of 1 resident observed during direct patient care. Specifically, Certified Nursing Assistant (CNA)7 did not don a gown while bathing R6, who had a feeding tube.
August 15, 2024Standard inspection · 8 citations
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record reviews, review of personnel files, interviews, and policy review, the facility failed to ensure care and services were provided in accordance with professional standards for 1 (Resident (R)77) of 3 closed records reviewed. Specifically, the facility failed to ensure nursing staff followed a resident's code status and physician order. The nursing staff performed Cardiopulmonary Resuscitation (CPR) on R77, even though the resident had selected Do Not Resuscitate (DNR). (Cross reference F835 and F867) On [DATE] at 8:45 PM, the facility's Administrator and Director of Nursing (DON) were informed that Immediate Jeopardy (IJ) existed related to the failure to provide sufficient administration to implement and monitor the facility system for communicating each residents' code status. [...]
- J Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on record review, document review, job description review, staff interview and facility policy review, the facility Administrator failed to implement her job description to ensure the correct clinical operations related to resident's code status was followed. There is a potential for serious adverse outcomes because of the facility providing cardiopulmonary resuscitation (CPR) to a resident without confirming the code status, leading to possible injury. This also presents a risk for psychosocial harm related to end of life wishes for 1 of 1 resident (Resident (R)77) reviewed. [...]
- J Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record review, document review, staff interview, and facility policy review, the facility failed to take an adverse event to Quality Assurance and Performance Improvement (QAPI) for corrective action, specifically, on [DATE], facility nursing staff administered cardiopulmonary resuscitation (CPR) to 1 of 1 resident (Resident (R)77) who had a Do Not Resuscitate (DNR) order in the electronic medical record (EMR). There is a potential for serious adverse outcomes because of the facility providing CPR to a resident without confirming code status, leading to possible injury. This also presents a risk for psychosocial harm related to end of life wishes not being honored. [...]
- F Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on document review and interview, the facility failed to ensure the Addendum One-Arbitration Agreement located in the facility's admission packet contained all the fundamental requirements particularly indicating admission to the facility was not predicated on the resident signing the agreement and that the resident had thirty days to rescind the decision to sign the agreement. This failure has the potential to cause negative legal ramifications for all residents that signed the agreement due to the agreement not containing the regulated information.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, record review, document review, and facility policy review, the facility failed to ensure that staff wore the appropriate personal protective equipment (PPE) while providing direct care for 2 of 3 residents (Resident (R)6 and R39) reviewed for Enhanced Barrier Precautions (EBP) of 21 sample residents. This failure could promote the spread of multi drug resistant organisms throughout the facility. In addition, the facility failed to ensure that the glucometer was cleaned according to manufacturer instructions for 1 of 2 residents (R58) of 21 sample residents. This failure has the potential to promote cross contamination between residents.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interviews, the facility failed to provide written notification to the resident, resident representative, and the Ombudsman, when the facility initiated a transfer/discharge for 2 of 3 residents (Resident (R)24 and R31) reviewed for hospitalization.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review, staff interview, and facility policy review, the facility failed to ensure 1 (Resident (R)26) of 3 residents reviewed for falls conducted a root cause analysis of each fall and appropriate interventions to help prevent further falls. These failures resulted in repeated falls after R26 returned to the facility from the hospital from a previous fall on 07/21/24.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure that 1 of 1 resident (Resident (R)27) reviewed for side rail usage had required documentation completed prior to the use of the side rails and quarterly thereafter as long as the side rails were used.
September 2, 2022Standard inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of the facility policy, record review, and interviews, the facility failed to ensure an allegation of abuse was reported to the State Survey Agency (SSA) within two hours as required for 1 (Resident (R)226) of 5 sampled residents reviewed for abuse. Specifically, on 04/04/22, R226 made an allegation of abuse; however, the facility did not report the allegation of the abuse to the SSA until 04/25/22.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of the facility's written procedure for tracheostomy care, record review, and interview, the facility failed to ensure a drain sponge (dressing) was in place around Resident (R)68's tracheostomy insertion site as ordered by the physician. This deficient practice affected R68, 1 of 2 sampled residents reviewed for respiratory care.
Fire safety inspections
8 fire safety citations on file: 3 on August 28, 2025, 2 on August 15, 2024, 3 on September 2, 2022.
Every fire safety citation8 citations
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have restrictions on the use of portable space heaters.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Address subsistence needs for staff and patients.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 15, 2024 | Fine | $5,156 |
| August 15, 2024 | Fine | $5,156 |
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.
| Measure | This home | South Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.08 | 3.84 | 3.86 |
| Registered nurses | 0.29 | 0.63 | 0.69 |
| All nursing staff on weekends | 2.79 | 3.33 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 41.7% | 45.9% | 45.8% |
| Registered nurse turnover | 16.7% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.33 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 3.20 on weekdays and 2.79 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.08 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.08 | 0.29 | 3.20 | 2.79 | 0.6% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.21 | 0.23 | 3.34 | 2.90 | 0.0% | 0 of 92 | 75 |
| Jul to Sep 2025 | 3.46 | 0.28 | 3.68 | 2.88 | 0.3% | 1 of 92 | 69 |
| Apr to Jun 2025 | 3.61 | 0.24 | 3.87 | 2.95 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Carolina, Jan to Mar 2026 | 3.62 | 0.53 | 3.81 | 3.13 | 7.2% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.0 | 11.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.4 | 12.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.1 | 15.3 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 5.3 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 37.1 | 13.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: GEORGETOWN OPERATIONS LLC. CMS links this home to Regional Health Properties, a group of 5 nursing homes averaging 1.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rhp Operations Holdings, LLC | Direct ownership interest | Organization | 05/01/2025 | |
| Regional Health Properties Inc | Indirect ownership interest | Organization | 05/01/2025 | |
| 2014 Hud Master Tenant, LLC | 5% or greater mortgage interest | Organization | 05/01/2025 | |
| Morrison, Brent | Managing control - governing body | Individual | 05/01/2025 | |
| Taylor, Ken | Managing control - governing body | Individual | 05/01/2025 | |
| Tenwick, David | Managing control - governing body | Individual | 05/01/2025 | |
| Craven, Robert | Operational/managerial control | Individual | 05/01/2025 | |
| Flansburg, Christine | Operational/managerial control | Individual | 05/01/2025 | |
| Morrison, Brent | Operational/managerial control | Individual | 05/01/2025 | |
| 2014 Hud Master Tenant, LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Regional Health Properties Inc | Adp of the SNF | Organization | 05/01/2025 | |
| Craven, Robert | Adp of the SNF | Individual | 05/01/2025 | |
| Flansburg, Christine | Adp of the SNF | Individual | 05/01/2025 | |
| Morrison, Brent | Adp of the SNF | Individual | 05/01/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on August 15, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on August 15, 2024: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 28, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the South Carolina average of 3.33.
Other nursing homes nearby
- Prince George Healthcare Center Georgetown, 0.3 mi · 2 of 5 stars · 13 citations
- Lakes at Litchfield Pawleys Island, 14.8 mi · 5 of 5 stars · 2 citations
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.
- Inspections and complaints: South Carolina Department of Public Health, Healthcare Quality, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Carolina Long Term Care Ombudsman Program, Department on Aging, 1-800-868-9095. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: SC Survey and Certification Public CMS-2567 Search, where South Carolina publishes its own records on licensed homes.
Common questions
- What is Oak Hollow of Georgetown Rehabilitation Center LLC's Medicare star rating?
- CMS rates Oak Hollow of Georgetown Rehabilitation Center LLC 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Oak Hollow of Georgetown Rehabilitation Center LLC get at its last inspection?
- 1 health deficiency at the standard inspection on August 28, 2025. The South Carolina average is 3.7.
- Has Oak Hollow of Georgetown Rehabilitation Center LLC been fined?
- Yes. CMS lists 2 fines totaling $10,312 in the last three years.
- Does Oak Hollow of Georgetown Rehabilitation Center LLC 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 Oak Hollow of Georgetown Rehabilitation Center LLC?
- CMS lists 14 owners and managers, and links the home to Regional Health Properties. Legal business name: GEORGETOWN OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.