Correctional healthcare built around the J. Reuben Long Detention Center's booking volume and a planned mental health expansion.
The J. Reuben Long Detention Center booked 13,052 inmates in 2025 and is already reported at capacity, while Horry County's planned expansion would add 574 beds and a floor dedicated to mental health and withdrawal care. GENESYS would size intake screening to the current booking pace now and build the psychiatric and medication management staffing the new floor will need before it opens.
GENESYS is physician-owned, with a named medical director accountable for clinical policy and NCCHC-aligned standards of care, and leadership reachable 24/7/365 as a jail grows toward almost 1,200 beds. Vacancies are covered through overtime, compliance pool nurses and contingency staffing. Schedule an assessment and we will walk through a staffing plan that scales with Horry County's expansion.
Every GENESYS contract is built from the same nine services, sized to the facility's population and staffing model. Each one has its own page with the detail.
We will walk through a staffing plan, coverage hours and how the transition would work for your population.
The Horry County Sheriff's Office operates the J. Reuben Long Detention Center at 4150 J. Reuben Long Avenue in Conway. As of April 2026 the facility had about 963 usable beds and was reported at capacity, with just under 800 inmates housed at that point. In 2025, 13,052 inmates were booked into the facility, which works out to roughly 36 people booked in on an average day.
The county is pursuing a first phase of expansion, estimated around $130 million, that would add 574 beds, with a planning study projecting a need for almost 1,200 beds by 2030. County officials have described dedicating a floor of that expansion to mental health care and to space for inmates withdrawing from opiates, benzodiazepines or alcohol.
13,052 bookings in a single year means intake screening is a daily, not occasional, workload at J. Reuben Long. Every one of those roughly 36 daily admissions needs a health screening before placement, the same standard that applies to every South Carolina jail. A healthcare program here has to be staffed for that volume every day, not just at peak. With the facility already reported at capacity, intake is where a rising count reaches the medical team first.
Horry County's planned expansion floor is meant for a calming, therapeutic environment and for inmates detoxing from opiates, benzodiazepines or alcohol, on top of a study projecting almost 1,200 beds needed by 2030. Building that kind of unit means lining up psychiatric coverage and medication management before the floor opens, not after, so the people it is meant for are not waiting on a program that is still being staffed. Withdrawal management in particular depends on protocols and monitoring that need to be in place on day one, not phased in once the beds start filling.
13,052 inmates were booked into the facility in 2025, according to a statement by Horry County Sheriff's Office leadership to County Council's Public Safety committee, roughly 36 bookings a day.
Yes. The county is pursuing a first phase of expansion estimated around $130 million that would add 574 beds, and a planning study has projected a need for almost 1,200 beds by 2030.
County officials have described dedicating a floor of the expansion to mental health care, aiming for a calming, therapeutic environment, along with space for inmates withdrawing from opiates, benzodiazepines or alcohol.
As of April 2026 the facility had about 963 usable beds and was reported at capacity, with just under 800 inmates housed at that point.
See what a GENESYS program built around the J. Reuben Long Detention Center's booking volume and planned mental health expansion would look like for your facility.
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