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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.
Located at 194 Spring St in Charleston, South Carolina, Kempton of Charleston is an 89-bed skilled nursing and rehabilitation community offering assisted living, memory care, and skilled nursing services. Spring Street Senior Housing Opco LLC privately owns the facility, which is also part of a Continuing Care Retirement Community, allowing residents to transition among multiple levels of care within a single setting.
Kempton holds a 5-star CMS overall rating, about 70.6% above the South Carolina average, with all four sub-ratings at five stars. The staffing picture is particularly strong: registered nurse staffing averages 1 hour and 19 minutes per resident per day, more than double the South Carolina average of 38 minutes. That level of RN staffing signals direct clinical oversight well beyond what most comparable facilities provide.
The inspection record is similarly clean. Since 2024, the facility has recorded 4 citations across 2 inspections, compared with a South Carolina average of 13.7. All four citations were moderate, none were critical or serious, and all were corrected. A $6,000 civil money penalty was assessed in February 2024, below the state average of $34,000, with no payment denials on record.
Services include a dedicated Alzheimer’s unit, rehabilitation services with contracted physical and speech therapy, distinctive dining, life enrichment programming, and outdoor spaces.
The facility accepts Medicare and private pay; no Medicaid. The facility’s occupancy rate is 61%, well below the South Carolina average of 82%, which suggests current availability.
Kempton of Charleston’s payer mix and 19-day average Medicare length of stay make it suited for residents seeking short-term post-acute rehabilitation, with private-pay stays running four to five months for those needing assisted living or memory care on a longer-term basis.
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.
| 1h 23m per day | ▲ 117% 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 0m per day | ■ Avg 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 30m per day | ▲ 13% 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.
| 4h 17m per day | ▲ 28% 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.
| 11m per day | ▲ 128% 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.
| 56m per day | ▲ 132% State avg: 24m per day · National avg: 28m per day |
Lower than the South Carolina average: 82.1%Kempton of Charleston is legally operated by Spring Street Senior Housing Opco Llc, and administrated by Joe Carr.
South Carolina average 3.9
Last Health inspection on May 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.
All 4 citations resulted from standard inspections.
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.
71% 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.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursHelps with daily care and mobility.
All 22 CNA Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,963 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 22 | 0 | 22 | 4,674 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 11 | 0 | 11 | 1,866 | 91 | 99% | 10.8 |
| Registered Nurse | 7 | 0 | 7 | 1,688 | 92 | 100% | 8.8 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,060 | 80 | 87% | 5.1 |
| Physical Therapy Aide | 0 | 5 | 5 | 754 | 72 | 78% | 5.7 |
| Nurse Practitioner | 1 | 0 | 1 | 505 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 398 | 73 | 79% | 4.7 |
| Qualified Social Worker | 0 | 4 | 4 | 397 | 65 | 71% | 4.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 375 | 49 | 53% | 7.5 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 355 | 68 | 74% | 5.2 |
Includes penalties issued in 2024
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)
45% lower than South Carolina averageSouth Carolina average: $34K
146% more 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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 29, 2024 · $6K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 29, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
99.1%
25% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.0%
59% worse than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.3%
14% better than South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.9%
37% better than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
38% better than South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.1%
25% worse than South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.7%
16% 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.
64% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
22Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Kempton of Charleston 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 #88 / 116Payroll — State benchmarkedThis home is ranked 88th 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
5888.0 miles from city center
Estimated distance in miles from Charleston's city center to Kempton of Charleston's address, calculated via Google Maps.
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Kempton of Charleston is located in CHARLESTON, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.
| Nhc Healthcare Charleston |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Charleston | 132
Facility
132
SC AVG
90
Rank
#37 / 309 | - | - | 5.09 | +37% | +27% | $0 | 4 | 2.0 | - | 81 | A+ | - | Gregory Bartlett | $22.9M | $10.7M | 46.9% | 425381 | ||||
| Bishop Gadsden Episcopal Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Charleston | 123
Facility
123
SC AVG
90
Rank
#59 / 309 | - | - | 5.57 | +61% | +39% | $0 | 10 | 3.3 | 1 | 21 | - | - | Lynne L Kerrison | $71.1M | $31.1M | 43.7% | 425411 | ||||
| Kempton of Charleston |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Charleston | 89
Facility
89
SC AVG
90
Rank
#142 / 309 | 60.5% | -26% | 4.44 | +8% | +11% | $6.0k | 4 | 2.0 | - | 20 | - | - | Spring Street Senior Housing Opco LLC | $7.7M | $4.8M | 62.3% | 425418 | ||||
| White Oak Manor Charleston |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charleston (Trident Executive Village) | 176
Facility
176
SC AVG
90
Rank
#9 / 309 | - | - | 4.15 | -42% | +4% | $8.8k | 8 | 2.0 | 1 | 162 | - |
35
Facility
35
SC AVG
32
Rank
#112 / 232 | Yvonne Davis | $18.3M | $10.7M | 58.4% | 425128 | ||||
| Wellmore of Daniel Island |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charleston (Daniel Island) | 174
Facility
174
SC AVG
90
Rank
#15 / 309 | 29.3% | -64% | 4.60 | +3% | +15% | $12.7k | 18 | 3.6 | 1 | 48 | - |
12
Facility
12
SC AVG
32
Rank
#185 / 232 | Wdi Parent LLC | $22.0M | $8.6M | 39% | 425414 |
The legal owner and operator of Kempton of Charleston is Spring Street Senior Housing Opco Llc.
According to SC state health department records, Kempton of Charleston's license number is CRC-2222.
Kempton of Charleston's occupancy is 61%.
The team at Kempton of Charleston can be reached at [email protected].
Joe Carr is the administrator of Kempton of Charleston.
Kempton of Charleston has 89 beds.
Yes — there are 7 photos of Kempton of Charleston in the photo gallery on this page.
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