Best Nursing Homes in Charleston, SC

Why trust this guide? Our editorial team analyzed 11 nursing homes in Charleston, SC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SC
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Last updated
We analyzed These are the facilities in Charleston, SC our team has analyzed — not a count of every nursing home provider in Charleston, SC.
11 homes
Other senior care options in Charleston:
Avg Overall CMS Rating: 3.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Charleston, SC. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 4.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Charleston, SC. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 3.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Charleston, SC. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Charleston (Metro Area)

Info below is compiled from CMS reports & the SC Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Carolina average is: 62.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Bishop Gadsden Episcopal Retirement Community
NH
AL
IL
MC
SNF
Charleston
123
Facility 123
SC AVG 90
Rank #58 / 304
--
6.04
Facility 6.04
SC AVG 4.00
Rank #6 / 117
+61%+51%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
10
Facility 10
SC AVG 13.7
Rank #49 / 119
3.3
Facility 3.3
SC AVG 3.4
Rank #64 / 119
121--Lynne L Kerrison
$51.8MFiscal year ending 12/2023
Facility $51.8MFiscal year ending 12/2023
SC AVG $12.1M
Rank #1 / 113
$30.8MFiscal year ending 12/2023
Facility $30.8MFiscal year ending 12/2023
SC AVG $7.3M
Rank #1 / 113
59.5%Fiscal year ending 12/2023
Facility 59.5%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #57 / 113
425411
Kempton of Charleston
NH
AL
MC
SNF
Charleston
89
Facility 89
SC AVG 90
Rank #140 / 304
--
4.63
Facility 4.63
SC AVG 4.00
Rank #28 / 117
+8%+16%
$6.0k
Facility $6.0k
SC AVG $34.8k
Rank #61 / 120
4
Facility 4
SC AVG 13.7
Rank #8 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
-20--Spring Street Senior Housing Opco LLC---425418
Ashley River Healthcare
NH
SNF
Charleston (Sandhurst)
125
Facility 125
SC AVG 90
Rank #55 / 304
82.1%
Facility 82.1%
SC AVG 86.4
Rank #73 / 92
-5%
3.64
Facility 3.64
SC AVG 4.00
Rank #76 / 117
-41%-9%
$46.2k
Facility $46.2k
SC AVG $34.8k
Rank #112 / 120
27
Facility 27
SC AVG 13.7
Rank #111 / 119
5.4
Facility 5.4
SC AVG 3.4
Rank #107 / 119
3103-
45
Facility 45
SC AVG 34
Rank #58 / 221
-
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
SC AVG $12.1M
Rank #73 / 113
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
SC AVG $7.3M
Rank #74 / 113
65.2%Fiscal year ending 12/2023
Facility 65.2%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #37 / 113
425362
Wellmore of Daniel Island
NH
AL
IL
MC
SNF
Charleston (Daniel Island)
174
Facility 174
SC AVG 90
Rank #16 / 304
29.3%
Facility 29.3%
SC AVG 86.4
Rank #90 / 92
-66%
4.74
Facility 4.74
SC AVG 4.00
Rank #23 / 117
+3%+19%
$12.7k
Facility $12.7k
SC AVG $34.8k
Rank #83 / 120
18
Facility 18
SC AVG 13.7
Rank #94 / 119
3.6
Facility 3.6
SC AVG 3.4
Rank #72 / 119
151-
12
Facility 12
SC AVG 34
Rank #183 / 221
Wdi Parent LLC
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
SC AVG $12.1M
Rank #90 / 113
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
SC AVG $7.3M
Rank #55 / 113
89.2%Fiscal year ending 12/2023
Facility 89.2%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #8 / 113
425414
Nhc Healthcare Charleston
NH
HC
HOS
SNF
Charleston
132
Facility 132
SC AVG 90
Rank #36 / 304
--
5.22
Facility 5.22
SC AVG 4.00
Rank #11 / 117
+37%+31%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
4
Facility 4
SC AVG 13.7
Rank #8 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
-77A+-Gregory Bartlett
$16.1MFiscal year ending 12/2023
Facility $16.1MFiscal year ending 12/2023
SC AVG $12.1M
Rank #19 / 113
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
SC AVG $7.3M
Rank #21 / 113
56.3%Fiscal year ending 12/2023
Facility 56.3%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #64 / 113
425381

Rank badges are statewide: each community is ranked against every SC community we track that reports that metric, not just the 11 analyzed for Charleston.

Overview of Bishop Gadsden Episcopal Retirement Community

Located on Bishop Gadsden Way in Charleston, South Carolina, Bishop Gadsden Episcopal Retirement Community is a skilled nursing and rehabilitation facility administered by Jonna Cook. The community serves residents recovering from hospitalization or surgery and those needing ongoing skilled nursing care. Rehabilitation services, respite care, and 24-hour nursing support are central to the care model. Families can choose from Medicare and private pay to cover rehabilitation stays.

The facility mainly supports short-term recovery. Residents stay an average of 20 days, although longer-term care is also available. Nurse staffing averages 5 hours and 34 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses provide this hands-on support because of the home’s strong focus on daily care.

A 2023 annual state inspection found no health deficiencies, which shows strong standards during that review. State oversight has identified periodic areas for improvement in clinical documentation, infection control practices, medication safety, and monitoring systems. The facility has been working on these operational areas.

Beyond clinical care, residents have access to a wide range of amenities and services. A Wellness Center and on-site clinic with pharmacy support reduces the need for outside appointments. The dining program features fresh, locally sourced ingredients and includes both casual café and fine-dining options.

Residents can also enjoy a spa, community garden, nature trails, and a croquet court. Specialized programs such as BG Therapy, BG At Home, and the Embark Program further support recovery and quality of life during a resident’s rehabilitation and stay.

With 123 beds, the community has a midsize setting, which balances personalized care with a broad range of services and amenities.

Contact Bishop Gadsden Episcopal Retirement Community

Overview of Kempton of Charleston

Kempton of Charleston is an 89-bed skilled nursing and rehabilitation community in downtown Charleston, South Carolina. It offers nursing home care, assisted living, memory care, and skilled nursing, functioning as a full continuum of care within a Continuing Care Retirement Community, so residents can move between levels of support without leaving the campus. The community is operated by Spring Street Senior Housing Opco LLC and administered by Joe Carr.

Nursing coverage is a defining feature of the home. Registered nurses average 1 hour and 23 minutes per resident each day, and total nursing care runs about 4 hours and 26 minutes per resident daily, with licensed practical nurses contributing roughly an hour and nurse aides adding about 2 hours and 30 minutes. That combination points to a strong clinical presence supporting residents around the clock.

Rehabilitation is a core part of the program, with physical and speech therapy available on a contracted basis for residents recovering from surgery, illness, or hospitalization. The average Medicare stay runs about 19 days, reflecting a focus on short-term, post-acute recovery, while residents receiving assisted living or memory care tend to stay considerably longer. A dedicated Alzheimer’s unit supports residents who need memory care in a more structured setting. Current occupancy sits at 61 percent, which suggests availability for families exploring their options now.

State and federal inspectors have most often focused on pharmacy administration, nutrition, and infection control practices, with identified issues addressed and corrected. Day-to-day life is rounded out by distinctive dining service, organized life enrichment programming, and access to outdoor spaces for residents and visiting family. Families weighing a short-term rehab stay against longer-term memory or assisted living care may want to ask how Kempton structures the transition between those levels of service.

Contact Kempton of Charleston

Overview of Ashley River Healthcare

Ashley River Healthcare is a well-recognized nursing home in Charleston, SC, offering rehabilitation and skilled nursing. The community ensures older adults are treated well in its supportive and home-like setting. With 24-hour care, recreational opportunities, and therapies, residents experience a worry-free retirement. Through a holistic approach to care, the community strives to meet residents’ needs and preferences.

Ice cream socials, lectures, and local trips ensure residents can stay active and explore new interests. Top-notch rehabilitation equipment and cozy common areas ensure residents can rest and interact with their surroundings. Charleston Medical Associates, various restaurants, and a bus stop are available nearby, providing easy access to necessities and leisure. This nursing home is a trusted choice for senior living in South Carolina, especially with its high standards of care.

Contact Ashley River Healthcare

Overview of Wellmore of Daniel Island

Wellmore of Daniel Island is a dreamlike haven where every retiree can find a home that suits their unique needs and preferences. From assisted living to Alzheimer’s and dementia care, skilled nursing, and short-term rehab, the community takes pride in its ability to offer a full range of care options. Independent living, assisted living, memory care, or skilled nursing, the community has it all, making it the perfect choice for those seeking an unparalleled retirement experience. 
The community’s on-site rehab services and heated indoor therapy and classroom aerobic space are ideal for those who want to stay healthy and active. With 11 unique floor plans to choose from, residents can pick the perfect home that fits their lifestyle and preferences. The proximity to the Magnolia Plantation and Gardens adds to the charm of the community, making it a breathtakingly beautiful destination for all. Fine dining options, activity rooms, living rooms, studies, cafe bars, and even a salon and spa are available to ensure that residents have everything they need to thrive.

Contact Wellmore of Daniel Island

Nhc Healthcare Charleston

2230 Ashley Crossing Dr, Charleston, SC 29414-5700
Overview of Nhc Healthcare Charleston
Nhc Healthcare Charleston is a skilled nursing facility located in Charleston, SC. It offers a range of services including skilled nursing care, rehabilitation, and long-term care. The facility is dedicated to providing personalized care in a comfortable and supportive environment.

Contact Nhc Healthcare Charleston

Overview of Ashley River Healthcare

Ashley River Healthcare is a nursing home in Charleston, South Carolina, that provides 24-hour skilled nursing care, short-term rehabilitation, and long-term support services. Operated by Orange Grove Healthcare Inc., the community is also affiliated with the Ensign Services network. Participating in both Medicare and Medicaid programs, the community has confirmed physician oversight and 24-hour staffing support.

Available services include in-house rehabilitation therapy, skilled nursing support, and a “Stay Active” wellness program intended to encourage engagement and mobility among residents. Acceptance of both Medicare and Medicaid also widens accessibility for those with varying financial and coverage needs. Its connection to the Ensign Services network also provides operational support through standardized clinical practices, compliance resources, and staff development programs.

In comparison with the Charleston skilled nursing market, two nearby nursing communities report strong CMS performance metrics. Bishop Gadsden Episcopal Retirement Community holds a 5-star overall CMS rating and staffing levels reported above the South Carolina average, while Kempton of Charleston also maintains a 5-star CMS rating. These communities serve as useful benchmarks for families comparing local skilled nursing and rehabilitation options.

Offering skilled nursing services, post-acute rehabilitation, or long-term care support under Medicare or Medicaid coverage, Ashley River Healthcare is a suitable option for older adults in the Charleston area.

Contact Ashley River Healthcare

Overview of Brookdale West Ashley

Brookdale West Ashley in Charleston, South Carolina, offers both assisted living and memory care, providing a seamless transition should residents’ needs change over time. The community includes basic utilities and maintenance, a selection of pet-friendly floor plans with great natural light, and 24/7 staff availability for emergencies. Assisted living residents receive help with personal grooming, medication management, and daily living activities, allowing them to spend more time pursuing their interests.

Rooted in a person-centered approach, Brookdale’s memory care program helps seniors with Alzheimer’s or dementia maintain their skills and sense of self through a daily structure of socialization, exercise, and entertainment programs. Residents can be as involved as they choose, with options like Zumba, crafting, resident clubs, yoga, gardening, and Bible studies. The dining program offers menu choices to residents’ feedback and preferences, including dementia-friendly selections to support nutrition and a sense of belonging.

Contact Brookdale West Ashley

The Bridge at Charleston

2590 Elms Plantation Blvd, Charleston, SC 29406
Overview of The Bridge at Charleston

Serving residents and families since 2001, The Bridge at Charleston is a skilled nursing and assisted living community administered by Katheryn G. Daugherty at 2590 Elms Plantation Boulevard in Charleston, South Carolina. Operated by Charleston Retirement Investors LLC, the 100-bed community features a two-story building with studio and one-bedroom options built to handle an array of care needs.

The Bridge at Charleston provides multiple levels of care in one place: skilled nursing, assisted living, and nursing home services. This continuum approach lets occupants access the support level appropriate to their health status, whether recuperating from an acute illness, managing chronic conditions, or receiving long-term care. The facility is in a car-dependent area with a Walk Score of 17. In turn, most errands and activities outside the home need transportation.

When scheduling visits and outings from the facility, families and visitors must plan appropriately.

Contact The Bridge at Charleston

Overview of Revela at Mt. Pleasant Assisted Living

Experience the joys of Revela at Mt. Pleasant’s assisted living community, and take the first step towards a fulfilling and engaging lifestyle. Nestled in the coastal beauty of Mt. Pleasant, SC, Mt. Pleasant is an assisted living community that was thoughtfully designed with senior residents’ lifestyles in mind, offering modern studio homes and tailored amenities to create an enriching senior living experience. The studio apartments feature hardwood flooring and expansive windows that provide picturesque views of the lush Charleston surroundings. Senior residents get access to an array of community amenities and services that elevate their daily living, including delightful restaurant-style dining, a community library, and the convenience of an on-site beauty salon.

Located just a short distance from Charleston, residents can indulge in day trips to the downtown area or local spots like Shem Creek Park. Transportation services make it easy to explore the local culture, and with a prime location off Route 17, accessing the area’s attractions becomes a breeze.

Contact Revela at Mt. Pleasant Assisted Living

Overview of Bishop Gadsden-Gadsden Glen Center for Health and Rehab

Bishop Gadsden – Gadsden Glen Center for Health and Rehab is a nursing home in Charleston, South Carolina, that provides memory care, short-term rehabilitation, skilled nursing services, and respite care. Administered by Jonna Cook, the community is operated by Bishop Gadsden Episcopal Retirement Community as a part of the larger retirement campus. With 24-hour staffing, the community serves as the primary health and rehabilitation component within one of Charleston’s most established nonprofit retirement campuses.

Generally, the community holds a 5-star overall CMS rating, the highest designation awarded by CMS. Health inspection performance exceeds South Carolina averages by a significant margin, while staffing levels also outperform state benchmarks. Total nursing coverage across the campus averages approximately 5.57 hours per resident per day.

Inspection history across the broader campus reflects comparatively favorable regulatory performance, with citation counts remaining below South Carolina averages on a per-inspection basis. While the Gadsden Glen Center operates as part of the larger Bishop Gadsden campus, a separate CMS star rating for the specific licensed nursing component was not independently listed in the available source material.

Amenities and services include shared spaces, a wellness center, and fitness programs. Religious services are also available, which aligns with the Episcopal mission and heritage of the broader retirement community. BG Therapy, the community’s in-house rehabilitation program, also supports short-term rehabilitation and recovery services alongside ongoing skilled nursing and respite care.

Located on James Island near Charleston’s medical corridor, the community offers access to healthcare providers, hospitals, and specialist services while maintaining a quieter Lowcountry residential setting.

Known for strong staffing levels, extensive amenities, faith-based values, and a comprehensive continuum of care, Bishop Gadsden – Gadsden Glen Center for Health and Rehab is an excellent option for older adults and families in the Charleston area seeking skilled nursing care, memory support, or post-acute rehabilitation within a well-established nonprofit retirement campus.

Contact Bishop Gadsden-Gadsden Glen Center for Health and Rehab

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Charleston, SC

What's the difference between assisted living and a nursing home in South Carolina?

Assisted living in South Carolina is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does South Carolina Medicaid cover nursing home care?

Yes — South Carolina Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 11 nursing homes in Charleston, SC. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Charleston, SC?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Charleston, SC, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Charleston, SC?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.