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Best Nursing Homes in Charleston, SC

Why trust this guide? Our editorial team analyzed 10 nursing homes in Charleston, SC using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SC
Reviewed by
Last updated
Jun 2026
We analyzed
10 homes
Other senior care options in Charleston:
Avg Overall CMS Rating: 4.2/ 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: 3.6/ 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: 3.6/ 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)

The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.

5 facilities compared · CMS & SC Dept. of Health data

Wellmore of Daniel Island
NH
AL
IL
MC
NC
Charleston (Daniel Island)
174
Facility 174
SC AVG 90
Rank #16 / 309
29.3%
Facility 29.3%
SC AVG 82.1%
Rank #125 / 131
-64%
4.60
Facility 4.60
SC AVG 4.00
Rank #23 / 121
+3%+15%
$12.7k
Facility $12.7k
SC AVG $34.8k
Rank #85 / 123
18
Facility 18
SC AVG 13.7
Rank #96 / 122
3.6
Facility 3.6
SC AVG 3.4
Rank #73 / 122
148-
12
Facility 12
SC AVG 32
Rank #185 / 232
Wdi Parent LLC
$7.7M
Facility $7.7M
SC AVG $13.0M
Rank #21 / 125
$6.9M
Facility $6.9M
SC AVG $5.4M
Rank #31 / 125
89.2%
Facility 89.2%
SC AVG 44%
Rank #101 / 125
425414
Kempton of Charleston
NH
AL
MC
Charleston
89
Facility 89
SC AVG 90
Rank #142 / 309
60.5%
Facility 60.5%
SC AVG 82.1%
Rank #115 / 131
-26%
4.44
Facility 4.44
SC AVG 4.00
Rank #32 / 121
+8%+11%
$6.0k
Facility $6.0k
SC AVG $34.8k
Rank #63 / 123
4
Facility 4
SC AVG 13.7
Rank #8 / 122
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 122
-20--Spring Street Senior Housing Opco LLC
$6.3M
Facility $6.3M
SC AVG $13.0M
Rank #109 / 125
$4.8M
Facility $4.8M
SC AVG $5.4M
Rank #97 / 125
75.9%
Facility 75.9%
SC AVG 44%
Rank #17 / 125
425418
Ashley River Healthcare
NH
Charleston (Sandhurst)
125
Facility 125
SC AVG 90
Rank #56 / 309
69.9%
Facility 69.9%
SC AVG 82.1%
Rank #106 / 131
-15%
3.77
Facility 3.77
SC AVG 4.00
Rank #61 / 121
-41%-6%
$46.2k
Facility $46.2k
SC AVG $34.8k
Rank #115 / 123
27
Facility 27
SC AVG 13.7
Rank #114 / 122
5.4
Facility 5.4
SC AVG 3.4
Rank #110 / 122
397-
45
Facility 45
SC AVG 32
Rank #60 / 232
-
$8.9M
Facility $8.9M
SC AVG $13.0M
Rank #107 / 125
$5.8M
Facility $5.8M
SC AVG $5.4M
Rank #81 / 125
65.2%
Facility 65.2%
SC AVG 44%
Rank #4 / 125
425362
Nhc Healthcare Charleston
NH
HC
NC
Charleston
132
Facility 132
SC AVG 90
Rank #37 / 309
77.1%
Facility 77.1%
SC AVG 82.1%
Rank #93 / 131
-6%
5.09
Facility 5.09
SC AVG 4.00
Rank #12 / 121
+37%+27%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 123
4
Facility 4
SC AVG 13.7
Rank #8 / 122
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 122
-81A+-Gregory Bartlett
$16.1M
Facility $16.1M
SC AVG $13.0M
Rank #19 / 125
$9.1M
Facility $9.1M
SC AVG $5.4M
Rank #15 / 125
56.3%
Facility 56.3%
SC AVG 44%
Rank #70 / 125
425381
Bishop Gadsden Episcopal Retirement Community
NH
AL
IL
MC
Charleston
123
Facility 123
SC AVG 90
Rank #59 / 309
--
5.57
Facility 5.57
SC AVG 4.00
Rank #8 / 121
+61%+39%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 123
10
Facility 10
SC AVG 13.7
Rank #49 / 122
3.3
Facility 3.3
SC AVG 3.4
Rank #65 / 122
126--Lynne L Kerrison
$51.8M
Facility $51.8M
SC AVG $13.0M
Rank #1 / 125
$30.8M
Facility $30.8M
SC AVG $5.4M
Rank #1 / 125
59.5%
Facility 59.5%
SC AVG 44%
Rank #87 / 125
425411
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

The Bridge at Charleston is a luxurious Century Park community situated in South Carolina, offering assisted living to its residents. The community provides a serene sanctuary for the elderly to enjoy their retirement in comfort while being surrounded by a range of natural and cultural attractions. Residents can explore nearby museums, markets, and breathtaking beaches that are ideal for relaxation and recreation.

With advanced sign-in and health screening technology, the community ensures that residents are safe and secure at all times. They have a wellness center, hair salon, and scheduled transportation services to cater to the various needs of residents. Residents can also enjoy the vibrant ambiance of the library, coffee room, or craft room. The beautifully landscaped grounds add to the overall charm of the home, providing residents with an elegant and refreshing environment to come home to.

Contact The Bridge at Charleston

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

Overview of Kempton of Charleston

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.

Contact Kempton of Charleston

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

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 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

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 Nhc Healthcare Charleston

NHC Healthcare Charleston is a single-story nursing home on Ashley Crossing Drive in Charleston, South Carolina. The community has shared room accommodations. It’s situated in a moderately walkable neighborhood, so some daily errands are within walking distance.

Daily nurse staffing averages 56 minutes of registered nurse time per resident each day, along with 2 hours and 43 minutes of nurse aide care and 1 hour and 37 minutes of licensed practical nurse or licensed vocational nurse support. The staffing structure is able to provide consistent hands-on care throughout each day.

Families considering this community should take a tour to see the shared room options and daily operations firsthand.

Contact NHC HealthCare 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

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
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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 10 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.