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Best Nursing Homes in Charleston, SC

Why trust this guide? Our editorial team analyzed 11 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
Jul 2026
We analyzed
11 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.

CMS & SC Dept. of Health data

Nhc Healthcare Charleston
NH
HC
HOS
SNF
Charleston
132
Facility 132
SC AVG 90
Rank #37 / 307
--
5.09
Facility 5.09
SC AVG 4.00
Rank #12 / 119
+37%+27%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 121
4
Facility 4
SC AVG 13.7
Rank #8 / 120
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 120
-81A+-Gregory Bartlett
$16.1MFiscal year ending 12/2023
Facility $16.1MFiscal year ending 12/2023
SC AVG $13.0M
Rank #20 / 122
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
SC AVG $5.4M
Rank #15 / 122
56.3%Fiscal year ending 12/2023
Facility 56.3%Fiscal year ending 12/2023
SC AVG 44%
Rank #70 / 122
425381
Kempton of Charleston
NH
AL
MC
SNF
Charleston
89
Facility 89
SC AVG 90
Rank #142 / 307
--
4.44
Facility 4.44
SC AVG 4.00
Rank #32 / 119
+8%+11%
$6.0k
Facility $6.0k
SC AVG $34.8k
Rank #62 / 121
4
Facility 4
SC AVG 13.7
Rank #8 / 120
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 120
-20--Spring Street Senior Housing Opco LLC---425418
Bishop Gadsden Episcopal Retirement Community
NH
AL
IL
MC
SNF
Charleston
123
Facility 123
SC AVG 90
Rank #59 / 307
--
5.57
Facility 5.57
SC AVG 4.00
Rank #8 / 119
+61%+39%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 121
10
Facility 10
SC AVG 13.7
Rank #49 / 120
3.3
Facility 3.3
SC AVG 3.4
Rank #65 / 120
121--Lynne L Kerrison
$51.8MFiscal year ending 12/2023
Facility $51.8MFiscal year ending 12/2023
SC AVG $13.0M
Rank #1 / 122
$30.8MFiscal year ending 12/2023
Facility $30.8MFiscal year ending 12/2023
SC AVG $5.4M
Rank #1 / 122
59.5%Fiscal year ending 12/2023
Facility 59.5%Fiscal year ending 12/2023
SC AVG 44%
Rank #85 / 122
425411
Wellmore of Daniel Island
NH
AL
IL
MC
SNF
Charleston (Daniel Island)
174
Facility 174
SC AVG 90
Rank #16 / 307
29.3%
Facility 29.3%
SC AVG 84.8
Rank #90 / 94
-65%
4.60
Facility 4.60
SC AVG 4.00
Rank #23 / 119
+3%+15%
$12.7k
Facility $12.7k
SC AVG $34.8k
Rank #84 / 121
18
Facility 18
SC AVG 13.7
Rank #95 / 120
3.6
Facility 3.6
SC AVG 3.4
Rank #73 / 120
151-
12
Facility 12
SC AVG 32
Rank #183 / 230
Wdi Parent LLC
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
SC AVG $13.0M
Rank #22 / 122
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
SC AVG $5.4M
Rank #31 / 122
89.2%Fiscal year ending 12/2023
Facility 89.2%Fiscal year ending 12/2023
SC AVG 44%
Rank #98 / 122
425414
Ashley River Healthcare
NH
SNF
Charleston (Sandhurst)
125
Facility 125
SC AVG 90
Rank #56 / 307
77.3%
Facility 77.3%
SC AVG 84.8
Rank #81 / 94
-9%
3.77
Facility 3.77
SC AVG 4.00
Rank #61 / 119
-41%-6%
$46.2k
Facility $46.2k
SC AVG $34.8k
Rank #113 / 121
27
Facility 27
SC AVG 13.7
Rank #112 / 120
5.4
Facility 5.4
SC AVG 3.4
Rank #108 / 120
397-
45
Facility 45
SC AVG 32
Rank #58 / 230
-
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
SC AVG $13.0M
Rank #108 / 122
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
SC AVG $5.4M
Rank #81 / 122
65.2%Fiscal year ending 12/2023
Facility 65.2%Fiscal year ending 12/2023
SC AVG 44%
Rank #3 / 122
425362

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 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 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 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 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 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

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

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 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 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

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.