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Why trust this guide?
Our editorial team analyzed 144 nursing homes in SC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SC
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-ranked to lowest-ranked based on our 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 TableAL (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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SC nursing home we track that reports that metric, not just the 144 on this page. See how we rank facilities
Veterans Victory House operates a 220-bed facility in Walterboro, South Carolina, offering nursing home care and skilled nursing to veterans requiring ongoing medical attention and daily support. The South Carolina Department of Veterans Affairs oversees operations alongside administrator Theresa Smelser. Services feature organized recreational activities, local medical transportation, and grooming through a beauty salon and barbershop.
Dining options include meals prepared on site to accommodate physician-prescribed diets, with service provided in private units or the main cafeteria. Community records show total nurse staffing averages 4 hours and 36 minutes per resident each day. Financial arrangements cover Medicare, Medicaid, and private payment methods.
Families can reach out to Veterans Victory House to review state veteran eligibility requirements, check room availability, or schedule a visit to tour the facility.
Rock Hill Post Acute Care Center operates a 99-bed facility in Rock Hill, South Carolina, delivering skilled nursing support alongside short-term rehabilitation and long-term care programs. In-house therapy services allow residents to complete physical recovery sessions on site without traveling to external clinics.
Administrator Kate Johnson leads the center alongside operator Rock Hill Healthcare. Daily nurse staffing averages 4 hours and 3 minutes per resident across the community. Funding arrangements cover standard methods, including Medicare for post-hospital rehabilitation, Medicaid for ongoing nursing assistance, and private funds.
Interested residents and their families can contact Rock Hill Post Acute Care Center to check current room availability, discuss therapy needs, or explore accepted payment options.
The Palms at Florence provides nursing home care, skilled nursing, and respite care in Florence, SC. Nursing home and skilled nursing services provide licensed nursing care on site around the clock. Respite care offers a short stay when someone’s usual caregiver needs to travel or recover, making it a suitable option for a family that needs temporary support during a caregiver’s recovery or absence.
The community has 163 beds. Residents share the setting with more than 150 other residents and staff, while the size also allows room for more programming. Total nurse staffing is 4 hours and 6 minutes per resident per day, representing the daily hands on nursing time assigned per resident. Private and semi private rooms are available, so a resident can choose between having a room alone or sharing with someone else.
Services include subacute rehabilitation, restorative care, and pain management. On site rehabilitation allows a resident to receive therapy at the community rather than arranging transportation elsewhere, while restorative care supports continued work on daily abilities. Fine dining services and an on staff dietician provide meals planned with dietary expertise, and an on site salon allows residents to take care of personal grooming on the premises. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Melissa Boatwright serves as administrator, and Commander Operator operates the community.
White Oak Manor York is a nursing home and skilled nursing community in York, SC. It provides long-term nursing care for residents who need ongoing licensed nursing support, along with short-term rehabilitation for people recovering before returning to their usual setting. Outpatient rehabilitation services and a therapy gym allow rehabilitation sessions to take place at the community. Speech-language therapy, wound care, and balance and fall prevention training address specific recovery and care needs.
Dementia care is available for residents who need nursing support alongside dementia-related supervision and care. The combination of long-term nursing care and short-term rehabilitation may be a good fit for someone who needs either ongoing nursing support or a time-limited recovery program. The community has 109 beds. Total nurse staffing is 4 hours and 26 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident.
White Oak Manor York accepts Medicare, Medicaid, and private pay, giving families several listed ways to cover care. Michelle Lambert serves as the administrator, and Nhc Healthcare/York operates the community. Patient, family, and caregiver education is also available, giving those involved in care information related to treatment and daily support.
Nhc Healthcare Anderson stands in Anderson, SC, licensed for hospice care, nursing home care, home care, and skilled nursing. The licensed hours inside the building are the constant the other two arms are built around. Those two arms reach past the front door.
This home holds three lengths of stay at once. Somebody arrives for a short recovery, somebody else moves in for good, and a third takes a fortnight so a caregiver can rest. Rehabilitation and therapy services cover the recovery work.
NHC HomeCare and Caris Hospice are the named programs carrying those services out. Grooming is handled by a salon here. There are 290 beds on the license, and 95 percent of them are occupied on a typical day.
Nursing time here reaches 3 hours and 44 minutes a resident daily. A stay gets paid for through Medicare, through Medicaid, or privately. William Tyler Birmingham is the administrator.
Nhc Healthcare Clinton holds a license in Clinton, SC, for home care, nursing care, hospice care, skilled nursing, and a nursing home designation. The license covers this building’s residents at every hour of the day. Home care is the arm that goes out instead, meeting a person at home.
Hospice care answers end-of-life needs. The building holds 131 beds and runs two clocks at once, since short-term rehabilitation counts in weeks and long-term care counts in years. Respite is a temporary stay while a usual caregiver travels or recovers.
What it really buys is another year of the arrangement at home holding together. Needs that shift between temporary rehabilitation and ongoing nursing are what this range is for. Nursing time here stands at 3 hours and 44 minutes per resident daily.
The bill goes to Medicare, to Medicaid, or to the family. A salon on site handles haircuts. Charles E Holder is the administrator.
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.
Operating for 26 years, Nhc Healthcare Laurens offers nursing home, home care, hospice care, nursing care, and skilled nursing services in Laurens, South Carolina. The community provides comfort and symptom management to accommodate older adults with life-limiting conditions. Moreover, residents receive ongoing support with licensed nurses on-site and 24-hour staffing.
Rehabilitation services support recovery and short-term clinical needs, while home care brings support to a person’s residence. The community has 176 beds with 91.5% occupancy. Residents also receive a total of 4 hours and 18 minutes of nursing care daily.
An on-site beauty and barber shop provides grooming services on-site. Moreover, live entertainment and activities give residents options for entertainment and socialization. Housekeeping and laundry are also available to help with household tasks. Dietitian- and chef-approved meals are also tailored to residents’ nutritional needs, so meal planning can reflect individual dietary requirements.
Administered by Rickie L. Shearer, the community accepts Medicare, Medicaid, and private pay, giving eligible residents the option to use public benefits or pay privately for care.
Overview of Still Hopes Episcopal Retirement Community
Situated upon 44 acres of tranquil woods in the greater Columbia area, Still Hopes Episcopal Retirement Community’s open arms welcome all who seek an active independent living home to make the most of their golden years. A range of cozy apartments and free-standing cottages are available, coupled with a staff of well-trained nurses that provide individualized care upon request, making for a safe environment, conducive to relaxation. Still Hopes offers a Wellness Center, Solutions for Living at Home services such as cooking, cleaning, and even healthcare, and rehabilitation plans, for a holistic approach to daily physical and mental rejuvenation. Learn to love your artistic side, discover musical talent you never knew you had, or work on your backhand on the golf course; there’s no shortage of activities you can finally make time for all while your basic necessities are covered.
Should you want to venture out ever so often, Still Hopes is an independent living home that’s not only peaceful but accessible; around seven minutes away is the center of downtown Columbia with every manner of establishment well-within reach.
White Oak Manor Charleston is a nursing home in Charleston, SC, offering skilled nursing care. Licensed nurses are on site around the clock, while long term nursing care supports residents who need ongoing clinical attention. Short term rehabilitation and therapy are also available for residents recovering and working toward their next level of function.
The 176 bed community serves a larger resident population, with more staff and usually more programming than a small community. Total nurse staffing is 4 hours and 15 minutes per resident each day, representing the nursing time allocated to each resident. Dementia care and wound care are available for residents with those specific needs. Medicare, Medicaid, and private pay are accepted, giving eligible residents and families several ways to cover skilled nursing services. Ryan Heitkamp is the administrator, and Nhc Healthcare/Charleston Wo operates the community. The combination of long term nursing care and short term rehabilitation may suit a resident who needs ongoing nursing support or recovery services.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in South Carolina. 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:2.9/ 5The average Staffing Rating across all CMS-certified nursing homes in South Carolina. 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:2.7/ 5The average Health Inspection Rating across all CMS-certified nursing homes in South Carolina. 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.
Frequently Asked Questions about Nursing Homes in South Carolina
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 144 nursing homes in South Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in South Carolina?
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 South Carolina, 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 South Carolina?
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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