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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.
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.
$6.7M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
61.6%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$5.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
56.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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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
Overview of Presbyterian Communities of South Carolina
Presbyterian Communities of South Carolina in Seven Oaks emphasizes enriching and empowering its seniors’ lives. With an emphasis on short-term and outpatient nursing, management and staff offer best-in-class service when attending to any resident’s needs. The home helps residents thrive, reach their fullest potential, and cultivate holistic wellness. The Presbyterian guarantees unparalleled, luxurious care in a hotel-like community.
All residents receive essential services such as concierge, scheduled transportation, housekeeping, linen services, and housekeeping. One of its specialties is rehabilitation services, focusing on occupational, speech, and physical; 24/7 nursing care, health and wellness activities, therapy coverage, personalized care programs, and routine check-ups– among many others.
Operated by Acts Retirement-Life Communities Inc, Park Pointe Village is a nursing home in Rock Hill, South Carolina. It offers skilled nursing, assisted living, memory care, independent living, hospice, and palliative care. Marie Lunow serves as the administrator. Residents live in private suites and have cable TV and emergency call systems, with staff available around the clock.
The two-story community has 20 beds and offers studio, one-bedroom, and two-bedroom floor plans. It currently has an occupancy rate of 82%. Residents stay an average of 99 days, reflecting a strong focus on short-term rehabilitation. The community accepts Medicare and private pay, giving families more than one way to cover the cost of care.
Rehabilitation services include physical, occupational, and speech therapy for residents recovering from neurological conditions, joint replacement, orthopaedic surgery, or arthritis-related mobility challenges. Residents receive an average of about 5 hours and 12 minutes of nursing care each day. This includes roughly 55 minutes provided by registered nurses.
A dedicated memory care program is available for residents who need specialised support. Fitness and recreation programmes, transportation services, and a pet-friendly policy are also part of daily life. The neighbourhood has a Walk Score of 7. It’s a car-dependent area where most errands and outings require a vehicle.
Union Post Acute provides nursing home, skilled nursing, assisted living, and respite care in Union, South Carolina. Nursing home and skilled nursing include 24-hour nursing care, while assisted living helps with daily tasks. Respite care provides a short-term stay when a resident’s usual caregiver needs temporary support.
Rehabilitation includes post-acute and short-term rehab for residents recovering after an acute medical stay or needing rehabilitation for a limited period. The community has 88 beds. Its combination of care levels and respite care suits a resident whose needs may change over time, as well as a family seeking temporary care. Medicare, Medicaid, and private pay are accepted. Christopher Patrie serves as the administrator, and Union Community Healthcare operates the community.
Compass Post Acute Rehabilitation is a nursing home and skilled nursing facility in Conway, South Carolina, with licensed nursing care available on site around the clock. Short term rehabilitation and long term care are offered, so it may suit someone recovering through a shorter stay or needing ongoing nursing support.
The home has 95 beds. In house therapy means rehabilitation can take place within the community, while transportation gives residents an option for travel outside the facility. Religious services are available for residents who wish to worship.
Medicaid, Medicare, and private pay are accepted. Medicaid may help when savings do not cover a long stay, Medicare applies to short term skilled care after a hospital stay, and private pay allows a family to fund care directly. Raymond Tiller serves as administrator, Carolina Healthcare operates the community, and a doctor is on staff.
Retreat at Wellmore of Lexington offers independent living, assisted living, memory care, nursing home and skilled nursing care, and respite care in Lexington, SC. Independent living provides private living with community services and no daily care, while assisted living provides help with daily tasks such as bathing, dressing, and medication management. Memory care offers a secured setting with supervision, nursing home and skilled nursing care provide licensed nursing on site around the clock, and respite care provides a short stay for a family whose usual caregiver needs to travel or recover.
Because several care levels are available on one campus, Retreat at Wellmore of Lexington can suit a resident whose needs may grow over time without requiring a move to another community. The community has 60 beds and offers studio, one-bedroom, and two-bedroom apartments with private bathrooms, including layouts that can suit a couple moving together or someone who wants a companion. Country club style dining, a salon and spa, outdoor courtyards, libraries, gathering rooms, and rehabilitation services give residents places to dine, spend time outside their apartments, and receive therapy without arranging transportation elsewhere.
Medicare and private pay are accepted; Medicare generally applies to short-term skilled care after a hospital stay rather than long-term residence, while private pay means the family funds the cost directly. Pets are allowed, so residents may live with a pet. Marion Griffin Burgess serves as administrator, and Wellmore Of Lexington operates the community.
Life Care Center of Columbia is conveniently located near major hospitals, making it the perfect choice for long-term care or short-term recovery after surgery. The 24-hour skilled nursing care is complemented by state-of-the-art equipment and an in-house team of dedicated therapists and nurses who work tirelessly to provide elevated care to seniors. The home offers various services such as discharge planning, case management, fall prevention, IV therapy, social services, post-surgical care, and wound care, among others. Physical, occupational, and speech therapy services are also available for rehabilitation. The home’s interior is not just aesthetically pleasing but also creates a warm and inviting environment that surpasses all expectations. Residents have access to amenities like the library, fine dining program, and transportation services. They can also enjoy landscaped grounds and courtyards for an afternoon stroll. Safety is of utmost importance at Life Care Center of Columbia, which is why they have top-of-the-line security and fire safety systems, as well as call lights. The facility also has a certified dietitian and is a non-smoking environment.
Ashley River Healthcare provides skilled nursing and nursing home care in Charleston, SC. Around-the-clock skilled nursing, short-term rehabilitation, and long-term care allow a resident to receive nursing support during a temporary recovery or remain there for ongoing care.
The home has 125 beds. In-house therapy keeps rehabilitation on site, so residents can receive therapy without arranging transportation elsewhere. A doctor is on staff, and personnel are available at any hour. Ashley River Healthcare may be a good fit for someone who needs short-term rehabilitation or long-term nursing care in one setting.
Medicaid, Medicare, and private pay are accepted. Medicaid can help when savings may not cover a long stay, Medicare can cover short-term skilled care after a hospital stay, and private pay allows a family to pay directly. Orange Grove Healthcare operates Ashley River Healthcare.
Nestled in the foothills of the Blue Ridge Mountains, Brookdale Anderson is a luxury senior living community in Anderson, South Carolina, offering independent living and assisted living on one campus. The community provides elegant accommodations, restaurant-style dining, and opportunities to live a worry-free retirement filled with adventures. Residents enjoy spacious and comfortable apartments, thoughtful amenities, and quality care that allows aging in place, with 24/7 emergency staff available.
Brookdale Anderson’s dining program offers healthy and delicious menu choices, with resident feedback and favorite recipes incorporated. The community supports residents in pursuing their interests, hobbies, and passions, with activities like game nights, bingo, happy hours, exercise classes, and more. Independent living residents trade home ownership worries for the comforts of home and opportunities to socialize, while assisted living provides redefined independence through services like medication management and housekeeping, with collaborative care partnerships supporting wellness.
Awarded #1 in Customer Satisfaction, Brookdale Union Hills provides an exceptional residential assisted living experience. The home strives to enhance the quality of life of seniors needing quality assistance. They offer options that cater to each individual’s needs. As a Brookdale Senior Living Group member, Greenwood guarantees a resident-centered atmosphere for seniors, promoting a comfortable living situation.
The lifestyle at Brookdale is designed to make lives safe and convenient for everyone. Its all-inclusive amenities and services include spacious common areas, recreational rooms, housekeeping, and transportation services. Management prides itself on its approach to modern assisted living care, which is unparalleled thanks to its remarkable care staff that never fails to offer compassionate care.
Located in the heart of Rock Hill, South Carolina, Westminster Health & Rehab Center stands as a dedicated senior living provider, specializing in Nursing Homes. As an integral part of a thriving continuing care retirement community, Westminster Health & Rehabilitation Center is committed to delivering top-quality care and services to its residents.
With a commitment to excellence, Westminster Health & Rehab Center proudly participates in Medicare, ensuring access to a range of comprehensive healthcare resources. At Westminster, the focus is on providing seniors with a safe and supportive environment where their well-being is the top priority.
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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