Page 13 of Best Nursing Homes in South Carolina

Why trust this guide? Our editorial team analyzed 133 nursing homes in 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 South Carolina our team has analyzed — not a count of every nursing home provider in South Carolina.
133 homes
Other senior care options in South Carolina:
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.
National Average: 3.0/ 5

Compare Nursing Homes around South Carolina

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. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC( (Continuing Care Retirement Communities (CCRC)):
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.
Edisto Post Acute
NH
HOS
SNF
Orangeburg
113
Facility 113
SC AVG 90
Rank #82 / 304
92.3%
Facility 92.3%
SC AVG 86.4%
Rank #39 / 92
+7%
3.21
Facility 3.21
SC AVG 4.00
Rank #103 / 117
-45%-20%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
18
Facility 18
SC AVG 13.7
Rank #94 / 119
3.0
Facility 3.0
SC AVG 3.4
Rank #54 / 119
2104--Mark Jennings
$10.8MFiscal year ending 12/2023
Facility $10.8MFiscal year ending 12/2023
SC AVG $12.1M
Rank #56 / 113
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
SC AVG $7.3M
Rank #73 / 113
54.5%Fiscal year ending 12/2023
Facility 54.5%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #73 / 113
425116
Sedgewood Manor Health Care Center
NH
SNF
Hopkins
38
Facility 38
SC AVG 90
Rank #287 / 304
76.3%
Facility 76.3%
SC AVG 86.4%
Rank #81 / 92
-12%
3.83
Facility 3.83
SC AVG 4.00
Rank #66 / 117
+14%-4%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
11
Facility 11
SC AVG 13.7
Rank #57 / 119
3.7
Facility 3.7
SC AVG 3.4
Rank #74 / 119
-29--Joseph Hunt
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
SC AVG $12.1M
Rank #110 / 113
$2.1MFiscal year ending 12/2023
Facility $2.1MFiscal year ending 12/2023
SC AVG $7.3M
Rank #109 / 113
66.4%Fiscal year ending 12/2023
Facility 66.4%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #31 / 113
425370
Brookview Healthcare Center
NH
RC
SNF
Gaffney
132
Facility 132
SC AVG 90
Rank #36 / 304
89.4%
Facility 89.4%
SC AVG 86.4%
Rank #60 / 92
+3%
3.54
Facility 3.54
SC AVG 4.00
Rank #81 / 117
-47%-12%
$42.6k
Facility $42.6k
SC AVG $34.8k
Rank #111 / 120
9
Facility 9
SC AVG 13.7
Rank #44 / 119
1.5
Facility 1.5
SC AVG 3.4
Rank #7 / 119
4118A--Lionstone Hz Opco Holdings LLC$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.425062
Sumter East Health and Rehabilitation Center
NH
SNF
Sumter
176
Facility 176
SC AVG 90
Rank #10 / 304
95.1%
Facility 95.1%
SC AVG 86.4%
Rank #19 / 92
+10%
3.19
Facility 3.19
SC AVG 4.00
Rank #103 / 117
-46%-20%
$33.1k
Facility $33.1k
SC AVG $34.8k
Rank #107 / 120
27
Facility 27
SC AVG 13.7
Rank #111 / 119
3.9
Facility 3.9
SC AVG 3.4
Rank #82 / 119
4167--Scsnf Investment Group LLC
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
SC AVG $12.1M
Rank #31 / 113
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
SC AVG $7.3M
Rank #54 / 113
52.6%Fiscal year ending 12/2023
Facility 52.6%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #84 / 113
425107
The Brian Center Nursing Care – St. Andrews
NH
Columbia (Seven Oaks)
108
Facility 108
SC AVG 90
Rank #96 / 304
28.7%
Facility 28.7%
SC AVG 86.4%
Rank #91 / 92
-67%
4.02
Facility 4.02
SC AVG 4.00
Rank #58 / 117
+36%+1%
$41.0k
Facility $41.0k
SC AVG $34.8k
Rank #110 / 120
41
Facility 41
SC AVG 13.7
Rank #118 / 119
6.8
Facility 6.8
SC AVG 3.4
Rank #117 / 119
431A+
14
Facility 14
SC AVG 34
Rank #176 / 221
-
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
SC AVG $12.1M
Rank #85 / 113
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
SC AVG $7.3M
Rank #91 / 113
58.5%Fiscal year ending 12/2023
Facility 58.5%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #60 / 113
425129
Brookdale Anderson-
NH
AL
CCRC(
IL
MC
SNF
Anderson
160
Facility 160
SC AVG 90
Rank #20 / 304
--------------
43
Facility 43
SC AVG 34
Rank #69 / 221
$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.425398

Rank badges are statewide: each community is ranked against every SC community we track that reports that metric, not just the 133 on this page.

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Nursing Home Explorer
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Overview of Seven Oaks Rehabilitation and Healthcare Center

Seven Oaks Rehabilitation and Healthcare Center is a 108-bed nursing home in Columbia, South Carolina, providing a broad range of post-acute, rehabilitative, and long-term care. Operated by St Andrews Operator LLC and administered by Susan Strauss, the community is CMS certified. Care programs include sub-acute care, memory care, rehabilitation therapy, hospice and palliative services, pulmonary care, IV therapy, cardiac care, orthopedic rehabilitation, stroke and neurological recovery, respite care, and 24-hour nursing support.

The range of clinical services is one of the community’s strongest distinguishing characteristics. The combination of pulmonary care, cardiac support, neurological recovery, IV therapy, orthopedic rehabilitation, and sub-acute care allows the community to manage medically complex recovery cases after hospitalization or surgery. Through hospice and palliative care services, residents can stay even during advanced illness or end-of-life transitions, potentially reducing the need for disruptive transfers. Memory care, rehabilitation therapy, and respite care programs are also available.

Located in Columbia, the community serves residents throughout the state capital region, including surrounding portions of Richland and Lexington counties. Its location within a larger metropolitan healthcare network also provides convenient access to hospitals, specialists, and additional medical resources when needed.

Seven Oaks Rehabilitation and Healthcare Center is a great option for older adults in the Columbia area who require advanced post-acute rehabilitation, skilled nursing support, memory care, or long-term medical management, particularly those recovering from various medical conditions and in need of end-of-life care.

Contact Seven Oaks Rehabilitation and Healthcare Center

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 Bishop Gadsden-Gadsden Glen Center for Health and Rehab

Bishop Gadsden-Gadsden Glen Center for Health and Rehab in Charleston, South Carolina, offers independent living, assisted living, rehabilitation, respite care, and skilled nursing. Along with assistance with daily tasks like bathing, dressing, and medication, 24-hour staffing is available to ensure accessibility of care around the clock.

With multiple levels of care in one community, a resident whose needs grow can move to a higher level of care without leaving the community or starting over socially. The home has 100 beds, is administered by Jonna Cook, and is operated by Bishop Gadsden Episcopal Retirement Community.

Short-term rehabilitation, BG Therapy, and rehabilitation services allow residents to receive therapy on site. Residents also have a spa, wellness center, outdoor spaces, and a chapel and meditation room for personal care, exercise, time outside, and religious services.

Contact Bishop Gadsden-Gadsden Glen Center for Health and Rehab

Overview of Heritage at Lowman Residential Care

Operating as a continuing care retirement community in Chapin, South Carolina, Heritage at Lowman Residential Care offers independent living, assisted living, memory support, rehabilitation, and long-term skilled nursing care for older adults throughout Lexington County and the greater Columbia region. This 132-bed community is owned by Lutheran Homes of South Carolina Inc. and administered by Amanda Knowles. Its affiliation with the Lutheran Homes network connects the community to an established faith-based nonprofit organization with decades of experience providing senior care services across South Carolina.

The community provides a full continuum of care, allowing residents to transition between levels of care while remaining under one roof as their needs progress. Licensed nurses and certified nursing assistants, 24-hour staffing coverage, rehabilitation services, short-term rehabilitation, and a dedicated memory support program for residents living with cognitive conditions are offered. This range of services supports both long-term residential stability and more specialized healthcare needs.

Restaurant-style dining creates a more elevated culinary experience than traditional institutional dining models. Rehabilitation and nursing care, assisted living and memory support, and a variety of engagement opportunities are also provided.

Located along Dutch Fork Road within Lexington County’s growing Chapin and Irmo corridor, the community maintains a quieter setting outside central Columbia. Nearby healthcare systems, including Prisma Health Richland and Lexington Medical Center, are also easily accessible.

With a combination of rehabilitation services, memory support, skilled nursing care, and long-term residential continuity, Heritage at Lowman Residential Care may appeal to older adults and families seeking a nonprofit, faith-affiliated continuing care community with multiple levels of support in one setting.

Contact Heritage at Lowman Residential Care

Overview of Presbyterian Communities of South Carolina-Columbia

Presbyterian Communities of South Carolina-Columbia is a skilled nursing home located on Davega Drive in Lexington, just outside Columbia. It is operated by Presbyterian Communities of South Carolina, with Meredith Hughes serving as administrator. The community offers 91 beds and is set up primarily for patients who need nursing care and rehabilitation following a hospital stay, surgery, or serious illness.

Rehabilitation is a central part of the community’s offering, with dedicated rehabilitation services and a short-term rehab program alongside respite care for families who need temporary support while a loved one recovers. Around-the-clock staffing is in place to help with residents’ daily medical and personal care needs, which suits both post-acute recovery and longer-term nursing needs.

Beyond short-term rehab, the community also maintains a dedicated Alzheimer’s unit, giving it a distinct memory care option alongside its skilled nursing services. Its additional programs, including memory support and a “Vital Living” offering, round out a setting built to serve residents with a range of care needs under one roof.

Families exploring options here will find a community structured around recovery and rehabilitation first, with specialized memory care available for residents who need it.

Contact Presbyterian Communities of South Carolina-Columbia

Overview of Wesley Commons Assisted Living Facility & Special Care House

Featuring a 150-acre wooded campus, Wesley Commons Assisted Living Facility & Special Care House is part of a Life Plan Community in Greenwood, South Carolina, that offers independent living, assisted living, memory support, rehabilitation, and respite care. Licensed as a Community Residential Care Facility (CRCF), this 70-bed community is administered by Doris E. Davis and operated by Wesley Commons, a nonprofit organization centered on resident dignity, independence, and long-term support.

With the Special Care House, the community’s dedicated memory care component provides a more intentional and specialized approach to cognitive support rather than a shared or integrated care arrangement. Rehabilitation support, respite care, and independent living cottages are also provided, along with licensed care and support services across multiple levels of the campus.

Additionally, its 150-acre wooded setting provides access to natural surroundings, outdoor recreation, and a quieter residential atmosphere, which is uncommon among senior living communities of similar scale. Its Greenwood location also offers convenient access to regional healthcare resources, including Self Regional Healthcare and other local medical providers.

Offering specialized memory support programming, rehabilitation services, and long-term care continuity, Wesley Commons Assisted Living Facility & Special Care House appeals to older adults and families seeking a campus-based continuing care environment with a strong nonprofit mission, extensive outdoor space, and access to multiple levels of support within one setting.

Contact Wesley Commons Assisted Living Facility & Special Care House

Overview of Summit Hills Assisted Living Community

Summit Hills Assisted Living Community is a Community Residential Care Facility (CRCF) in Spartanburg, South Carolina, offering assisted living, memory care, skilled nursing, and short-term rehabilitation services. Licensed with 79 beds, the community is administered by Jana Marie Crowe and owned by Summit Hills LLC. It is also affiliated with the Maxwell Group, the regional organization that also operates Brightwater Assisted Living in Myrtle Beach.

The community is also a six-time National Award winner, reflecting a level of recognition not commonly found among assisted living providers in the Spartanburg market. Medicare is also accepted.

Clinical and support services are among the most comprehensive available in the local assisted living market, which include rehabilitation services, respite care, nursing support, physician services with a doctor on staff, and 24-hour staffing coverage. A 24-hour emergency call system is also available on-site. Wellness programming, housekeeping services, concierge support, medication management, personal transportation, pet-friendly accommodations, and organized social events are also offered, along with made-to-order meals.

Among similar assisted living communities in the Spartanburg area, the community’s Medicare acceptance and on-site physician access is a notable distinction. Located in Spartanburg, the community also provides convenient access to Spartanburg Medical Center and the broader Upstate healthcare network.

Summit Hills Assisted Living Community is best for older adults seeking a community that combines extensive clinical support with a more upscale residential experience, particularly older adults requiring rehabilitation, memory care, or higher-acuity assisted living services. Its physician presence, Medicare participation, and robust amenity offerings also appeal to families prioritizing both care depth and quality-of-life features.

Contact Summit Hills Assisted Living Community

Overview of Covenant Place

Featuring a moderately-sized residential setting, Covenant Place is a Community Residential Care Facility (CRCF) in Sumter, South Carolina, that offers assisted living, independent living, respite care, and rehabilitation services. Owned by Sumter Opco LLC and administered by Prinscillia Sumter, the community is licensed with 70 beds.

Licensed nurses and CNAs on staff, 24-hour staffing, rehabilitation services, and respite care are offered, covering a broader service range than many CRCF communities of similar size. Private or semi-private accommodations are also available, along with social activities. The combination of independent living, assisted living, and respite care makes this community one of the more flexible care-model options in the Sumter market.

With a wide range of care options provided in a residential, community-focused setting, Covenant Place is best suited for older adults in Sumter County seeking assisted living or independent living with licensed nursing support and rehabilitation access.

Contact Covenant Place

Overview of Clemson Downs Assisted Living

Located in Clemson, South Carolina, Clemson Downs Assisted Living is a continuing care retirement community that offers independent living, assisted living, skilled nursing care, and memory care. This 56-bed community is licensed as a Community Residential Care Facility (CRCF), with ownership of CARC Inc. and administration of James A. Hill. With a continuing care retirement community model, the community allows residents to transition between different levels of care without leaving the campus, providing added continuity and long-term planning stability that differs from many standalone assisted living communities in Pickens County.

Licensed nurses and certified nursing assistants are provided, with additional access to onsite rehabilitation services and a dedicated memory support program for residents living with cognitive conditions. A full-course restaurant-style meal service, as well as a hot buffet, salad bar, full-service grill, and a casual dining venue known as The Bistro make up the community’s dining services, which differentiates it from similar communities.

Additional services and programming include concierge in-home care support and organized activities and outings. Its location near Clemson University also offers residents proximity to cultural programs, sporting events, educational opportunities, and other activities associated with a college-town setting.

Offering a continuum of care, Clemson Downs Assisted Living is great for older adults in the Clemson, Seneca, and Anderson areas who value the long-term stability of a continuing care campus and want access to multiple levels of support within one community, particularly those seeking both healthcare continuity and an active lifestyle in the Upstate region.

Contact Clemson Downs Assisted Living

Overview of Sprenger Healthcare of Bluffton Assisted Living

Licensed as a 58-bed Community Residential Care Facility (CRCF), Sprenger Healthcare of Bluffton Assisted Living in Okatie, South Carolina, serves older adults throughout the Bluffton and Hilton Head Island region with assisted living, memory care, and rehabilitation. Administered by Teresa Griffing, the community is owned by Sprenger Healthcare of Bluffton Inc., as part of the larger Sprenger Healthcare network, which provides access to the resources and operational experience of a regional healthcare provider.

Operating under the Centers for Medicare & Medicaid Services (CMS), the community’s quality measures place it in the highest performance tier of Significantly Above Average for long-term residents. Meanwhile, hospitalization rates measured 0.39 per 1,000 resident days, substantially lower than the South Carolina average of 2.03. Short-stay residents also received an Above Average overall rating, including a fall-with-major-injury rate of 0.0% and a successful return-to-home rate of 62.5%, both outperforming state benchmarks.

Clinical staffing indicators show registered nurse coverage above state averages, with RN care time averaging 43 minutes per resident per day and weekend RN coverage averaging 30 minutes daily. These staffing levels may provide families with additional reassurance regarding continuity of care beyond standard weekday hours. Nurse aide and licensed practical nurse staffing levels were slightly below state averages, which may be relevant for families comparing day-to-day personal assistance coverage. Physical therapy time averaged three minutes per resident per day, below statewide benchmarks, while emergency department visit rates for both long-stay and short-stay residents exceeded state averages.

Rehabilitation programs, respite care, home health support, on-site nurse practitioner services, and both on-site and outpatient therapy options are offered, along with a care team consisting of licensed nurses and certified nursing assistants. This blend of rehabilitation resources, nursing support, and wellness-focused amenities positions the community as both a post-acute recovery option and a longer-term assisted living setting. Additionally, the culinary program highlights chef-designed menus with contemporary and locally inspired cuisine served in formal dining settings.

With strong long-stay quality outcomes, elevated RN staffing levels, and location within the growing Bluffton and Hilton Head coastal corridor, Sprenger Healthcare of Bluffton Assisted Living is best for older adults who require a higher level of clinical oversight, especially those transitioning from hospitalization or skilled nursing care who may benefit from structured rehabilitation and ongoing medical support in South Carolina’s Lowcountry region.

Contact Sprenger Healthcare of Bluffton Assisted Living

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 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 133 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.