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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 Wesley Commons Assisted Living Facility & Special Care House
Wesley Commons Assisted Living Facility & Special Care House offers independent living, assisted living, memory care, nursing home care and skilled nursing in Greenwood, SC. Independent living provides private living with community services and no daily care, while assisted living supports daily tasks such as dressing, bathing and medication. Memory care provides a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock.
The range of care levels can be a good fit for a resident whose needs grow over time, since moving between levels can occur without leaving the community. The community has 70 beds, and Doris E. Davis serves as administrator. A pool is available for swimming, and rehabilitation services support residents who need therapy during recovery or ongoing care. Respite care provides short stays for a family whose usual caregiver needs to travel or recover.
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.
Clemson Downs Assisted Living offers independent living, assisted living, memory care, home care, nursing home care, and skilled nursing in Clemson, SC. Independent living provides private living with community services rather than daily care, while assisted living includes help with bathing, dressing, and medication management. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.
Several care levels are available here. A resident whose needs grow over time may be able to remain in the community rather than move elsewhere. Concierge In-home care supports residents who need care where they live, while rehabilitation services provide access to therapy through the community’s services.
Clemson Downs Assisted Living may be a good fit for someone who wants access to multiple care levels within one continuing care retirement community. The community has 56 beds, creating a smaller setting where staff and residents can get to know each other. Dining includes restaurant-style service, a hot buffet, a full salad bar, a full-service grill, and The Bistro, with several on-site dining formats; Activities & Adventures and Culinary are also named programs. James A. Hill serves as the administrator, and the community is operated by Carc.
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.
Nestled amidst the breathtaking scenery of Mount Pleasant, South Carolina, Franke at Seaside emerges as an idyllic haven for older adults seeking an active and worry-free future. residents find peace in the assurance of a comprehensive continuum of care, providing a safety net encompassing independent living, assisted living, skilled nursing, memory support, rehabilitation, and more.
Set against beautiful lagoons, seniors can embrace a wealth of services and amenities that nurture cherished hobbies and inspire new adventures. Operating as a non-profit ministry, Franke at Seaside is deeply committed to enriching the lives of its residents, clients, and patients.
PruittHealth – Rock Hill provides skilled nursing care and short-term rehabilitation services in Rock Hill, South Carolina. The 132-bed facility functions at an average occupancy rate of 61 percent, offering clinical oversight that includes 1 hour and 6 minutes of direct daily care per resident from registered nurses, alongside support from licensed practical nurses and nurse aides.
The campus consolidates several medical services on-site to reduce external hospital transfers, maintaining specialized setups for dialysis treatments, laboratory testing, behavior management programs, and X-ray or EKG diagnostic imaging. The community holds certifications from the Joint Commission and the National Quality Award program from the AHCA/NCAL. Indoor amenities feature large sunrooms and a central dining area, while the grounds provide a private courtyard with a gazebo and paved, lit walking paths.
The immediate Rock Hill neighborhood carries a walkability score of 47 out of 100, which reflects a somewhat car-dependent layout where a personal vehicle or transit service is typically required for local errands.
Families can contact the admissions coordinators at PruittHealth – Rock Hill to ask about current room vacancies, confirm insurance plan compatibility, or schedule a tour of the rehabilitation wing.
Covenant Place offers nursing home, assisted living, independent living, respite care, and skilled nursing in Sumter, South Carolina. Assisted living includes help with daily tasks such as bathing, dressing, and medication while the resident keeps a private living space; Independent living is for residents who want private living with community services and no daily care. Nursing home and skilled nursing provide licensed nursing care on site around the clock, while respite care supports a short stay when a usual caregiver needs to travel or recover.
With several care levels, Covenant Place can suit a resident whose needs may grow over time without requiring a move to another community. The home has 70 beds, with private or semi-private accommodations, so a resident can either have a space alone or share living space with a companion. Rehabilitation services are available within the community, and Prinscillia Sumter is the administrator while Sumter Opco operates Covenant Place.
White Oak of Columbia is a skilled nursing and nursing home community offering long-term nursing care in Columbia, SC. Skilled nursing provides licensed nursing care on site around the clock, while long-term care supports residents who need ongoing nursing services. The community also offers short-term rehabilitation for residents who need temporary recovery support and independent living for those who want private living without daily care.
Rehabilitation services give residents access to therapy as part of their stay, and the Accelerated Care Plus Program is available as a named program. White Oak of Columbia may be a good fit for someone who needs ongoing nursing care or short-term rehabilitation in the same community.
A pool, spa and wellness center provide places for exercise and personal care, while the chapel and religious services support on-site worship. White Oak Management owns the community.
Overview of Sprenger Healthcare of Bluffton Assisted Living
Sprenger Healthcare of Bluffton Assisted Living provides nursing home, assisted living, independent living, memory care, skilled nursing, and respite care in Okatie, South Carolina. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps a private apartment. Memory care offers a secured setting with supervision for someone at risk of wandering.
Skilled nursing provides licensed nursing care on site around the clock. Respite care offers a short stay for a family caregiver who needs time to travel or recover. Independent living supports private living without daily care, while nursing home care provides a residential setting for people who need ongoing nursing support.
Having several care levels in one community may suit a resident whose needs grow over time, since a move to a different level of care can happen without leaving the community. With 58 beds, the community is small enough for residents and staff to become familiar with one another.
Chef-designed menus featuring modern and local cuisine are served with multiple options in dining rooms, giving residents a range of meal selections in a dedicated dining setting. On-site therapies support rehabilitation without arranging transportation elsewhere, and scheduled transportation is available for confirmed community transportation needs.
Teresa Griffing serves as the administrator, and Sprenger Healthcare Of Bluffton operates the community.
Overview of Sc Episcopal Home at Still Hopes (crcf)
Sc Episcopal Home at Still Hopes (crcf) offers nursing home care, adult day care, assisted living, independent living, memory care, and skilled nursing in West Columbia, SC. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as bathing, dressing, and medication management. Memory care provides a secured setting with supervision for someone at risk of wandering.
Skilled nursing provides licensed nursing care on site around the clock. Adult day care offers daytime support without an overnight stay, and respite care provides a short-term stay for a family caregiver who needs to travel or recover. The range of care levels can suit a resident whose needs grow over time, since care can continue within the community. Opened in 1975, the community has 48 beds, creating a smaller setting where staff and residents get to know each other. Rehabilitation services are available for residents who need therapy as part of their care. South Carolina Episcopal Home At Still Hopes operates the community, with Nikki W. Robertson serving as administrator.
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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