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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.
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.
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.
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
Lila Doyle Post Acute operates a 120-bed facility in Seneca, South Carolina, delivering nursing home care and skilled nursing services. The campus accommodates both short-term rehabilitation stays and long-term residential care, utilizing on-site therapy programs so residents can complete physical recovery treatments without leaving the property.
Operations run under administrator Phyllis Seawright and management company Kingston Falls Healthcare. Daily nurse staffing averages 3 hours and 40 minutes per resident. Financial arrangements encompass traditional choices such as Medicare, Medicaid, and direct private payment.
Prospective residents and their families can reach out to Lila Doyle Post Acute to tour the grounds, check room openings, and confirm coverage options for required care levels.
Inman Healthcare in Inman, South Carolina, delivers nursing care, skilled nursing, and rehabilitation services within a small, 40-bed community. Short-term rehabilitation programs aid residents during recovery from medical events, while long-term nursing supports individuals requiring ongoing physical care. Meals are planned alongside a registered dietitian, offering therapeutic menus tailored to prescribed dietary restrictions.
Under the direction of administrator Meredith Skrobola and operator Inman Operations, nursing staff provides an average of 3 hours and 45 minutes of daily hands-on coverage per resident. Residents have access to outdoor relaxation grounds and scheduled community outings. Financial options include Medicare for short-term post-hospital rehabilitation, Medicaid for extended stays, and private pay options.
Interested individuals seeking rehabilitation or long-term nursing care can reach out to Inman Healthcare to verify room availability, schedule a facility visit, or discuss intake details.
Nhc Healthcare Bluffton runs four care types in Bluffton, SC: skilled nursing, hospice care, home care, and nursing home care. Nursing coverage does not stop at a shift boundary, which is what makes clinical oversight ongoing rather than scheduled. Home care sends the work out to a person’s house instead.
Comfort near the end of life is a different job again, and that is hospice care’s role. Short-term rehabilitation carries a limit inside it, since the point is recovery rather than residence. Temporary needs and permanent ones both have a place here.
The building holds 120 beds. Three hours and 56 minutes of nursing attaches to a resident daily.
Public coverage runs through Medicare or Medicaid, and otherwise the money comes from the family. Haircuts and grooming happen at a salon on the premises. Jaclyn M. McClain is the administrator.
Owned by Sandra Gilliam, TidePointe, a VI Community, is a skilled nursing community on TidePointe Way in Hilton Head Island, South Carolina, with a 25-bed capacity. It provides skilled nursing, post-acute rehabilitation, and respite care, with cottages and one-bedroom and two-bedroom villas. It has an occupancy rate of 85.3%, with an average length of stay of 55 days, supporting both short-term recovery and longer-term care needs.
Residents receive an average of 5 hours and 34 minutes of nursing care each day from registered nurses, licensed practical nurses, nurse aides, and physical therapists. Furthermore, strong weekend registered nurse coverage and a staff-to-resident ratio of 3.04:1 help ensure consistent, individualized clinical support.
Rehabilitation services, wellness programs, daily activities, and meals tailored to individual dietary needs are offered to promote recovery and overall well-being. Medicare, private pay, and respite care options also provide flexibility for families. Meanwhile, the surrounding neighborhood has a Walk Score of 6, making transportation necessary for most errands. State inspections have confirmed compliance with health and safety standards.
Overview of Kershawhealth Karesh Long Term Care and Rehab
Kershawhealth Karesh Long Term Care and Rehab is a nursing home and skilled nursing facility in Camden, South Carolina. Skilled nursing provides licensed nursing care on site around the clock, while physical, occupational, and speech therapy support rehabilitation needs. The community opened in 2023 and has 132 beds, making it a possible fit for someone whose care includes both ongoing nursing support and rehabilitation therapy.
Medicare, Medicaid, and private pay are accepted. Medicare covers short term skilled care after a hospital stay rather than long term residence, Medicaid matters when savings may not cover a long stay, and private pay means paying directly. Total nurse staffing is 4 hours and 31 minutes per resident per day, representing the daily hands on nursing time allocated per resident.
Residents can use the salon and barber shop, join group outings, and take part in horticulture, arts and crafts, and religious and cultural celebrations. These offerings provide organized ways to participate in personal grooming, gardening related activities, creative projects, community outings, and shared observances. Michael Scott Neal serves as the administrator, and Kershaw Health operates the community.
Sprenger Healthcare of Bluffton offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Okatie, SC. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and medication. Independent living means private living with community services and no daily care, while memory care provides a secured setting with supervision for a resident who may be at risk of wandering.
Respite care provides a short stay for someone whose usual caregiver needs to travel or recover. It can also suit a family whose primary caregiver needs temporary support while traveling or recovering. With several care levels on one campus, the community may be a good fit for a resident whose needs may grow over time because moving to a different level of care does not require leaving the community.
Sprenger Healthcare of Bluffton has 60 beds, and Teresa Dixon serves as administrator. On-site therapies support rehabilitation without requiring transportation for those sessions, and outpatient therapy is also available. Chef-designed menus feature modern and local cuisine with multiple options, giving residents choices during meals in the dining rooms.
Medicare and private pay are accepted. Medicare can cover eligible short-term skilled care after a hospital stay, while private pay uses personal funds. Total nurse staffing is 4 hours 4 minutes per resident per day, representing the daily hands-on nursing time allocated per resident.
Rosecrest Community Residential Care is a nursing home in Inman, South Carolina, offering independent living, assisted living, memory care, and skilled nursing. Independent living means private living with community services and no daily care, while assisted living includes help with tasks such as dressing, bathing, and taking medication. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing care on site around the clock.
The range of care levels may suit a resident whose needs grow over time. With 45 beds, Rosecrest is smaller than many larger care settings, creating a more limited-sized community where staff and residents can get to know one another.
Medicare and private pay are accepted. Medicare may cover short-term skilled care after a hospital stay, while private payment allows families to pay directly for care. Total nurse staffing is 4 hours and 35 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident.
Rehabilitation services are available through the rehabilitation center, so a resident can receive therapy on site without arranging transportation elsewhere. Outdoors, a walking trail and koi pond offer places to walk or sit near the water, and the beauty shop and barber provide grooming services within the community.
Chefs prepare a new lunch menu each day, with home-style dishes and specials that give residents different lunch selections. Rebecca McCurry serves as the administrator, and Lutheran Homes of South Carolina operates the community.
Kempton of Charleston offers nursing home, skilled nursing, assisted living, and memory care in Charleston, SC. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while assisted living includes 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.
The community has 89 beds. Its range of care levels may be a good fit for a resident whose needs could grow over time, because moving to a different level of care can happen within the same community. Rehabilitation services are also available for residents who need therapy as part of their care.
Medicare and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, while private pay allows a family to pay directly for care. Total nurse staffing is 4 hours and 38 minutes per resident per day, representing the daily nurse time available for each resident’s care. Joe Carr serves as the administrator, and Spring Street Senior Housing Opco operates the community.
Overview of The Reserve Healthcare and Rehabilitation
The Reserve Healthcare and Rehabilitation operates a 135-bed nursing home and skilled nursing center in Hanahan, South Carolina. Clinical care teams deliver ongoing medical support alongside on-site therapy services, allowing residents to complete rehabilitation programs directly inside the building.
Management falls under administrator Gregory, Jr. Hicks and operator Railroad Crossing Healthcare. Daily nurse staffing across the facility averages 3 hours and 24 minutes per resident. Financial coverage accommodates multiple payment pathways, including Medicare for post-hospital rehabilitative stays, Medicaid for longer stays, and private funds.
Families and their loved ones can reach out to The Reserve Healthcare and Rehabilitation to discuss admission requirements, review funding options, or book a guided tour of the facility.
Nhc Healthcare Parklane in Columbia, South Carolina, features skilled nursing, nursing home care, home care, and hospice services. Clinical oversight operates around the clock for individuals requiring ongoing support, alongside rehabilitation programs designed for short-term recovery. Temporary respite stays allow home-based primary caregivers to take time away, while home care extends supportive assistance beyond the main facility.
Operating under administrator Chandler Todd, this 180-bed facility averages 5 hours and 32 minutes of daily nurse coverage per resident. Amenities on site include chef-prepared and dietitian-approved dining options, as well as a barber and beauty shop for routine grooming. Payment flexibility spans Medicare for qualifying short-term stays, Medicaid for ongoing care needs, and out-of-pocket private funding.
Families interested in learning more can reach out to Nhc Healthcare Parklane to evaluate admission requirements, confirm current bed availability, or request a walk-through of the grounds.
Avg Overall CMS Rating:3.0/ 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:3.0/ 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:2.9/ 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.
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