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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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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
Prince George Healthcare Center is a 148 bed nursing home in Georgetown, SC, offering skilled nursing with licensed nurses on site around the clock. The community may be a good fit for someone who needs ongoing nursing oversight rather than help with daily tasks alone.
Medicare, Medicaid, and private pay are accepted, giving families payment options based on eligibility or their payment arrangement. Nurse staffing totals 3 hours and 19 minutes per resident per day, which represents the daily hands on nursing time assigned to each resident. Helen L. Cribb serves as administrator, and Palmetto Prince George Operating operates the community.
Franke at Seaside is a continuing care retirement community in Mt Pleasant, SC, with independent living, assisted living, memory care, hospice care, nursing home care and skilled nursing. Independent living offers private living with community services and no daily care, while assisted living adds help with dressing, bathing and medications. Memory care is provided in a secured setting with supervision for someone at risk of wandering.
Nursing home and skilled nursing provide licensed nursing care on site around the clock. Hospice care focuses on comfort for residents at the end of life, and rehabilitation services are available for therapy during recovery or to help maintain function. Having several care levels in one community may suit a resident whose needs could grow over time without requiring a move elsewhere.
The community has 44 beds, creating a smaller setting where staff and residents can get to know one another. Residents have private rooms rather than shared rooms, and total nurse staffing is 4 hours 43 minutes per resident per day. Medicare and private pay are accepted. A Walk Score of 53 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may still be able to complete certain nearby errands independently. Sandy A. Stoll serves as administrator, and Lutheran Homes Of South Carolina operates Franke at Seaside.
Manna Post Acute in Pickens, South Carolina, operates a 130-bed nursing facility offering skilled nursing care alongside structured rehabilitation programs. Daily services focus on clinical support for residents in recovery as well as those needing long-term care arrangements.
Pickens Skilled Nursing runs the community under administrator Todd Griggs. Nursing staff time averages 3 hours and 29 minutes per resident each day across the building. Financial arrangements can be made through Medicare, Medicaid, or private payment channels.
Interested families can connect directly with Manna Post Acute to discuss current admission policies, explore available therapy programs, and evaluate coverage choices.
Anderson Community Healthcare LLC holds the operating license at Linley Park Post Acute in Anderson, South Carolina, and Kevin McCowan runs the building. Skilled nursing and long-term nursing home care are both attached to it.
Skilled nursing puts a licensed nurse on duty at every hour, including the ones nobody plans for. A fall when everyone is usually asleep at home separates this from a house without constant supervision. Two kinds of residents fit here: one who’s rebuilding after surgery, and the one whose needs for nursing don’t have an end in sight.
Rehabilitation belongs to the same service list. About 95.8% of the 88 beds are spoken for on the average day. A discharge planner and a family rarely work on the same timeline, and a building this full may not open a room on schedule, so planning in advance will help.
Medicare handles the first weeks out of a hospital, and Medicaid picks up when savings stop covering a longer stay. Private funds take care of the rest. Nursing time reaches 3 hours and 9 minutes a resident, daily.
Oak Harbor Healthcare offers long-term nursing home support and skilled nursing services in Mount Pleasant, South Carolina. Residents needing physical recovery can access in-house rehabilitation and therapy programs on site, eliminating the need to arrange outside transportation for treatment.
Starling Healthcare operates the 132-bed community under administrator Braden Wiscombe. Nursing records show an average of 3 hours and 48 minutes of direct, hands-on care provided per resident each day. Financial options accept Medicare, Medicaid, and private payment methods.
Prospective residents seeking skilled nursing or rehabilitation services can connect with Oak Harbor Healthcare to ask about current room availability, discuss insurance coverage, or arrange a guided tour.
Wesley Commons offers nursing home and skilled nursing care, assisted living, memory care, and independent living in Greenwood, SC. Assisted living includes help with daily tasks, while independent living supports private living without daily care. Memory care provides a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock. With several care levels on one campus, Wesley Commons may be a good fit for a resident whose needs could grow over time without requiring a move to a different community.
Respite care is available for short stays. That can suit a family caregiver who needs time to travel or recover. Wesley Commons has 80 beds, with total nurse staffing of 4 hours and 23 minutes per resident each day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted: Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay uses personal funds.
A wellness complex measuring 7,500 square feet includes an indoor pool and fitness center, while nature trails, pickleball courts, shuffleboard courts, and a putting green offer additional spaces for exercise and recreation. Social activities and interest groups provide organized ways to spend time with others, and volunteer opportunities offer another way to take part in community life. Rehabilitation services and short term rehab support temporary recovery needs at the community. David B. Buckshorn serves as director, and the range of care, respite option, and rehabilitation services can suit a resident or family seeking both ongoing support and short term care options.
White Oak Estates offers nursing home, assisted living, independent living, memory care, skilled nursing, and short term rehabilitation in Spartanburg, SC. Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Short term rehabilitation supports a temporary recovery stay. Assisted living helps with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space, while independent living offers private living with community services and no daily care.
Memory care provides a secured setting with supervision for someone at risk of wandering. The community has 88 beds, giving families a clear sense of its size without indicating a particular level of occupancy. Total nurse staffing is 3h 58m per resident per day, representing daily hands on nursing time for each resident.
Payment options include Medicaid, Medicare, and private pay. Medicaid may help eligible residents whose savings do not cover a long stay, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means paying directly. Emma Bowers serves as the administrator, and Nhc Estates operates the community.
The combination of independent living, assisted living, memory care, nursing home, and skilled nursing may be a good fit for a resident whose needs could grow over time, because moving to another care level may not require leaving the community.
Fountain Inn Post Acute operates in Fountain Inn, South Carolina, delivering nursing home care, skilled nursing, memory care, palliative services, hospice care, and respite stays. Memory care accommodates residents living with Alzheimer’s or other forms of dementia within a structured environment, while hospice and palliative care focus on comfort-based needs. Rehabilitation facilities include an expansive on-site gym where residents complete short-term therapy sessions, while residential accommodations feature private bathrooms with showers, salon services, and outdoor courtyards.
Managed by Fountain Inn Healthcare with Katherine Joy as administrator, this 60-bed facility averages 3 hours and 18 minutes of daily nurse staffing per resident. Kitchen staff prepares daily meals aligned with individual dietary and therapeutic requirements. Accepted payment options include Medicare, Medicaid, and direct private pay.
Prospective families interested in long-term placement or short-term rehab can reach Fountain Inn Post Acute to check room availability, schedule a facility walkthrough, or review specific care plans.
Overview of Lexington Medical Center Extended Care
Lexington Medical Center Extended Care provides nursing home, memory care, and skilled nursing in Lexington, SC. Nursing home services include long-term care, while skilled nursing provides licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for a resident at risk of wandering. Rehabilitation services support residents recovering from an illness or injury who need care during that process.
Lexington Medical Center Extended Care may be a good fit for a resident whose needs include ongoing nursing support, memory care, or rehabilitation services. The home has 388 beds, making it a larger community with more residents, staff, and usually more programming. Total nurse staffing is 4 hours and 13 minutes per resident per day, representing the daily hands-on nursing time allocated per resident. Medicare, Medicaid, and private pay are accepted; Medicaid can matter when savings may not cover a long stay, while Medicare generally covers short-term skilled care after a hospital stay rather than long-term residence. Kathryn Gill serves as the administrator, and Lexmed operates the community.
At its location in Greenwood, SC, Nhc HealthCare Greenwood provides skilled nursing, hospice care, home care, and nursing home care. That last one is residential nursing care for people who need it on an ongoing basis. For skilled nursing, a licensed nurse is present day and night, and the services include 24-Hour Staffing, and a salon is on-site.
Home care goes to people in their own homes. Hospice care is concerned with comfort for people nearing the end of life.
The home has 152 beds, and nursing time per resident per day amounts to 3 hours and 39 minutes daily. Payment through Medicare, Medicaid, or private pay gives a family public coverage or the option to pay directly. Jacob Shearer is the administrator.
Therapy Services and Short-Term Rehab carry recovery through a temporary stay. When the person who usually gives care is away, respite care takes the resident for a short stay. Someone recovering from illness or injury, or a family wanting temporary relief from caregiving, is who this home fits.
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: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.
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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