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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
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.
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 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.
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.
$9.9M*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.
$4.7M*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.
47.1%*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.
Myrtle Beach Manor provides assisted living, memory care, respite care, and skilled nursing in Myrtle Beach, SC. A dedicated Alzheimer’s unit is also provided through the memory care programs for those at risk of wandering, and respite care offers a short stay when a resident’s usual caregiver needs to travel or recover.
The range of care can suit a resident whose needs grow over time, since care levels can continue within the same community. The community has a 111-bed capacity, including studios and one-bedroom layouts. Studios have one private space, while a one-bedroom layout separates the sleeping and living areas.
Total nurse staffing is 5 hours and 1 minute per resident per day, representing the daily nursing time allocated to each resident. Medicare and private pay are also accepted, with Medicare covering short-term skilled care after a hospital stay, while private pay means paying directly for care. Pets are allowed, so a resident can continue living with a small animal companion.
A Walk Score of 41 places the area in a car-dependent setting, meaning most errands require a car or a ride. A resident who no longer drives would need transportation for those trips. Elizabeth Schmeizl serves as administrator, and SNH Sc Tenant operates the community.
Overview of Seneca Health and Rehabilitation Center
Seneca Health and Rehabilitation Center is a 132-bed skilled nursing and rehabilitation facility in Seneca, South Carolina. Owned by Seneca Facility LLC and administered by Kathleen S. Wilson, the community is situated in Oconee County and accredited by The Joint Commission. Medicaid, Medicare, and private pay are accepted. The facility primarily serves long-term care residents, with 61 percent Medicaid admissions and an average stay of 115 days.
CMS rates Seneca Health and Rehabilitation Center at 1 star, 66 percent below the South Carolina average, with all four sub-categories trailing the state benchmark. The health inspection rating is 27 percent below the state average. 18 total health citations were recorded across four inspections since 2021, above the South Carolina average of 13.7. Two serious citations stand out, placing the facility 16th of 23 South Carolina nursing homes in that category and 567 percent above the state average of 0.3 serious citations. Top deficiency categories include quality of life and care, infection control, and resident rights. The most recent inspection in February 2025 produced three infection control citations and a nutrition citation, all corrected. Two civil money penalties totaling $5,000 were assessed in September and October 2023, below the South Carolina average of $34,000, with no payment denials. Meanwhile, staffing runs below state benchmarks across most categories. Total nursing hours reach 3 hours and 28 minutes per resident per day, 15 percent below the South Carolina average of 4 hours and 5 minutes. RN hours at 23 minutes per day are 39 percent below the state average of 38 minutes, and weekend RN coverage at 13 minutes per day is 46 percent below the South Carolina benchmark. Long-stay hospitalization and ED visit rates are better than the South Carolina average, a meaningful upside in a facility serving primarily long-stay residents. Walking ability decline at 36.7 percent of long-stay residents is 126 percent worse than the state average, and the short-stay re-hospitalization rate of 36.2 percent is 47 percent above the 24.7 percent state figure.
Seneca Health and Rehabilitation Center serves Oconee County families primarily in a long-term care capacity. Families considering placement should ask directly about the two serious citations, staffing levels, and current infection control and care planning practices.
Located in Rock Hill, South Carolina, Westminster Towers Residential is a nonprofit skilled nursing and rehabilitation community. It has been operated by Westminster Presbyterian Center Inc. since 1989. The 57-bed community holds CCAC accreditation and offers a continuum across independent living, assisted living, skilled nursing, and short-term rehabilitation on one campus.
CMS gives the facility an overall rating of 3 stars. Staffing stands out, with nurse hours averaging 4 hours and 56 minutes per resident per day. It is roughly 21% above the South Carolina average, which reflects meaningful direct-care capacity for residents with heavier needs. Quality Measures perform below state averages, the primary factor lowering the overall rating.
The facility offers on-site rehabilitation services supporting post-acute recovery. Programs such as the HomeBridge and Life Enrichment Calendar serve both short-stay and longer-term residents. Medicare and private pay are both accepted.
Westminster Towers is best suited for older adults in the Rock Hill area looking for post-acute rehabilitation or a campus-based continuum where assisted living, skilled nursing, and independent living are available within a single campus.
Aiken Rehabilitation and Care Center is a privately owned nursing home in Aiken, South Carolina, providing short-term rehabilitation, long-term skilled nursing care, respite services, and dietary support. The community is operated by Pepper Hill SNF Operations Holdings LLC, with a 125-bed capacity. Medicare, Medicaid, and private-pay options are all accepted, supporting access for residents with a variety of coverage and financial situations.
The resident mix includes both short-term rehabilitation and long-term care populations, with occupancy averaging 85.1%, above the South Carolina average.
The community holds a 3-star overall CMS rating, performing slightly above the South Carolina average overall. Health inspection performance ranks approximately 9% above the state benchmark, while staffing scores align closely with statewide averages. On the other hand, quality measures fall roughly 43% below South Carolina averages.
Total nursing and licensed practical nurse coverage averages are both higher than the state average, making it one of the community’s strongest staffing indicators. Nurse aide coverage and weekend nursing hours also perform above the state average. Registered nurse staffing, however, is notably lower than average at 23 minutes per resident daily, with weekend RN coverage also significantly below the statewide average.
Inspection performance over the past five years reflects a mixed but generally stable compliance history, with a total of six health inspections. This is above the South Carolina average of 3.9 inspections, and the most recent survey was completed in March 2025. A total of 16 health citations are recorded, slightly above the statewide average, though the average number of citations per inspection remained below state norms, suggesting improving compliance performance over time.
Importantly, no critical or serious citations were identified during the five-year review period. All recorded deficiencies were classified as moderate or minor in severity, and all were corrected. Citation categories included pharmacy services, abuse prevention and neglect safeguards, and quality of care and quality of life standards. A wide range of amenities and social features, including a therapy gym, solariums used for dining and activities, organized outings, transportation services, and seasonal recreational events, are provided.
Aiken Rehabilitation and Care Center is a solid option for older adults in Aiken County seeking post-acute rehabilitation or long-term skilled nursing support, particularly those who prioritize strong licensed practical nurse and nurse aide staffing levels. Interested families with more medically complex conditions, however, should consider its lower-than-average RN and weekend RN coverage when assessing overall clinical oversight needs.
Operated by Easley Community Healthcare LLC under owner Grant Dixon and administered by Jordan Hall, Powdersville Post Acute is a nursing home in Easley, South Carolina. The 60-bed facility focuses on post-acute rehabilitation and serves residents recovering from surgery, illness, or a hospital stay. Residents stay an average of 40 days because of the home’s role as a transitional care setting. It helps residents regain strength and independence before returning home or moving to longer-term care.
The home has an occupancy rate of 91%, reflecting steady demand for its services. Families can pay through Medicare, Medicaid, and private pay to cover short-term rehabilitation stays.
Nurse staffing averages 3 hours and 22 minutes of nursing care each day. Registered nurses provide 25 minutes of daily care, nurse aides contribute 1 hour and 40 minutes, and LPN/LVN staff provide 1 hour and 13 minutes. This combination of licensed and certified nursing personnel supports the hands-on care and rehabilitation services that defines the facility’s mission.
Families considering Powdersville Post Acute for a loved one’s recovery should take a tour of the facility’s recovery setup and discuss the rehabilitation programs available for their family member’s specific condition.
Located in Marion County, Musc Health Mullins Nursing Center is a 92-bed skilled nursing facility in Mullins, South Carolina. The Medical University Hospital Authority operates the facility, and Daniel E Lewis serves as administrator. Medicare, Medicaid, and private pay are accepted payment options that help families cover both short-term and ongoing care.
Care at the facility focuses on long-term nursing, geriatrics, and palliative care. Memory care and respite care are also available. This combination supports residents who need continued clinical care. It also helps families seeking shorter respite stays or care for memory-related needs. Residents stay an average of 171 days, which reflects longer-term residents and those receiving care for a limited period.
Total nursing coverage averages about 3 hours and 38 minutes per resident daily. Registered nurses provide 34 minutes of that daily total, licensed practical or vocational nurses contribute 53 minutes, and nurse aides provide about 2 hours and 18 minutes per resident each day. This staffing mix combines clinical nursing oversight with hands-on daily assistance. The 92-bed facility currently has about 80% occupancy, and 73 are currently filled.
State and federal inspection data have mainly focused on quality-of-life and care practices. Other areas include medication and pharmacy management and infection control procedures. Families touring the facility can ask how staff monitor these areas daily.
Nhc Healthcare Charleston is a skilled nursing facility located in Charleston, SC. It offers a range of services including skilled nursing care, rehabilitation, and long-term care. The facility is dedicated to providing personalized care in a comfortable and supportive environment.
Operated by Stoney Hill Healthcare LLC, Millennium Post Acute Rehabilitation is a nursing home in West Columbia, South Carolina. The 132-bed community, under administrator Drew E McQuillen, takes Medicaid, Medicare, and private pay, making it accessible to families with numerous coverage choices for longer-term care and short-term rehabilitation.
The facility focuses on rehabilitation services, with in-house therapy to support recovery from surgery, injury, or hospital stays. Staffing includes 2 hours 26 minutes of total nursing care per resident day, backed by registered nurses, nurse aides, and licensed practical nurses. The community has an 89 percent occupancy rate, with residents averaging 155 days in stay, a timeframe reflecting a blend of post-acute rehabilitation patients and those needing ongoing skilled nursing care. Beyond clinical services, the home offers activities and excursions to bolster residents’ engagement, and includes church services for those who value spiritual community. For visiting family members, West Columbia’s location provides good access.
For families contemplating a rehabilitation focus and skilled nursing care, touring in person will paint a clear picture of the environment and care approach.
Operated by Edgefield Community Healthcare LLC under the ownership of Michael Faircloth and administered by Kevin J Ginn, Edgefield Post Acute is a skilled nursing home in Edgefield, South Carolina. The 120-bed facility accepts Medicare, Medicaid, and private pay, giving families several ways to cover both short-term rehabilitation and longer-term nursing care.
The community has an occupancy rate of 89%. Residents stay an average of 190 days, including a mix of people receiving post-acute rehabilitation and those needing ongoing nursing support. Rehabilitation services are a major focus of the facility, and respite care is available for families who need temporary support for a loved one. The home has 24-hour staffing for continuous coverage.
Nurse staffing averages 3 hours and 10 minutes of nursing care each day. Nurse aides provide 2 hours and 43 minutes of that daily care. The level of staffing supports hands-on assistance and daily nursing needs for residents recovering from illness, surgery, or hospitalization, and those requiring longer-term skilled care.
Families exploring care options for someone recovering from surgery, illness, or a hospital stay should consider Edgefield Post Acute because of its smaller-town setting with proximity to local medical facilities.
Wellmore of Daniel Island is a dreamlike haven where every retiree can find a home that suits their unique needs and preferences. From assisted living to Alzheimer’s and dementia care, skilled nursing, and short-term rehab, the community takes pride in its ability to offer a full range of care options. Independent living, assisted living, memory care, or skilled nursing, the community has it all, making it the perfect choice for those seeking an unparalleled retirement experience. The community’s on-site rehab services and heated indoor therapy and classroom aerobic space are ideal for those who want to stay healthy and active. With 11 unique floor plans to choose from, residents can pick the perfect home that fits their lifestyle and preferences. The proximity to the Magnolia Plantation and Gardens adds to the charm of the community, making it a breathtakingly beautiful destination for all. Fine dining options, activity rooms, living rooms, studies, cafe bars, and even a salon and spa are available to ensure that residents have everything they need to thrive.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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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.
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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