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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.
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.
$16.0M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$16.0M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SC AVG$12.1M
Rank#20 / 113
$9.0M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$9.0M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SC AVG$7.3M
Rank#23 / 113
56.1%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility56.1%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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
Operating for 18 years, Nhc Healthcare Charleston offers nursing home, home care, hospice care, nursing care, and skilled nursing services in Charleston, SC. Residents have access to services around the clock, with 24-hour staffing available. The community also provides comfort and symptom management for terminally ill residents. Rehabilitation services are also available to help improve residents’ ability to function, particularly after an illness or surgery.
Additionally, home care provides care for older adults who prefer to receive care in their own homes, while respite services on-site allow short-term stays for those whose usual caregiver needs time away. With 132 beds, the community provides a total of 5 hours and 13 minutes of nursing care daily.
The community is administered by Gregory T. Bartlett and accepts Medicare and private pay as payment options. Dietitian and chef-approved meals are also tailored to residents’ nutritional needs. Moreover, an outdoor relaxation area gives residents access to outdoor space.
Wellmore of Daniel Island offers independent living, assisted living, memory care, nursing care and skilled nursing in Charleston, SC. Independent living gives residents a private home with community services and no daily care, while assisted living adds help with bathing, dressing and medication. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing care on site around the clock.
Several care levels are available in one community. That can suit a resident whose needs grow over time without requiring a move to a different community. Respite care and short-term rehabilitation are also available, giving families a temporary option when a primary caregiver needs to travel or recover, with rehabilitation services provided on site.
The community has 174 beds, so it is a larger setting with more residents, staff and programming. Total nurse staffing is 4 hours and 44 minutes per resident per day, which represents the daily nursing time assigned to each resident. Payment options include Medicare and private pay. Medicare can cover short-term skilled care after a hospital stay, while private pay means paying directly for care.
Wellmore of Daniel Island is in the Daniel Island neighborhood, and pets are allowed, so residents may bring a pet when moving in. Specific amenities include restaurant-style fine dining, a salon and spa, and a heated indoor therapy pool. On-site rehabilitation allows residents to receive therapy within the community. Julianna Rae-Lau Hawthorne serves as the administrator.
Administered by Keeley Dyches, Anchor Post Acute is a nursing home that provides skilled nursing and rehabilitation services in Aiken, SC. Residents receive continuous support from licensed nurses and 24-hour staffing. Rehabilitation services also provide recovery support to help improve residents’ mobility and functionality.
Complex wound care is available to address difficult wounds that need specialized treatment. Meanwhile, the on-site salon allows residents to manage personal grooming without arranging an outside appointment.
The community has 120 beds, with 111 beds in use, indicating a 93% occupancy. Moreover, total nurse staffing is 3 hours and 19 minutes per resident per day, representing the daily nurse staffing time allocated per resident. Payment options are Medicare, Medicaid, and private pay, covering public program funding and personal payment arrangements. Aiken Community Healthcare operates the community.
PruittHealth Columbia runs 185 beds in Richland County, Columbia, South Carolina, operating under the PruittHealth brand. At 80.8% occupancy with 140 residents and an average stay of 140 days, the facility skews short-term: the profile classifies it as primarily a short-stay destination, and the care model bears that out.
Rehabilitation is the center of gravity here. The facility confirms physical, occupational, speech, aquatic, and fitness therapy, targeting recovery from post-surgical wounds, injuries, and stroke. Hospice and palliative care round out the clinical offering for residents who need end-of-life support rather than a return to independence. Long-term skilled nursing is available as well, though it is not the primary profile.
Total nursing time is 3 hours and 10 minutes per resident per day. The facility accepts Medicare, Medicaid, and private pay, and carries CMS certification for both government pathways. An active resident council meets regularly. The neighborhood is car-dependent with a Walk Score of 24, so families and visiting staff should plan on driving.
PruittHealth Columbia is a large, rehabilitation-oriented nursing facility built around post-hospital recovery, with enough breadth in its therapy offerings and care types to handle complex clinical presentations, and enough size, at 185 beds, to maintain consistent availability.
Located in Rock Hill, SC, Magnolia Manor – Rock Hill offers independent living, assisted living, memory care, nursing home, and skilled nursing care. The community provides supportive housing, while providing assistance with daily tasks for those who needs. Residents also receive continuous clinical support with nursing services on-site.
The community has 106 beds, with an occupancy of 89.6%. Short-term stays are also welcome, providing temporary relief to usual caregivers. Moreover, residents receive a total of 3 hours and 23 minutes of nursing care daily. Rehabilitation services are available, and the community offers Catered Living, Rehabilitation Care, and Supportive Housing programs.
Payment options include Medicare for eligible short-term skilled care, Medicaid for eligible long-term care coverage, and private pay for families using their own funds. The area has a Walk Score of 60 and is somewhat walkable, meaning some errands can be done on foot; a resident who no longer drives may be able to make certain nearby trips on their own.
White Oak at North Grove provides skilled nursing and memory care in Spartanburg, SC. Long-term nursing care supports residents who need ongoing nursing services, while skilled nursing includes licensed nursing care on site around the clock.
Short-term rehabilitation addresses a defined recovery period, and rehabilitation services include general, orthopedic, stroke, cardiopulmonary, amputee and back injury rehabilitation, along with virtual rehabilitation and the Accelerated Care Plus Program. Memory care provides a secured setting with supervision for someone at risk of wandering, so the combination may suit a family seeking ongoing care, rehabilitation or supervised memory support in one facility.
White Oak at North Grove has 132 beds, with 97% occupancy meaning most beds are filled and availability can change as residents move in or out. Total nurse staffing is 4h 6m per resident each day, representing the daily nursing time allocated across residents.
Medicaid, Medicare and private pay are accepted, giving families several listed ways to cover care. Andrew R. Nelson serves as administrator, and Nhc Healthcare/North Grove operates the facility.
Pruitthealth Rock Hill offers skilled nursing and rehabilitation services in a compassionate environment. The facility provides a comprehensive menu of services tailored to individual health care needs. With a focus on quality care, the staff is dedicated to ensuring comfort and companionship for residents.
Nhc Healthcare Mauldin, located in Greenville, South Carolina, operates an 180-bed facility offering nursing home care, skilled nursing, home care, and hospice care. Short-term rehabilitation services assist residents recovering from illness, injury, or hospital stays, while respite programs offer temporary care when primary caregivers require time away. Amenities feature an outdoor relaxation space, a beauty and barber shop, dietary oversight with chef-approved meals, and tailored rehabilitation therapy.
The community maintains a 93% occupancy rate under administrator Gideon A. Sellars. Daily nurse staffing averages 4 hours and 2 minutes per resident across the center. Financial options include Medicare for short-term recovery needs, Medicaid for ongoing residence, and private pay.
Prospective representatives seeking care options can get in touch with Nhc Healthcare Mauldin to inquire about admission requirements, verify current bed availability, or plan a site visit.
Magnolia Manor in Greenwood is a rehabilitation and skilled nursing community that offers all-inclusive healthcare. Specializing in short-term and long-term nursing care, expect to be treated with kindness and immense patience for a more personal approach to nursing. Magnolia Manor is where seniors can thrive and feel rejuvenated during their recovery.
The license at The Oaks of Orangeburg in Orangeburg, SC, is for nursing home care, assisted living, independent living, and home care. Under nursing home care, licensed nursing is what the designation requires the community to provide. In assisted living, bathing, medication, and dressing, along with other daily tasks, are helped with by staff, while the apartment remains the resident’s.
Independent living keeps the private space and drops the daily care. Home care goes out to the address a person already lives at, rather than requiring someone to move in to receive care.
The daily nursing time figure here is 3 hours and 20 minutes per resident, averaged out over all the 122 beds. The housing comes as suites, and a pet may move in with a resident.
Payment is accepted via private pay, Medicaid, and Medicare.
With four care levels licensed together, a family that anticipates needing more care in the future but is unable to predict when it will be needed has somewhere to start here.
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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