Ashley River Healthcare
Nursing Home & Skilled Nursing · Charleston, SC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Ashley River Healthcare

Nursing Home & Skilled Nursing · Charleston, SC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Calculator: See prices in your area
Ashley River Healthcare accepts Medicare, Medicaid, and private pay.

Overview of Ashley River Healthcare

Ashley River Healthcare is a well-recognized nursing home in Charleston, SC, offering rehabilitation and skilled nursing. The community ensures older adults are treated well in its supportive and home-like setting. With 24-hour care, recreational opportunities, and therapies, residents experience a worry-free retirement. Through a holistic approach to care, the community strives to meet residents’ needs and preferences.

Ice cream socials, lectures, and local trips ensure residents can stay active and explore new interests. Top-notch rehabilitation equipment and cozy common areas ensure residents can rest and interact with their surroundings. Charleston Medical Associates, various restaurants, and a bus stop are available nearby, providing easy access to necessities and leisure. This nursing home is a trusted choice for senior living in South Carolina, especially with its high standards of care.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 75.8% Above SC avg. ▲ 75.8% Above SC avg.SC average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 45.9% Above SC avg. ▲ 45.9% Above SC avg.SC average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 3.7% Above SC avg. ▲ 3.7% Above SC avg.SC average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 48.7% Above SC avg. ▲ 48.7% Above SC avg.SC average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs South Carolina averages

Rank #76 / 117Nurse hours — State benchmarkedThis home is ranked 76th out of 117 homes we track in South Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 117 South Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 76th out of 117 homes we track in South Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 38m

9% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
37m
−4% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 2m
Avg State avg: 1h 1m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 0m
−10% State avg: 2h 13m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 11m
−5% State avg: 3h 20m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
6m
+13% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
22m
−7% State avg: 24m per day · National avg: 29m per day

4 of 6 metrics below state avg

Capacity and availability

This home usually has availability

Lower occupancy than the South Carolina average: 86.4%
Occupancy rate
82.1% Rank #73 / 92Occupancy rate — State benchmarkedThis home is ranked 73rd out of 92 homes we track in South Carolina for occupancy. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 92. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
103
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
266 days
Bed community size
125-bed community Rank #55 / 304Bed count — State benchmarkedThis home is ranked 55th out of 304 homes we track in South Carolina for bed count. Shows this facility's certified or reported bed count compared to other South Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 45 / 100 Rank #58 / 221Walk Score — State benchmarkedThis home is ranked 58th out of 221 homes we track in South Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Carolina facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Contact Ashley River Healthcare

Staffing Data

Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.

Total staff 293
Employees 128
Contractors 165
Staff to resident ratio 3.08 : 1
68% more staff per resident than South Carolina average
South Carolina average ratio: 1.84 : 1 South Carolina average ratio: 1.84 : 1See full South Carolina ranking
Avg staff/day 56
Average shift 8.1 hours
0% compared with South Carolina average
South Carolina average: 7.9 hours South Carolina average shift: 7.9 hoursSee full South Carolina ranking
Total staff hours (quarter) 41,967

Nursing staff breakdown

Q3 2025 · Jul 1 – Sep 30 More info This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 16 total: 7 full-time employees and 9 contractors. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 79 total: 23 full-time employees and 56 contractors. 79
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 149 total: 49 full-time employees and 100 contractors. 149
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

Contractor staffing

Q3 2025 · Jul 1 – Sep 30 More info This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.

Total hours from contractors

12.1%

5,082 contractor hours this quarter

Certified Nursing Assistant: 100 Licensed Practical Nurse: 56 Registered Nurse: 9

Staff by category

Q3 2025 · Jul 1 – Sep 30 More info This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Certified Nursing Assistant4910014918,51192100%8.5
Licensed Practical Nurse23567910,43192100%9
Dental Services Staff5051,8428289%7.2
Speech Language Pathologist8081,6037278%6.9
Clinical Nurse Specialist4041,5856672%7.9
Registered Nurse79161,5688693%8.9
Respiratory Therapy Technician5051,0147076%7.7
Physical Therapy Aide4049017076%7.2
Physical Therapy Assistant4048387480%6.4
Qualified Social Worker4048166874%6.7
RN Director of Nursing3037926672%8
Administrator1015286672%8
Dietitian2025067784%6.6
Nurse Practitioner1015046368%8
Other Dietary Services Staff4043114650%6.5
Nurse Aide in Training2021492426%6.2
Occupational Therapy Assistant101641820%3.6
Medication Aide/Technician101511%4.8
149 Certified Nursing Assistant
% of Days 100%
79 Licensed Practical Nurse
% of Days 100%
5 Dental Services Staff
% of Days 89%
8 Speech Language Pathologist
% of Days 78%

Penalties and fines

Includes penalties issued in 2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $147K Rank #112 / 120Federal fines — State benchmarkedThis home is ranked 112th out of 120 homes we track in South Carolina for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 120 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
337% higher than South Carolina average

South Carolina average: $34K

Number of fines 3
23% more fines than South Carolina average

South Carolina average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
761% more payment denials than South Carolina average

South Carolina average: 0.1

Fines amount comparison
Fines amount comparison
This facility $147K
South Carolina average $34K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 10, 2024
$46K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jan 10, 2024
17 days

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.8
23% better than South Carolina average

South Carolina average: 8.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.5
32% better than South Carolina average

South Carolina average: 15.5

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 5.8%
55% better than South Carolina average

South Carolina average: 13.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.9%
64% better than South Carolina average

South Carolina average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.7%
16% worse than South Carolina average

South Carolina average: 17.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.4%
48% worse than South Carolina average

South Carolina average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.5%
24% worse than South Carolina average

South Carolina average: 6.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
58% better than South Carolina average

South Carolina average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.2%
65% worse than South Carolina average

South Carolina average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.9%
188% worse than South Carolina average

South Carolina average: 2.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.8%
67% better than South Carolina average

South Carolina average: 14.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.3%
5% better than South Carolina average

South Carolina average: 90.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
6% better than South Carolina average

South Carolina average: 90.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.03
In line with South Carolina average

South Carolina average: 2.03

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.40
27% better than South Carolina average

South Carolina average: 1.91

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.5%
15% better than South Carolina average

South Carolina average: 79.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
16% better than South Carolina average

South Carolina average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 82.7%
6% better than South Carolina average

South Carolina average: 78.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.4%
In line with South Carolina average

South Carolina average: 24.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 18.1%
28% worse than South Carolina average

South Carolina average: 14.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.1%
308% worse than South Carolina average

South Carolina average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 59.8%
11% better than South Carolina average

South Carolina average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 64.1%
27% better than South Carolina average

South Carolina average: 50.6%

Breakdown by payment type

Medicare

64% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

32% of new residents, often for short stays.

Typical stay 4 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 10 - 11 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 95
Medicare
19
20% of residents
Medicaid
72
75.8% of residents
Private pay or other
4
4.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.4M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.9M Rank #73 / 113Net patient revenue — State benchmarkedThis home is ranked 73rd out of 113 homes we track in South Carolina. Shows this facility's net patient revenue compared to the South Carolina average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.4M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$168
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #74 / 113Payroll costs — State benchmarkedThis home is ranked 74th out of 113 homes we track in South Carolina. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$5.8M 65.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #37 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 37th out of 113 homes we track in South Carolina. Shows payroll as a percentage of net patient revenue versus the South Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.4M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Shared Rooms

Building type icon
Building type icon

Building Type: 2-story

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (64% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
143 total

Coverage residents most often arrive under.

Medicare 64%
Private pay 32%
Medicaid 4%
Discharges
120 total

Coverage residents most often leave under.

Medicare 70%
Private pay 29%
Medicaid 1%

Places of interest near Ashley River Healthcare

Address 4.4 miles from city center Info Estimated distance in miles from Charleston's city center to Ashley River Healthcare's address, calculated via Google Maps.

Calculate Travel Distance to Ashley River Healthcare

Add your location

Address

Compare Nursing Homes around Charleston

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 Table AL (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. 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.
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.
Bishop Gadsden Episcopal Retirement Community
NH
AL
IL
MC
SNF
Charleston
123
Facility 123
SC AVG 90
Rank #58 / 304
--
6.04
Facility 6.04
SC AVG 4.00
Rank #6 / 117
+61%+51%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
10
Facility 10
SC AVG 13.7
Rank #49 / 119
3.3
Facility 3.3
SC AVG 3.4
Rank #64 / 119
121--Lynne L Kerrison
$51.8MFiscal year ending 12/2023
Facility $51.8MFiscal year ending 12/2023
SC AVG $12.1M
Rank #1 / 113
$30.8MFiscal year ending 12/2023
Facility $30.8MFiscal year ending 12/2023
SC AVG $7.3M
Rank #1 / 113
59.5%Fiscal year ending 12/2023
Facility 59.5%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #57 / 113
425411
Kempton of Charleston
NH
AL
MC
SNF
Charleston
89
Facility 89
SC AVG 90
Rank #140 / 304
--
4.63
Facility 4.63
SC AVG 4.00
Rank #28 / 117
+8%+16%
$6.0k
Facility $6.0k
SC AVG $34.8k
Rank #61 / 120
4
Facility 4
SC AVG 13.7
Rank #8 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
-20--Spring Street Senior Housing Opco LLC---425418
Ashley River Healthcare
NH
SNF
Charleston (Sandhurst)
125
Facility 125
SC AVG 90
Rank #55 / 304
82.1%
Facility 82.1%
SC AVG 86.4
Rank #73 / 92
-5%
3.64
Facility 3.64
SC AVG 4.00
Rank #76 / 117
-41%-9%
$46.2k
Facility $46.2k
SC AVG $34.8k
Rank #112 / 120
27
Facility 27
SC AVG 13.7
Rank #111 / 119
5.4
Facility 5.4
SC AVG 3.4
Rank #107 / 119
3103-
45
Facility 45
SC AVG 34
Rank #58 / 221
-
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
SC AVG $12.1M
Rank #73 / 113
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
SC AVG $7.3M
Rank #74 / 113
65.2%Fiscal year ending 12/2023
Facility 65.2%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #37 / 113
425362
Wellmore of Daniel Island
NH
AL
IL
MC
SNF
Charleston (Daniel Island)
174
Facility 174
SC AVG 90
Rank #16 / 304
29.3%
Facility 29.3%
SC AVG 86.4
Rank #90 / 92
-66%
4.74
Facility 4.74
SC AVG 4.00
Rank #23 / 117
+3%+19%
$12.7k
Facility $12.7k
SC AVG $34.8k
Rank #83 / 120
18
Facility 18
SC AVG 13.7
Rank #94 / 119
3.6
Facility 3.6
SC AVG 3.4
Rank #72 / 119
151-
12
Facility 12
SC AVG 34
Rank #183 / 221
Wdi Parent LLC
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
SC AVG $12.1M
Rank #90 / 113
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
SC AVG $7.3M
Rank #55 / 113
89.2%Fiscal year ending 12/2023
Facility 89.2%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #8 / 113
425414
Nhc Healthcare Charleston
NH
HC
HOS
SNF
Charleston
132
Facility 132
SC AVG 90
Rank #36 / 304
--
5.22
Facility 5.22
SC AVG 4.00
Rank #11 / 117
+37%+31%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
4
Facility 4
SC AVG 13.7
Rank #8 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
-77A+-Gregory Bartlett
$16.1MFiscal year ending 12/2023
Facility $16.1MFiscal year ending 12/2023
SC AVG $12.1M
Rank #19 / 113
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
SC AVG $7.3M
Rank #21 / 113
56.3%Fiscal year ending 12/2023
Facility 56.3%Fiscal year ending 12/2023
SC AVG 62.8%
Rank #64 / 113
425381

Financial Assistance for
Nursing Home in South Carolina

Ashley River Healthcare is located in Charleston, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.

Get Financial aid guidance

Community Long Term Care (CLTC)

SC Medicaid CLTC

Age 65+ or disabled
General South Carolina resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
SC

High rural demand; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

South Carolina Respite Care Program

SC NFCSP Respite

Age Caregiver of someone 60+ (or with dementia)
General South Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
SC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

South Carolina Medicare Savings Program

Age 65+ or disabled
General SC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
SC

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

South Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General SC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
SC

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Carolina SFMNP

Age 60+
General SC resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SC

Vouchers (~$50/season); serves ~20,000 annually via 10 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Homestead Exemption Program

South Carolina Homestead Exemption

Age 65+ (or disabled/blind)
General SC resident 1+ year, homeowner.
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed; home-focused.
SC

Saves ~$500-$1,000/year avg.; applies to primary residence.

Benefits
Property tax exemption (~$50,000 value, ~$500-$1,000/year savings)

Elderly Simplified Application Project (ESAP)

South Carolina ESAP (SNAP for Seniors)

Age 60+
General SC resident, no earned income, not on SCCAP.
Income Limits (2025) ~$1,732/month 133% FPL, individual
Asset Limits $4,250 individual, higher than standard SNAP
SC

Simplified process; serves ~50,000 seniors annually.

Benefits
EBT card for food (~$100-$300/month based on income)

Frequently Asked Questions about Ashley River Healthcare

What neighborhood is Ashley River Healthcare in?

Ashley River Healthcare is in the Sandhurst neighborhood of Charleston.

Is Ashley River Healthcare in a walkable area?

Ashley River Healthcare has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Ashley River Healthcare?

Ashley River Healthcare's occupancy is 69.9%.

Are pets allowed at Ashley River Healthcare?

No, Ashley River Healthcare has a no-pet policy.

What is the best email address for Ashley River Healthcare?

The team at Ashley River Healthcare can be reached at contact-AshleyRiver@ensignservices.net.

Does Ashley River Healthcare operate as a for-profit or non-profit?

Ashley River Healthcare is registered as a for-profit.

Are there photos of Ashley River Healthcare?

Yes — there are 8 photos of Ashley River Healthcare in the photo gallery on this page.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance