2/5
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.
2/5
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 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.
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.
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.
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.
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.
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.
This home is ranked 61st out of 121 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 24m per day | ▼ 37% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
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 14m per day | ▲ 21% State avg: 1h 1m per day · National avg: 52m per day |
|
Nurse Aide
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 3m per day | ▼ 8% State avg: 2h 13m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 19m per day | ■ Avg State avg: 3h 20m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 7m per day | ▲ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 8m per day | ▼ 67% State avg: 24m per day · National avg: 29m per day |
Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.
68% more staff per resident than South Carolina average
0% compared with South Carolina average
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Manages medical care and health needs.
16 total: 7 full-time employees and 9 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
79 total: 23 full-time employees and 56 contractors.
79
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
149 total: 49 full-time employees and 100 contractors.
149
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Total hours from contractors
5,082 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
| Certified Nursing Assistant | 49 | 100 | 149 | 18,511 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 23 | 56 | 79 | 10,431 | 92 | 100% | 9 |
| Dental Services Staff | 5 | 0 | 5 | 1,842 | 82 | 89% | 7.2 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,603 | 72 | 78% | 6.9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,585 | 66 | 72% | 7.9 |
| Registered Nurse | 7 | 9 | 16 | 1,568 | 86 | 93% | 8.9 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,014 | 70 | 76% | 7.7 |
| Physical Therapy Aide | 4 | 0 | 4 | 901 | 70 | 76% | 7.2 |
| Physical Therapy Assistant | 4 | 0 | 4 | 838 | 74 | 80% | 6.4 |
| Qualified Social Worker | 4 | 0 | 4 | 816 | 68 | 74% | 6.7 |
| RN Director of Nursing | 3 | 0 | 3 | 792 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 2 | 0 | 2 | 506 | 77 | 84% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 311 | 46 | 50% | 6.5 |
| Nurse Aide in Training | 2 | 0 | 2 | 149 | 24 | 26% | 6.2 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 64 | 18 | 20% | 3.6 |
| Medication Aide/Technician | 1 | 0 | 1 | 5 | 1 | 1% | 4.8 |
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)
337% higher than South Carolina averageSouth Carolina average: $34K
23% more fines than South Carolina averageSouth Carolina average: 2.4
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 averageSouth Carolina average: 0.1
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 10, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 10, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageSouth Carolina average: 8.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.5
32% better than South Carolina averageSouth Carolina average: 15.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.8%
55% better than South Carolina averageSouth Carolina average: 13.1%
Percent of long-stay residents whose ability to move independently worsened
5.9%
64% better than South Carolina averageSouth Carolina average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.7%
16% worse than South Carolina averageSouth Carolina average: 17.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
48% worse than South Carolina averageSouth Carolina average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
7.5%
24% worse than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.7%
58% better than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
10.2%
65% worse than South Carolina averageSouth Carolina average: 6.2%
Percent of long-stay residents who have depressive symptoms
7.9%
188% worse than South Carolina averageSouth Carolina average: 2.8%
Percent of long-stay residents who received an antipsychotic medication
4.8%
67% better than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.3%
5% better than South Carolina averageSouth Carolina average: 90.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
6% better than South Carolina averageSouth Carolina average: 90.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.03
In line with South Carolina averageSouth Carolina average: 2.03
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.40
27% better than South Carolina averageSouth Carolina average: 1.91
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
15% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
16% better than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.7%
6% better than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.4%
In line with South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.1%
28% worse than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
3.1%
308% worse than South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.8%
11% better than South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.1%
27% better than South Carolina averageSouth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
64% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Ashley River Healthcare from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #81 / 125Payroll — State benchmarkedThis home is ranked 81st out of 125 homes in South Carolina. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #4 / 125Payroll % — State benchmarkedThis home is ranked 4th out of 125 homes in South Carolina. Shows payroll as a percentage of revenue versus the South Carolina average. Well-run South Carolina facilities typically land around 53–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Shared Rooms
Building Type: 2-story
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Rehabilitative Support
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.4 miles from city center
Estimated distance in miles from Charleston's city center to Ashley River Healthcare's address, calculated via Google Maps.
Add your location
The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.
| Nhc Healthcare Charleston | NH HC NC | Charleston | 132
Facility
132
SC AVG
90
Rank
#37 / 309 |
77.1%
Facility
77.1%
SC AVG
82.1%
Rank
#93 / 131 | -6% | 5.09
Facility
5.09
SC AVG
4.00
Rank
#12 / 121 | +37% | +27% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 123 | 4
Facility
4
SC AVG
13.7
Rank
#8 / 122 | 2.0
Facility
2.0
SC AVG
3.4
Rank
#14 / 122 | - | 81 | A+ | - | Gregory Bartlett | $16.1M
Facility
$16.1M
SC AVG
$13.0M
Rank
#19 / 125 | $9.1M
Facility
$9.1M
SC AVG
$5.4M
Rank
#15 / 125 | 56.3%
Facility
56.3%
SC AVG
44%
Rank
#70 / 125 | 425381 | ||||
| Bishop Gadsden Episcopal Retirement Community | NH AL IL MC | Charleston | 123
Facility
123
SC AVG
90
Rank
#59 / 309 | - | - | 5.57
Facility
5.57
SC AVG
4.00
Rank
#8 / 121 | +61% | +39% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 123 | 10
Facility
10
SC AVG
13.7
Rank
#49 / 122 | 3.3
Facility
3.3
SC AVG
3.4
Rank
#65 / 122 | 1 | 26 | - | - | Lynne L Kerrison | $51.8M
Facility
$51.8M
SC AVG
$13.0M
Rank
#1 / 125 | $30.8M
Facility
$30.8M
SC AVG
$5.4M
Rank
#1 / 125 | 59.5%
Facility
59.5%
SC AVG
44%
Rank
#87 / 125 | 425411 | ||||
| Kempton of Charleston | NH AL MC | Charleston | 89
Facility
89
SC AVG
90
Rank
#142 / 309 |
60.5%
Facility
60.5%
SC AVG
82.1%
Rank
#115 / 131 | -26% | 4.44
Facility
4.44
SC AVG
4.00
Rank
#32 / 121 | +8% | +11% | $6.0k
Facility
$6.0k
SC AVG
$34.8k
Rank
#63 / 123 | 4
Facility
4
SC AVG
13.7
Rank
#8 / 122 | 2.0
Facility
2.0
SC AVG
3.4
Rank
#14 / 122 | - | 20 | - | - | Spring Street Senior Housing Opco LLC | $6.3M
Facility
$6.3M
SC AVG
$13.0M
Rank
#109 / 125 | $4.8M
Facility
$4.8M
SC AVG
$5.4M
Rank
#97 / 125 | 75.9%
Facility
75.9%
SC AVG
44%
Rank
#17 / 125 | 425418 | ||||
| Wellmore of Daniel Island | NH AL IL MC NC | Charleston (Daniel Island) | 174
Facility
174
SC AVG
90
Rank
#16 / 309 |
29.3%
Facility
29.3%
SC AVG
82.1%
Rank
#125 / 131 | -64% | 4.60
Facility
4.60
SC AVG
4.00
Rank
#23 / 121 | +3% | +15% | $12.7k
Facility
$12.7k
SC AVG
$34.8k
Rank
#85 / 123 | 18
Facility
18
SC AVG
13.7
Rank
#96 / 122 | 3.6
Facility
3.6
SC AVG
3.4
Rank
#73 / 122 | 1 | 48 | - |
12
Facility
12
SC AVG
32
Rank
#185 / 232 | Wdi Parent LLC | $7.7M
Facility
$7.7M
SC AVG
$13.0M
Rank
#21 / 125 | $6.9M
Facility
$6.9M
SC AVG
$5.4M
Rank
#31 / 125 | 89.2%
Facility
89.2%
SC AVG
44%
Rank
#101 / 125 | 425414 | ||||
| Ashley River Healthcare | NH | Charleston (Sandhurst) | 125
Facility
125
SC AVG
90
Rank
#56 / 309 |
69.9%
Facility
69.9%
SC AVG
82.1%
Rank
#106 / 131 | -15% | 3.77
Facility
3.77
SC AVG
4.00
Rank
#61 / 121 | -41% | -6% | $46.2k
Facility
$46.2k
SC AVG
$34.8k
Rank
#115 / 123 | 27
Facility
27
SC AVG
13.7
Rank
#114 / 122 | 5.4
Facility
5.4
SC AVG
3.4
Rank
#110 / 122 | 3 | 97 | - |
45
Facility
45
SC AVG
32
Rank
#60 / 232 | - | $8.9M
Facility
$8.9M
SC AVG
$13.0M
Rank
#107 / 125 | $5.8M
Facility
$5.8M
SC AVG
$5.4M
Rank
#81 / 125 | 65.2%
Facility
65.2%
SC AVG
44%
Rank
#4 / 125 | 425362 |
Ashley River Healthcare is located in Charleston, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
Ashley River Healthcare is in the Sandhurst neighborhood.
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.
Ashley River Healthcare's occupancy is 69.9%.
The team at Ashley River Healthcare can be reached at contact-AshleyRiver@ensignservices.net.
Ashley River Healthcare is registered as a for-profit.
Yes — there are 8 photos of Ashley River Healthcare in the photo gallery on this page.
Ashley River Healthcare is located at 1137 Sam Rittenberg Blvd, Charleston, SC 29407.
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