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Bishop Gadsden Episcopal Retirement Community
Nursing Home, Assisted Living, Independent Living, Memory Care & 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.
Dining area with modern furniture and a welcoming atmosphere Bright common area with tables and artwork Interior view of a common area in a senior living facility Interior view of a welcoming common area with artwork Outdoor courtyard with wooden pergola and seating Bright and welcoming lobby area with seating and bookshelves Elegant dining area with tables and chairs Modern fitness area with equipment and windows Bright reception area of a senior living facility Dining area with tables and light fixtures Bright dining area with modern furnishings and food display Residents enjoying a water volleyball game in the pool Residents enjoying a spa day with pedicures

Bishop Gadsden Episcopal Retirement Community

Nursing Home, Assisted Living, Independent Living, Memory Care & 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.
1 Bishop Gadsden Way, Charleston, SC 29412-3506 View map
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Bishop Gadsden Episcopal Retirement Community accepts Medicare and private pay.
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Bishop Gadsden Episcopal Retirement Community accepts Medicare and private pay.

Overview of Bishop Gadsden Episcopal Retirement Community

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Bishop Gadsden Episcopal Retirement Community in Charleston, South Carolina, offers independent living, assisted living, memory care, nursing home and skilled nursing care, and respite care. Independent living means having a private home with community services and no daily care, while assisted living adds help with tasks such as dressing, bathing, and taking medication. Memory care is provided in a secured setting with supervision. Nursing home and skilled nursing care provide licensed nursing care onsite around the clock, and respite care offers a short stay when someone’s usual caregiver needs to travel or recover.

The range of care levels may suit a resident whose needs grow over time, since care can continue within the same community rather than requiring a move elsewhere. Bishop Gadsden has 123 beds. Jonna Cook serves as the administrator.

Payment options are Medicare and private pay. Medicare can cover short term skilled care after a hospital stay, while private pay means the family pays directly. Total nurse staffing is 6 hours and 2 minutes per resident per day, representing the daily nurse staffing time allocated to each resident.

Rehabilitation services include short term rehabilitation and BG Therapy for residents who need recovery focused care. The community also has a wellness center, pool, spa, onsite clinic, and pharmacy, giving residents access to exercise, swimming, personal care, and health related services without leaving the community.

More than 120 acres include nature trails, a community garden, and a croquet court. Residents can spend time outdoors, garden, walk, or play croquet. Dining options include a café and fine dining, and religious services are available for residents who wish to attend.

Facility Direct Line (843) 762-3300
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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.
▲ 72.9% Above SC avg. ▲ 72.9% 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.
▲ 19.0% Above SC avg. ▲ 19.0% 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 #6 / 117Nurse hours — State benchmarkedThis nursing home is ranked 6th out of 117 nursing 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 compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes 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 nursing home is ranked 6th out of 117 nursing 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.

6h 2m

51% above 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.
1h 23m
+120% 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 27m
+42% 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.
3h 12m
+45% 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.
5h 27m
+63% 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.
15m
+195% 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.
1h 3m
+161% State avg: 24m per day · National avg: 29m per day

All 6 underlying metrics are above the state average

Standout metric: Physical Therapist is +195% above South Carolina average

By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 123 Rank #49 / 132Bed count — State benchmarkedThis nursing home is ranked 49th out of 132 nursing 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 compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes 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.

Medium-capacity home · Offers a balance of services and community atmosphere.

Residents per day Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
21
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.
20 days

About this community

License Details

StatusActive
CountyCharleston
License NumberCRC-0451
Business TypeNon-Profit Corporation
CMS Certification Number425411

Ownership & Operating Entity

Bishop Gadsden Episcopal Retirement Community is legally operated by Bishop Gadsden Episcopal Retirement Community, and administered by Jonna Cook.

Owner NameBishop Gadsden Episcopal Retirement Community

Leadership

Administrator Emailjonna.cook@bishopgadsden.org

Staff Details

Total Employees
190
Full-Time Employees
190

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Memory & Specialized Care

1 service
Dedicated Alzheimer's Unit

Contact Information

Email jonna.cook@bishopgadsden.org

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Wellness Center
Spa
Garden
Dining
Nature Trails
Croquet Court
Activities
Specific ProgramsSkilled Care, Short Term Rehab, BG Therapy, BG At Home, The Embark Program, Calendar of Events, Culinary
Religious Services
Volunteer Program

Contact Bishop Gadsden Episcopal Retirement Community

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

In South Carolina, the Department of Public Health, Bureau of Healthcare Quality conducts unannounced inspections to ensure care providers meet all health and safety codes.

Since 2022 · 4 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 11 deficiencies 4 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. South Carolina state average
Overall vs. SC average 0 Worse No metrics in this bucket. 2 Better Metrics better than South Carolina average:
• Total deficiencies (15% below)
• Deficiencies per inspection (23% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilitySC Averagevs. SC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1113 This facility has 15% fewer total deficiencies than a typical South Carolina nursing home (11 vs. SC avg 13).↓ 15% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.83.62 This facility has 23% fewer deficiencies per inspection than a typical South Carolina nursing home (2.8 vs. SC avg 3.62).↓ 23% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilitySC Averagevs. SC Avg
Total inspections Info Combined count of all inspections conducted at this facility. 44 This facility has total inspections in line with the South Carolina average (4 vs. SC avg 4).— At avg
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

South Carolina average 3.8

Last Health inspection on Apr 2025

Total health citations
10 Rank #45 / 117Health citations — State benchmarkedThis nursing home is ranked 45th out of 117 nursing homes we track in South Carolina for health citations. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 117 SC facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes 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.

South Carolina average 12.9

Citations per inspection
3.33 Rank #59 / 117Citations per inspection — State benchmarkedThis nursing home is ranked 59th out of 117 nursing homes we track in South Carolina for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 117 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes 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.

South Carolina average 3.39

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 10 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)
Critical health citations
1
11% worse than South Carolina average

South Carolina average: 0.9

Serious health citations
0
100% better than South Carolina average

South Carolina average: 0.3

1 critical citation South Carolina average: 0.9
0 serious citations South Carolina average: 0.3
9 moderate citations South Carolina average: 11.7
0 minor citations South Carolina average: 0.1
Citations history (last 4 years)
Quality of Care moderate citation Apr 25, 2025
Corrected
Care Planning moderate citation Apr 25, 2025
Corrected
Care Planning moderate citation Apr 25, 2025
Corrected
Nursing Services moderate citation Mar 20, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 206
Employees 154
Contractors 52
Staff to resident ratio 9.36 : 1
Avg staff/day 69
Average shift 2.6 hours
67% worse than South Carolina average
South Carolina average: 7.9 hours South Carolina average shift: 7.9 hoursSee full South Carolina ranking
Total staff hours (quarter) 16,245

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 31 total: 29 full-time employees and 2 contractors. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 3.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 36 total: 20 full-time employees and 16 contractors. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 3.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 91 total: 64 full-time employees and 27 contractors. 91
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 2.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.9%

960 contractor hours this quarter

Certified Nursing Assistant: 27 Licensed Practical Nurse: 16 Medical Director: 3 Registered Nurse: 2 Feeding Assistant: 2 Qualified Social Worker: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6427916,80192100%2.3
Registered Nurse292313,08892100%3.4
Licensed Practical Nurse2016362,76492100%3.2
Respiratory Therapy Technician100105667582%2.4
Speech Language Pathologist7075007683%1.9
Qualified Social Worker4154157582%2.1
RN Director of Nursing2022846672%2.3
Mental Health Service Worker2022736571%2.3
Physical Therapy Assistant3032687885%1.8
Feeding Assistant0222586571%2.3
Clinical Nurse Specialist3032386267%2.3
Occupational Therapy Aide1011466470%2.3
Nurse Practitioner1011396166%2.3
Administrator1011305762%2.3
Medical Director0331276166%2
Physical Therapy Aide2021075661%1.9
Respiratory Therapist303794650%1.7
Dietitian101532729%1.9
Other Dietary Services Staff101522%2.6
Occupational Therapy Assistant011433%1.4
91 Certified Nursing Assistant
% of Days 100%
31 Registered Nurse
% of Days 100%
36 Licensed Practical Nurse
% of Days 100%
10 Respiratory Therapy Technician
% of Days 82%
View All Staffing Data in Charleston

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

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

Short-stay resident measures
Above average South Carolina avg: 2.8 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 99.9%
26% 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 0.9%
47% 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 92.0%
18% 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. 20.1%
19% better than South Carolina average

South Carolina average: 24.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.9%
6% 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. 0.7%
10% better 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. 72.7%
35% 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. 65.1%
29% better than South Carolina average

South Carolina average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

63% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

37% of new residents, often for short stays.

Typical stay 5 - 6 months

Facility Characteristics

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

Total residents 22
Medicare
22
100% of residents
Programs & Services
Residents Group

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

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

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.

Finances and operations

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

Nonprofit
Operated by a nonprofit corporation.
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."
$51.8M
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."
-$15.2M
Nonprofit Operated by a nonprofit corporation.
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."
$51.8M Rank #1 / 113Net patient revenue — State benchmarkedThis nursing home is ranked 1st out of 113 nursing 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 compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes 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."
-$15.2M
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.
$16.4M
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 #1 / 113Payroll costs — State benchmarkedThis nursing home is ranked 1st out of 113 nursing 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 compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$30.8M 59.5% 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 #57 / 113Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 57th out of 113 nursing 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 compare like with like: every nursing home we track in South Carolina that reports data for that category. Nursing homes 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).
$36.2M
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).
$67.0M
How we calculate these figures

This home is administered by Jonna Cook.

This home is owned by Bishop Gadsden Episcopal Retirement Community

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 425411

Show certification details

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 (63% of admissions), and a typical Medicare stay runs around 19 days.

Admissions
403 total

Coverage residents most often arrive under.

Medicare 63%
Private pay 37%
Discharges
377 total

Coverage residents most often leave under.

Medicare 60%
Private pay 40%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Bishop Gadsden Episcopal Retirement Community

Address 1 Bishop Gadsden Way, Charleston, SC 29412-3506

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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-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 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 108
Rank #49 / 132
--
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 #45 / 117
3.3
Facility 3.3
SC AVG 3.4
Rank #59 / 117
121--Bishop Gadsden Episcopal Retirement Community
$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
Ashley River Healthcare ★ ★ ★ ★ ★
NH
SNF
Charleston (Sandhurst)
125
Facility 125
SC AVG 108
Rank #46 / 132
82.1%
Facility 82.1%
SC AVG 87.4%
Rank #70 / 85
-6%
3.64
Facility 3.64
SC AVG 4.00
Rank #76 / 117
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -41%-9%
$46.2k
Facility $46.2k
SC AVG $34.8k
Rank #111 / 120
11
Facility 11
SC AVG 13.7
Rank #54 / 117
3.7
Facility 3.7
SC AVG 3.4
Rank #69 / 117
1103-
45
Facility 45
SC AVG 33
Rank #14 / 47
-
$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
Kempton of Charleston ★ ★ ★ ★ ★
NH
AL
MC
SNF
Charleston
89
Facility 89
SC AVG 108
Rank #83 / 132
--
4.63
Facility 4.63
SC AVG 4.00
Rank #28 / 117
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +8%+16%
$6.0k
Facility $6.0k
SC AVG $34.8k
Rank #59 / 120
4
Facility 4
SC AVG 13.7
Rank #8 / 117
2.0
Facility 2.0
SC AVG 3.4
Rank #17 / 117
-20--Spring Street Senior Housing Opco LLC---425418
Nhc Healthcare Charleston ★ ★ ☆ ☆ ☆
NH
HC
HOS
SNF
Charleston
132
Facility 132
SC AVG 108
Rank #28 / 132
--
5.22
Facility 5.22
SC AVG 4.00
Rank #11 / 117
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +37%+31%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
9
Facility 9
SC AVG 13.7
Rank #41 / 117
3.0
Facility 3.0
SC AVG 3.4
Rank #48 / 117
177A+-Nhc Healthcare-Charleston LLC
$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
Wellmore of Daniel Island ★ ★ ☆ ☆ ☆
NH
AL
IL
MC
SNF
Charleston (Daniel Island)
174
Facility 174
SC AVG 108
Rank #12 / 132
29.3%
Facility 29.3%
SC AVG 87.4%
Rank #83 / 85
-66%
4.74
Facility 4.74
SC AVG 4.00
Rank #23 / 117
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +3%+19%
$8.3k
Facility $8.3k
SC AVG $34.8k
Rank #68 / 120
17
Facility 17
SC AVG 13.7
Rank #89 / 117
3.4
Facility 3.4
SC AVG 3.4
Rank #65 / 117
251-
12
Facility 12
SC AVG 33
Rank #36 / 47
Wellmore Of Daniel Island 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

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 5 on this page. See how we rank facilities

Nursing Home Explorer

Financial Assistance for
Nursing Home in South Carolina

Bishop Gadsden Episcopal Retirement Community 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 Bishop Gadsden Episcopal Retirement Community

What is the license number of Bishop Gadsden Episcopal Retirement Community?

According to SC state health department records, Bishop Gadsden Episcopal Retirement Community's license number is CRC-0451.

What is the occupancy rate at Bishop Gadsden Episcopal Retirement Community?

Bishop Gadsden Episcopal Retirement Community's occupancy is 79.7%.

Are pets allowed at Bishop Gadsden Episcopal Retirement Community?

No, Bishop Gadsden Episcopal Retirement Community has a no-pet policy.

What is the best email address for Bishop Gadsden Episcopal Retirement Community?

The team at Bishop Gadsden Episcopal Retirement Community can be reached at JONNA.COOK@BISHOPGADSDEN.ORG.

Does Bishop Gadsden Episcopal Retirement Community operate as a for-profit or non-profit?

Bishop Gadsden Episcopal Retirement Community is registered as a non-profit in SC.

Who is the administrator of Bishop Gadsden Episcopal Retirement Community?

Jonna Cook is the administrator of Bishop Gadsden Episcopal Retirement Community.

What is the overall rating for Bishop Gadsden Episcopal Retirement Community?

Bishop Gadsden Episcopal Retirement Community received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

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