5/5
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.
5/5
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.
Kempton of Charleston is an 89-bed skilled nursing and rehabilitation community in downtown Charleston, South Carolina. It offers nursing home care, assisted living, memory care, and skilled nursing, functioning as a full continuum of care within a Continuing Care Retirement Community, so residents can move between levels of support without leaving the campus. The community is operated by Spring Street Senior Housing Opco LLC and administered by Joe Carr.
Nursing coverage is a defining feature of the home. Registered nurses average 1 hour and 23 minutes per resident each day, and total nursing care runs about 4 hours and 26 minutes per resident daily, with licensed practical nurses contributing roughly an hour and nurse aides adding about 2 hours and 30 minutes. That combination points to a strong clinical presence supporting residents around the clock.
Rehabilitation is a core part of the program, with physical and speech therapy available on a contracted basis for residents recovering from surgery, illness, or hospitalization. The average Medicare stay runs about 19 days, reflecting a focus on short-term, post-acute recovery, while residents receiving assisted living or memory care tend to stay considerably longer. A dedicated Alzheimer’s unit supports residents who need memory care in a more structured setting. Current occupancy sits at 61 percent, which suggests availability for families exploring their options now.
State and federal inspectors have most often focused on pharmacy administration, nutrition, and infection control practices, with identified issues addressed and corrected. Day-to-day life is rounded out by distinctive dining service, organized life enrichment programming, and access to outdoor spaces for residents and visiting family. Families weighing a short-term rehab stay against longer-term memory or assisted living care may want to ask how Kempton structures the transition between those levels of service.
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.
Staffing hours
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
Total nursing care
This home is ranked 28th 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.
4h 38m
16% above state avg
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.
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.
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.
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.
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.
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.
1 of 6 metrics below state avg
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.
Kempton of Charleston is legally operated by Spring Street Senior Housing Opco LLC, and administered by Joe Carr.
South Carolina average 3.9
Last Health inspection on May 2025
South Carolina average 13.7
South Carolina average 3.44
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
100% better than South Carolina averageSouth Carolina average: 1
100% better than South Carolina averageSouth Carolina average: 0.3
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
71% 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 October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursHelps with daily care and mobility.
All 22 CNA Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,963 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 22 | 0 | 22 | 4,674 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 11 | 0 | 11 | 1,866 | 91 | 99% | 10.8 |
| Registered Nurse | 7 | 0 | 7 | 1,688 | 92 | 100% | 8.8 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,060 | 80 | 87% | 5.1 |
| Physical Therapy Aide | 0 | 5 | 5 | 754 | 72 | 78% | 5.7 |
| Nurse Practitioner | 1 | 0 | 1 | 505 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 398 | 73 | 79% | 4.7 |
| Qualified Social Worker | 0 | 4 | 4 | 397 | 65 | 71% | 4.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 375 | 49 | 53% | 7.5 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 355 | 68 | 74% | 5.2 |
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)
45% lower than South Carolina averageSouth Carolina average: $34K
146% 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.
0
100% fewer payment denials than South Carolina averageSouth Carolina average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 29, 2024 · $6K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 29, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
99.1%
25% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Carolina averageSouth Carolina average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.0%
59% worse than South Carolina averageSouth Carolina average: 78.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.3%
14% better than South Carolina averageSouth Carolina average: 24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.9%
37% better than South Carolina averageSouth Carolina average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
38% better than South Carolina averageSouth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.1%
25% worse than South Carolina averageSouth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.7%
16% 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.
36% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
22Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
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 19 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
194 Spring St, Charleston, SC 29403
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 1 | 21 | - | - | 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 | 3 | 103 | - |
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 | 1 | 51 | - |
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 | - | 77 | A+ | - | 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 |
Kempton of Charleston is located in CHARLESTON, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
Kempton of Charleston is legally operated by Spring Street Senior Housing Opco LLC, and administered by Joe Carr.
According to SC state health department records, Kempton of Charleston's license number is CRC-2222.
Kempton of Charleston's occupancy is 60.5%.
No, Kempton of Charleston has a no-pet policy.
The team at Kempton of Charleston can be reached at JOCARR@LIBERTY-HEALTHCARE.COM.
Kempton of Charleston is registered as a for-profit in SC.
Joe Carr is the administrator of Kempton of Charleston.
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