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CMS overall rating
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.
CMS overall rating
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 accepts Medicare and private pay.
Overview of Kempton of Charleston
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.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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
Rank#28 / 117Nurse hours — State benchmarkedThis nursing home is ranked 28th 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
This nursing home is ranked 28th 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.
4h 38m
16% above state avg
This facilityState avg 4h 0m
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.
1h 19m
+107% State avg: 38m per day · National avg: 41m per day
LPN / LVNLicensed 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.
52m
−14% State avg: 1h 1m per day · National avg: 52m per day
Nurse AideCertified 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 27m
+10% State avg: 2h 13m per day · National avg: 2h 20m per day
Weekend Total NursingCombined 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.
4h 11m
+25% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical TherapistHours 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.
14m
+189% State avg: 5m per day · National avg: 4m per day
Weekend RNRegistered 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.
52m
+118% State avg: 24m per day · National avg: 28m per day
1 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.89Rank#83 / 132Bed count — State benchmarkedThis nursing home is ranked 83rd 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.
Smaller home
· May offer a more intimate, personalized care environment.
Residents per day (avg) 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.
20
Avg. Length of Stay
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.
19days
About this community
License Details
StatusActive
CountyCharleston
License NumberCRC-2222
Business TypeLimited Liability
CMS Certification Number425418
Ownership & Operating Entity
Kempton of Charleston is legally operated by Spring Street Senior Housing Opco LLC, and administered by Joe Carr.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections2
South Carolina average3.8
Last Health inspection on May 2025
Total health citations
4Rank#8 / 117Health citations — State benchmarkedThis nursing home is ranked 8th 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 average12.9
Citations per inspection
2Rank#17 / 117Citations per inspection — State benchmarkedThis nursing home is ranked 17th 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 average3.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than South Carolina average
South Carolina average: 0.9
Serious health citations
0
100% better than South Carolina average
South Carolina average: 0.3
0 critical citationsSouth Carolina average: 0.9
0 serious citationsSouth Carolina average: 0.3
4 moderate citationsSouth Carolina average: 11.7
0 minor citationsSouth Carolina average: 0.1
Citations history (last 2 years)
Infection Control moderate citationMay 06, 2025
Corrected
Nutrition moderate citationFeb 29, 2024
Corrected
Pharmacy moderate citationFeb 29, 2024
Corrected
Pharmacy moderate citationFeb 29, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff69
Employees44
Contractors25
Staff to resident ratio3.14 : 1
73% more staff per resident than South Carolina average
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
$18K Rank#59 / 120Federal fines — State benchmarkedThis nursing home is ranked 59th out of 120 nursing 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 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.
45% lower than South Carolina average
South Carolina average: $34K
Number of fines
6
146% more fines than South Carolina average
South Carolina average: 2.4
Payment DenialsSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than South Carolina average
South Carolina average: 0.1
Fines amount comparison
Fines amount comparison
This facility$18K
South Carolina average$34K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 29, 2024 · $6K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Feb 29, 2024
$6K
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.
Short-stay resident measures
Significantly above averageSouth Carolina avg: 2.8CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine99.1%
25% better than South Carolina average
South Carolina average: 79.5%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication0.0%
100% better than South Carolina average
South Carolina average: 1.7%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine32.0%
59% worse than South Carolina average
South Carolina average: 78.0%
Re-hospitalized after SNF stayPercentage of short-stay residents who were re-hospitalized after their nursing home admission.21.3%
14% better than South Carolina average
South Carolina average: 24.7%
Emergency department visitsPercentage of short-stay residents who had an outpatient emergency department visit.8.9%
37% better than South Carolina average
South Carolina average: 14.1%
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.0.5%
38% better than South Carolina average
South Carolina average: 0.8%
Ability to care for self at dischargePercentage of residents at or above expected ability to care for themselves at discharge.40.1%
25% worse than South Carolina average
South Carolina average: 53.7%
Successful return to home or communityRate of successful return to home or community from a skilled nursing facility.58.7%
16% 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 stay19 days
Private pay
36% of new residents, often for short stays.
Typical stay4 - 5 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents22
Medicare
17
77.3% of residents
Private pay or other
5
22.7% 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.
Certification details
License Number:425418
Owner Name:Spring Street Senior Housing Opco LLC
Rural vs. Urban:Urban
County:Charleston
Type of Control:For-profit — Operated by a business corporation.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
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 19 days.
Admissions
332 total
Coverage residents most often arrive under.
Medicare64%
Private pay36%
Discharges
372 total
Coverage residents most often leave under.
Medicare59%
Private pay41%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Kempton of Charleston
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
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.
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