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 (78% of admissions), and a typical Medicare stay runs around 20 days.
Kempton of Charleston offers nursing home, skilled nursing, assisted living, and memory care in Charleston, SC. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while assisted living includes help with daily tasks such as bathing, dressing, and medication management. Memory care provides a secured setting with supervision for someone at risk of wandering.
The community has 89 beds. Its range of care levels may be a good fit for a resident whose needs could grow over time, because moving to a different level of care can happen within the same community. Rehabilitation services are also available for residents who need therapy as part of their care.
Medicare and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, while private pay allows a family to pay directly for care. Total nurse staffing is 5 hours and 8 minutes per resident per day, representing the daily nurse time available for each resident’s care. Joe Carr serves as the administrator, and Spring Street Senior Housing Opco operates the community.
Standout metric: Physical therapist is +327% above South Carolina average
1 of 6 metrics below South Carolina average
76.4% of staff hours were worked by the facility's own employees
South Carolina average: 89.1% · Contractors this quarter: Speech Language Pathologist (8), Physical Therapy Aide (5), Respiratory Therapy Technician (5), Qualified Social Worker (4), Physical Therapy Assistant (3)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Smaller home · May offer a more intimate, personalized care environment.
Source: CMS Provider Information, average daily residents
Kempton of Charleston is legally operated by Spring Street Senior Housing Opco LLC, and administered by Joe Carr.
Latest inspection: May 06, 2025 · 1 citation (Infection Control, moderate), corrected
Most cited category: Pharmacy Services, 2 of 4 citations · 3 categories in total
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. 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.
Source: CMS Penalties Database · Data as of Aug 2026
1 penalty in the past 3 years
Latest: Feb 29, 2024 · $6,032 civil money penalty
Totals count every penalty on record; the history lists the past 3 years. South Carolina and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the South Carolina average.
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Rehab and recovery after a hospital stay · 8 measures
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
78% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Residents 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.
Kempton of Charleston’s finances from its CMS cost report for the fiscal year ending September 2024, compared with 104 South Carolina nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, and more than last year
−48.7% operating margin
— vs prior year
An operating loss in 1 of the last 1 reported years. Other income ($0.1M) trims the net loss to −$4.3M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with South Carolina homes
63.3% payroll share of revenue
SC average 60.8%Rank #24 / 104Payroll % of net patient revenue — State benchmarked This nursing home is ranked 24th out of 104 nursing homes we track in South Carolina for payroll % of net patient revenue. 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.
Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with South Carolina homes.
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2024 → 2024Trend | SC median | Compared with SC homesRank in SC | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.1M | — | Trend — | SC median $11.8M | Rank in SC Rank #77 / 104Net patient revenue — State benchmarked This nursing home is ranked 77th out of 104 nursing homes we track in South Carolina for net patient revenue. 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. Higher than 26% of homes | Below SC median Higher net patient revenue than 26% of SC homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $13.5M | — | Trend — | SC median — | Rank in SC Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$4.4M | — | Trend — | SC median — | Rank in SC Not ranked | Loss, widening Resident care lost money this year. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −48.7% | — | Trend — | SC median — | Rank in SC Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | SC median — | Rank in SC Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$4.3M | — | Trend — | SC median — | Rank in SC Not ranked | Loss The bottom line is below zero even after other income. |
Staff spending in line with South Carolina homes
| Metric | FY 2024 | vs prior year | Trend 2024 → 2024Trend | SC median | Compared with SC homesRank in SC | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.7M | — | Trend — | SC median $7.4M | Rank in SC Rank #73 / 104Payroll costs — State benchmarked This nursing home is ranked 73rd out of 104 nursing homes we track in South Carolina for payroll costs. 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. Higher than 30% of homes | Below SC median Higher payroll than 30% of SC homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 63.3% | — | Trend — | SC median 57.6% | Rank in SC Rank #24 / 104Payroll % of net patient revenue — State benchmarked This nursing home is ranked 24th out of 104 nursing homes we track in South Carolina for payroll % of net patient revenue. 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. Higher than 78% of homes | Near SC average The SC average is 60.8% of revenue. Within 3 points of it reads as near the average. |
USD, millions
Net patient revenue Operating expenses Net patient income
% of net patient revenue
Payroll share Operating margin SC payroll average
| Metric | 2024 |
|---|---|
| Net patient revenue | $9.1M |
| Operating expenses | $13.5M |
| Net patient income | −$4.4M |
| Operating margin | −48.7% |
| Net income | −$4.3M |
| Payroll costs | $5.7M |
| Payroll share of revenue | 63.3% |
| Beds | 90 |
| Gross revenue | $10.8M |
| Salaries | $5.1M |
| Wage-related costs | $0.7M |
| Contract labor | $0.0M |
| Other operating costs | $7.7M |
| Net patient revenue per day | $312 |
| Cost per day | $464 |
| Average length of stay | 21.1 days |
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (78% of admissions), and a typical Medicare stay runs around 20 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
194 Spring St, Charleston, SC 29403
Add your location
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.
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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: 60.8% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ashley River Healthcare | NH SNF | Charleston (Sandhurst) | 125
Facility
125
SC AVG
108
Rank
#46 / 132 |
80.5%
Facility
80.5%
SC AVG
88.6%
Rank
#70 / 84 | -9% | 3.48
Facility
3.48
SC AVG
4.12
Rank
#75 / 116 | -41% | -16% | $46.2k
Facility
$46.2k
SC AVG
$27.4k
Rank
#110 / 119 | 11
Facility
11
SC AVG
12.9
Rank
#52 / 116 | 3.7
Facility
3.7
SC AVG
3.4
Rank
#68 / 116 | 1 | 101 | - |
45
Facility
45
SC AVG
33
Rank
#14 / 46 | - | $12.8MFiscal year ending 12/2024
Facility
$12.8MFiscal year ending 12/2024
SC AVG
$13.4M
Rank
#43 / 104 | $7.8MFiscal year ending 12/2024
Facility
$7.8MFiscal year ending 12/2024
SC AVG
$7.9M
Rank
#40 / 104 | 60.6%Fiscal year ending 12/2024
Facility
60.6%Fiscal year ending 12/2024
SC AVG
60.8%
Rank
#32 / 104 | 425362 | ||||
| Bishop Gadsden Episcopal Retirement Community | NH AL IL MC SNF | Charleston | 123
Facility
123
SC AVG
108
Rank
#49 / 132 | - | - | 5.67
Facility
5.67
SC AVG
4.12
Rank
#6 / 116 | +61% | +37% | $0
Facility
$0
SC AVG
$27.4k
Rank
#1 / 119 | 10
Facility
10
SC AVG
12.9
Rank
#44 / 116 | 3.3
Facility
3.3
SC AVG
3.4
Rank
#59 / 116 | 1 | 26 | - | - | Bishop Gadsden Episcopal Retirement Community | $57.7MFiscal year ending 12/2024
Facility
$57.7MFiscal year ending 12/2024
SC AVG
$13.4M
Rank
#1 / 104 | $33.4MFiscal year ending 12/2024
Facility
$33.4MFiscal year ending 12/2024
SC AVG
$7.9M
Rank
#1 / 104 | 57.8%Fiscal year ending 12/2024
Facility
57.8%Fiscal year ending 12/2024
SC AVG
60.8%
Rank
#50 / 104 | 425411 | ||||
| Kempton of Charleston | NH AL MC SNF | Charleston | 89
Facility
89
SC AVG
108
Rank
#83 / 132 | - | - | 5.13
Facility
5.13
SC AVG
4.12
Rank
#28 / 116 | +8% | +24% | $6.0k
Facility
$6.0k
SC AVG
$27.4k
Rank
#57 / 119 | 4
Facility
4
SC AVG
12.9
Rank
#11 / 116 | 2.0
Facility
2.0
SC AVG
3.4
Rank
#15 / 116 | - | 20 | - | - | Spring Street Senior Housing Opco LLC | $9.1MFiscal year ending 09/2024
Facility
$9.1MFiscal year ending 09/2024
SC AVG
$13.4M
Rank
#77 / 104 | $5.7MFiscal year ending 09/2024
Facility
$5.7MFiscal year ending 09/2024
SC AVG
$7.9M
Rank
#73 / 104 | 63.3%Fiscal year ending 09/2024
Facility
63.3%Fiscal year ending 09/2024
SC AVG
60.8%
Rank
#24 / 104 | 425418 | ||||
| Nhc Healthcare Charleston | NH HC HOS SNF | Charleston | 132
Facility
132
SC AVG
108
Rank
#28 / 132 | - | - | 5.85
Facility
5.85
SC AVG
4.12
Rank
#11 / 116 | +37% | +42% | $25.5k
Facility
$25.5k
SC AVG
$27.4k
Rank
#100 / 119 | 9
Facility
9
SC AVG
12.9
Rank
#39 / 116 | 3.0
Facility
3.0
SC AVG
3.4
Rank
#49 / 116 | 1 | 78 | A+ | - | Nhc Healthcare-Charleston LLC | $17.2MFiscal year ending 12/2024
Facility
$17.2MFiscal year ending 12/2024
SC AVG
$13.4M
Rank
#19 / 104 | $10.3MFiscal year ending 12/2024
Facility
$10.3MFiscal year ending 12/2024
SC AVG
$7.9M
Rank
#16 / 104 | 59.8%Fiscal year ending 12/2024
Facility
59.8%Fiscal year ending 12/2024
SC AVG
60.8%
Rank
#35 / 104 | 425381 | ||||
| Wellmore of Daniel Island | NH AL IL MC SNF | Charleston (Daniel Island) | 174
Facility
174
SC AVG
108
Rank
#12 / 132 | - | - | 5.28
Facility
5.28
SC AVG
4.12
Rank
#23 / 116 | +3% | +28% | $8.4k
Facility
$8.4k
SC AVG
$27.4k
Rank
#66 / 119 | 17
Facility
17
SC AVG
12.9
Rank
#88 / 116 | 3.4
Facility
3.4
SC AVG
3.4
Rank
#65 / 116 | 2 | 44 | - |
12
Facility
12
SC AVG
33
Rank
#35 / 46 | Wellmore Of Daniel Island LLC | $9.3MFiscal year ending 12/2024
Facility
$9.3MFiscal year ending 12/2024
SC AVG
$13.4M
Rank
#75 / 104 | $7.5MFiscal year ending 12/2024
Facility
$7.5MFiscal year ending 12/2024
SC AVG
$7.9M
Rank
#50 / 104 | 80.9%Fiscal year ending 12/2024
Facility
80.9%Fiscal year ending 12/2024
SC AVG
60.8%
Rank
#9 / 104 | 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
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 88.0%.
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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