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56 Independent Nursing Homes in South Carolina

56 of the 187 Medicare-certified nursing homes in South Carolina (30%) are independently owned, and all are listed below. 19 of the 56 graded homes earn an A and 1 earn a D or F. They average 4.3 nursing hours per resident per day, 0.46 hours above the 3.84 for every home in South Carolina. Bishop Gadsden Episcopal Health Care Center in Charleston grades highest at A (96 out of 100).

How independently owned homes in South Carolina compare

This group set against every nursing home in South Carolina, from the current CMS release.

Nursing hours per resident per day

4.3

All homes in South Carolina: 3.84

Better than the local average

Nurse staff turnover

43.2%

All homes in South Carolina: 45.9%

Better than the local average

Average ElderGrade score

78.5/100

All homes in South Carolina: 74.6/100

Better than the local average

Grade spread

A
B
C

19 grade A, 26 grade B, 10 grade C, 1 grade D,

The best-graded independently owned home in South Carolina is Bishop Gadsden Episcopal Health Care Center in Charleston, SC, grade A, 96/100.

Every independently owned nursing home in South Carolina

Showing 1 to 20 of 56, best-graded first.

A

96/100

Fraser Health Center

Hilton Head Island, SC · Beaufort County

CMS 4/533 bedsNon-profit
Nurse hours
5.38 /day
Staff turnover
29%
Serious cites
0

Fraser Health Center runs on 5.38 nursing hours per resident per day, roughly 39% above the national average, and it's 5-for-5 on CMS's staffing measure. Weekend coverage dips about 11% below weekday levels, and annual turnover sits at 28.6%, well under the national 45.8%, which matters for consistency of care at a 33-bed nonprofit. The inspection record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in April 2025; quality measures rate 4 out of 5. The weaker spot is the 3-out-of-5 health inspection rating, though the low severity of those findings suggests they were mostly paperwork and process issues rather than anything that hurt a resident.

A

96/100

Bishop Gadsden Episcopal Health Care Center

Charleston, SC · Charleston County

CMS 5/541 bedsNon-profit
Nurse hours
5.37 /day
Staff turnover
34%
Serious cites
0

Bishop Gadsden runs 5.37 nurse hours per resident day, roughly 39% above the national average of 3.86. That's a real gap, not a rounding difference, it means more hands on deck per resident than most homes in the country. Staff turnover sits at 33.9% against a national average of 45.8%, so workers tend to stick around longer here than elsewhere. Weekends run about 10% lighter than weekdays, which is worth knowing if you'll be visiting then. The inspection record shows 10 deficiencies, one at the harm level and none tied to abuse, with the most recent visit in April 2025. As a nonprofit, there's no owner extracting profit from the operation.

A

93/100

The Arboretum At The Woodlands

Greenville, SC · Greenville County

CMS 5/530 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
38%
Serious cites
0

Nurse staffing at The Arboretum runs 5.75 hours per resident per day, roughly half again what the typical American nursing home provides, and that holds up on weekends, which dip only about 8% below weekday levels. Staff turnover sits at 37.8%, better than the 45.8% national figure, and the home's last inspection came in November 2025, so nothing in the record is stale. The current file shows three deficiencies, none at the level of harm or jeopardy, though two involve abuse. That combination, steady hands on deck, relatively low turnover, recent scrutiny, is what drives the numbers behind its grade, with the abuse citations the piece worth asking about directly.

A

91.5/100

Spartanburg Hospital For Restorative Care Snf

Spartanburg, SC · Spartanburg County

CMS 5/525 bedsGovernment
Nurse hours
6.13 /day
Staff turnover
48%
Serious cites
0

Spartanburg Hospital For Restorative Care runs just 25 certified beds, and its staffing reflects that small, hospital-linked setup: 6.13 nurse hours per resident day, roughly 59% above the national average of 3.86. Weekend coverage dips about 17% below its own weekday level, and annual turnover sits at 47.8%, a bit above the 45.8% national figure, worth asking about if consistency matters to you. The inspection record is otherwise clean: one deficiency total, none at harm or jeopardy level, none abuse-related, with the most recent inspection on November 19, 2025. Government ownership, five stars across health inspections, quality measures, and staffing.

A

91.5/100

Greenwood Transitional Rehabilitation Unit

Greenwood, SC · Greenwood County

CMS 5/512 bedsFor-profit
Nurse hours
6.34 /day
Staff turnover
n/a
Serious cites
0

Greenwood Transitional Rehabilitation Unit runs on unusually heavy staffing for its size, 6.34 nurse hours per resident day against a national average of 3.86, roughly 64% more hands-on time. Weekend coverage dips only about 6% below its weekday level, so the difference between a Tuesday and a Saturday here is modest. The home was inspected recently, in June 2025, and came away with no deficiencies at the harm or jeopardy level, though one of its four citations is abuse-related, worth asking about directly. With 12 certified beds under corporate ownership, it's small enough that you can reasonably expect to know who's on shift.

A

90/100

Still Hopes Episcopal Retirement Community

West Columbia, SC · Lexington County

CMS 5/522 bedsNon-profit
Nurse hours
7.61 /day
Staff turnover
n/a
Serious cites
0

Still Hopes Episcopal Retirement Community runs 22 certified beds in West Columbia, and the nurse staffing number stands out: 7.61 hours per resident day against a national average of 3.86. Weekends dip about 21% below the home's own weekday coverage, so the floor is thinner on Saturdays and Sundays even though the overall level stays high. The inspection record is clean where it counts, four deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent visit in June 2025. A nonprofit corporation operates it, and both the health inspection and quality measure ratings sit at five stars.

A

89.5/100

C M Tucker Jr Nursing Care Center Roddey Pavilio

Columbia, SC · Richland County

CMS 2/5308 bedsGovernmentMedicaid
Nurse hours
6.40 /day
Staff turnover
35%
Serious cites
0

C M Tucker Jr Nursing Care Center, the state-run home in Columbia, runs its nursing hours well above what most homes manage, about 66% more direct nurse time per resident than the national average, and its staff tends to stay, with turnover roughly a quarter lower than typical. That's real. But look at the inspection record and a different picture shows up: six deficiencies on file, three of them serious enough to put residents in harm's way, two tied to abuse, plus nearly $60,000 in fines and a health inspection rating near the bottom. The last full look was April 2025. The quality and staffing scores don't cancel out what inspectors found.

A

89/100

White Oak Manor - Newberry

Newberry, SC · Newberry County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
28%
Serious cites
0

White Oak Manor-Newberry runs 140 beds under corporate ownership, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average. Weekends drop about 15% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover is the standout: 28.3% against a national average near 46%, meaning caregivers here tend to stay. The current record shows five deficiencies with none at harm level, though one is abuse-related, which is worth a direct question. Inspectors last visited in April 2025, and all three CMS star categories, health inspections, quality measures, and staffing, land at four out of five.

A

89/100

Veterans Victory House

Walterboro, SC · Colleton County

CMS 5/5220 bedsGovernmentMedicaid
Nurse hours
3.61 /day
Staff turnover
35%
Serious cites
0

Veterans Victory House runs 220 certified beds as a state-run home, and its inspection record is the strongest thing about it: a 5-star health inspection rating with just four deficiencies on file, none of them causing harm or involving abuse. Staffing tells a more mixed story. At 3.61 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends run roughly 14% lighter than its own weekdays. The tradeoff is retention, 34.6% turnover beats the 45.8% national figure, so the aides and nurses here tend to stick around longer than elsewhere. The last inspection was May 2026.

A

89/100

The Lodge At Wellmore- Tega Cay

Fort Mill, SC · York County

CMS 5/560 bedsFor-profit
Nurse hours
4.74 /day
Staff turnover
30%
Serious cites
0

The Lodge at Wellmore in Tega Cay runs 4.74 nursing hours per resident per day, about 23% above the national average of 3.86, and its staffing and quality measure ratings both come in at 5 out of 5. Staff turnover sits at 29.5%, well below the national 45.8%, which matters for whether your family sees the same faces month to month. The catch is the inspection record: seven deficiencies, three of them serious enough to reach harm or jeopardy level, plus three fines totaling $35,403, with the most recent inspection in April 2025. Strong daily care numbers and a thin margin for error on compliance can both be true.

A

88/100

Kershaw Health Karesh Long Term Care

Camden, SC · Kershaw County

CMS 4/5132 bedsGovernmentMedicaid
Nurse hours
4.06 /day
Staff turnover
29%
Serious cites
0

Kershaw Health Karesh Long Term Care sits at 132 certified beds in Camden, run by the county rather than a chain. The staffing numbers are the strongest part of the picture: 4.06 nurse hours per resident day, about 5% above the national average, with a 5-out-of-5 staffing rating. Turnover is 28.8% against a 45.8% national average, which suggests people stay. But weekends run roughly 12% thinner than weekdays, and the inspection record carries five deficiencies, two of them at harm or jeopardy level, plus one $19,460 fine. The last inspection was September 2025. Good daily coverage, thinner weekends, and a harm-level citation are the real story here.

A

86.5/100

John Edward Harter Nursing Center

Fairfax, SC · Allendale County

CMS 4/544 bedsGovernmentMedicaid
Nurse hours
5.32 /day
Staff turnover
n/a
Serious cites
0

John Edward Harter Nursing Center is a 44-bed county-owned home in Fairfax, and its staffing is the story here: 5.32 nurse hours per resident day, roughly 38% above the national average of 3.86. That matters more than most numbers on a page, because direct care time is what families actually feel. Weekend staffing dips about 7% below its own weekday level, so ask how that plays out on a Sunday. The inspection record is light, two deficiencies total, none at the harm level, no abuse citations, with a recent survey in June 2026. County ownership under a city or county government isn't common, and it tends to mean less pressure to chase profit. Two straight 4/5 marks on inspections and quality measures back that up.

A

86/100

White Oak Manor - Columbia

Columbia, SC · Richland County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
29%
Serious cites
0

White Oak Manor in Columbia runs 120 beds under corporate for-profit ownership, and its nurse staffing sits about 5% under the national average at 3.65 hours per resident day. Weekends dip roughly 12% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 29% against a national 45.8% means aides and nurses tend to stick around, so your mother likely sees familiar faces. The inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy level, plus a single $8,788 fine. Quality measures score well; the last inspection was November 2025.

A

86/100

Saluda Nursing Center

Saluda, SC · Saluda County

CMS 3/5176 bedsGovernmentMedicaid
Nurse hours
4.49 /day
Staff turnover
18%
Serious cites
0

Saluda Nursing Center runs a county-owned home of 176 beds, and its staffing is the strongest part of the picture, 4.49 nurse hours per resident day, about 16% above the national average, with a 5/5 staffing rating. Turnover sits at 17.9%, well below the 45.8% national figure, which matters for consistency of care. Weekend coverage dips roughly 11% below weekday levels, worth asking about. The concern is inspections: a 1/5 health inspection rating, 10 deficiencies on record including 2 at harm or jeopardy level and 2 abuse-related, plus $16,984 in fines. The most recent inspection was April 2025. Quality measures land at 3/5. Staffing is genuinely good here; the inspection record is the real question.

A

86/100

The Palms At Florence

Florence, SC · Florence County

CMS 2/5163 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
35%
Serious cites
0

The Palms at Florence runs a 163-bed for-profit operation, and its staffing sits slightly above the national average at 3.95 nurse hours per resident day. That edge is real but thin, weekends drop roughly 15% below the home's own weekday coverage, so the care you'd see on a Saturday won't quite match a Tuesday. Turnover is where it separates itself: 34.5% compared with a national 45.8%, which suggests a more stable crew than most. The inspection record is solid, a 4-star health inspection in April 2025, 10 deficiencies total, one serious enough to reach harm level, no abuse findings, and a single $7,901 fine. Nothing here reads as a red flag, though that one harm-level citation is worth asking about directly.

A

86/100

Rosecrest Rehabilitation And Healthcare Center

Inman, SC · Spartanburg County

CMS 5/575 bedsNon-profit
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Rosecrest runs about 4.41 nurse hours per resident per day, roughly 14% above the national average, though weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits or calls mainly on Saturdays and Sundays. Staff turnover sits at 40%, better than the 45.8% national figure, which suggests people tend to stay. Its current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, alongside a five-star health inspection rating, and the most recent inspection was in April 2026. Church-affiliated nonprofit ownership rounds out a picture of a home that looks steady rather than flashy.

A

85/100

Musc Health Mullins Nursing Home

Mullins, SC · Marion County

CMS 3/592 bedsGovernmentMedicaid
Nurse hours
3.68 /day
Staff turnover
27%
Serious cites
0

Musc Health Mullins Nursing Home runs on a state-owned, 92-bed model with staffing that lands a bit under the national average, 3.68 nurse hours per resident day against 3.86, and weekends thin out about 10% below its own weekday levels, so coverage does dip at times. What stands out in the other direction is turnover: 27% against a national 45.8%, meaning the people who work here tend to stay. The health inspection record carries 14 deficiencies, three of them at the harm level, none abuse-related, with the most recent look in May 2025.

A

85/100

Lake Moultrie Nursing Home

Saint Stephen, SC · Berkeley County

CMS 3/588 bedsGovernmentMedicaid
Nurse hours
3.59 /day
Staff turnover
28%
Serious cites
0

Lake Moultrie Nursing Home runs on a hospital-district payroll, which shows up in the turnover number: 28.4% against a national average near 46%, so the aides and nurses here tend to stay. The trade-off is coverage. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday staffing. Inspectors cited nine deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, with a single fine of $11,196 on record. The most recent inspection was March 12, 2026. Stable staff, thinner weekend coverage, and a citation history worth asking about directly.

A

85/100

Rice Estate Rehabilitation And Healthcare

Columbia, SC · Richland County

CMS 3/580 bedsNon-profit
Nurse hours
4.96 /day
Staff turnover
41%
Serious cites
0

Rice Estate Rehabilitation And Healthcare runs on 4.96 total nurse hours per resident day, roughly 29% above the national figure of 3.86, and that shows up in its staffing rating of 4 out of 5. Weekend coverage dips about 12% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 40.9%, better than the 45.8% national average, which matters for whether your parent sees the same faces. Five deficiencies are on record, none at the harm level and none abuse-related, with the last inspection in April 2026. As a nonprofit with 80 beds, it's small enough to know residents by name.

B

84/100

Westminster Health & Rehab Center

Rock Hill, SC · York County

CMS 3/511 bedsNon-profit
Nurse hours
3.85 /day
Staff turnover
29%
Serious cites
0

Westminster Health & Rehab Center runs just 11 certified beds, which makes it one of the smallest nursing homes you'll find in York County. Nurse staffing sits at 3.85 hours per resident day, essentially matching the national average of 3.86, but weekends run about 26% leaner than weekdays, so coverage dips when families tend to visit. Turnover is the standout: 28.6% against a national average of 45.8%, meaning the aides and nurses caring for residents are more likely to stick around. Against that, the home carries 11 deficiencies with two at harm level and $16,997 in fines; its last inspection was February 2026.

Frequently asked questions

How many independently owned nursing homes are there in South Carolina?
There are 56 independently owned Medicare-certified nursing homes in South Carolina, 30% of the 187 nursing homes there.
Are independently owned nursing homes better staffed?
In South Carolina they average 4.3 total nursing hours per resident per day, against 3.84 for all nursing homes in South Carolina, a difference of +0.46 hours. Staff turnover averages 43.2% against 45.9%.
Which independently owned nursing home grades best in South Carolina?
Bishop Gadsden Episcopal Health Care Center in Charleston, SC, grade A, 96 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 56 graded independently owned homes in South Carolina, 19 grade A and 1 grade D or F.
Do independently owned nursing homes in South Carolina accept Medicaid?
41 of the 56 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in South Carolina