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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 21 to 40 of 56, best-graded first.

B

84/100

Bethea Baptist Healthcare Center

Darlington, SC · Darlington County

CMS 3/588 bedsNon-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
45%
Serious cites
0

Bethea Baptist runs on about 3.82 nurse hours per resident per day, a hair under the national figure, and weekends drop roughly 9% below its own weekday staffing. That thin margin is why its staffing rating sits at the low end even though turnover, at 45.2%, is right at the national average. The health inspection record shows nine deficiencies, none involving harm or jeopardy and none abuse-related, with the last inspection dated April 2026. Quality measures score at the top of the scale. Ownership is church-affiliated nonprofit, which often means steadier hands than a chain. The picture here is a home that's clinically solid but stretched on direct care hours, especially on weekends.

B

84/100

Kempton Of Charleston

Charleston, SC · Charleston County

CMS 5/523 bedsFor-profit
Nurse hours
5.04 /day
Staff turnover
65%
Serious cites
0

Kempton Of Charleston runs on a small 23-bed footprint, and the staffing numbers are the strongest part of the story, 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The concerning figure is turnover: 64.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year even though coverage levels stay high. Inspections are recent (May 2025) with four deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $6,032.

B

83/100

Franke Health Care Center

Mount Pleasant, SC · Charleston County

CMS 4/544 bedsNon-profit
Nurse hours
4.26 /day
Staff turnover
43%
Serious cites
0

Franke Health Care Center runs on a nonprofit model with 44 beds in Mount Pleasant, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That edge matters, though weekends dip about 14% below the home's own weekday coverage, so staffing isn't perfectly even across the week. Staff turnover comes in at 42.6%, a touch better than the 45.8% national figure. The current inspection record shows 8 deficiencies, none at the harm or jeopardy level and none related to abuse, with the most recent inspection dated April 2026. Federal stars land at 4 for health inspections, 4 for staffing, and 3 for quality measures, a solid, recently reviewed record without serious findings.

B

82/100

White Oak Manor - Rock Hill

Rock Hill, SC · York County

CMS 3/5136 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
36%
Serious cites
0

White Oak Manor in Rock Hill runs 136 certified beds under for-profit LLC ownership, and its staffing sits right at the national line, 3.84 nurse hours per resident day against a 3.86 average. Weekends are where that gets thin, dropping roughly 13% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Turnover is the bright spot: 36.4% against a national 45.8%, meaning caregivers tend to stick around longer here than at the typical home. Nine deficiencies on record, one serious enough to involve harm or jeopardy, plus a single $7,446 fine. The last inspection was May 2026.

B

81.5/100

Palmetto Patriots

Gaffney, SC · Cherokee County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
5.56 /day
Staff turnover
n/a
Serious cites
0

Palmetto Patriots runs a state-owned home in Gaffney with 52 beds and nurse staffing at 5.56 hours per resident day, roughly 44% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. The current inspection record shows zero deficiencies, none at the harm level, and no abuse citations, though nine fines totaling $30,147 appear on the books from earlier. Its last inspection was April 2026, so the record is recent. State ownership tends to mean steadier funding and public accountability, and the staffing number is the real story here.

B

81.5/100

Veteran Village

Florence, SC · Florence County

CMS 4/552 bedsGovernmentMedicaid
Nurse hours
5.61 /day
Staff turnover
n/a
Serious cites
0

Veteran Village runs well above the national average for nurse staffing, 5.61 hours per resident day against 3.86 nationally, roughly 45% more hands-on time, though weekend coverage dips about 10% below its own weekday level. The inspection record is mixed: six deficiencies, including two at the harm or jeopardy level and one abuse-related, with twelve fines totaling $47,631. State government ownership and a February 2026 inspection give you recent, current information to work from. The staffing number is genuinely strong; the harm-level and abuse findings on the current record are the parts worth asking about directly before you decide.

B

80.5/100

Richard M Campbell Veterans Nursing Home

Anderson, SC · Anderson County

CMS 5/5220 bedsGovernmentMedicaid
Nurse hours
3.43 /day
Staff turnover
42%
Serious cites
0

Richard M Campbell Veterans Nursing Home runs 220 certified beds in Anderson under state government ownership, and its health inspection record is genuinely strong, a 4/5 star rating with the last full inspection in December 2025, so nothing here is stale. The catch is staffing: 3.43 nurse hours per resident day sits about 11% under the national average, and weekends drop roughly 20% below what the home itself staffs on weekdays, which is when families tend to visit and notice. Turnover at 42.1% is slightly better than the national 45.8%, but six deficiencies sit on the current record, including two at the harm level and one tied to abuse.

B

80/100

Musc Health Chester Nursing Center

Chester, SC · Chester County

CMS 4/580 bedsNon-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
32%
Serious cites
0

Musc Health Chester Nursing Center runs on a nonprofit model with 80 certified beds, and its nurse staffing comes in at 4.22 hours per resident day, roughly 9% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 31.5%, well under the national 45.8%, which suggests people tend to stay. The current record shows 7 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measure scores run lower than the staffing and inspection ratings, so it's worth asking where those gaps show up in daily care.

B

79/100

Woodruff Manor

Woodruff, SC · Spartanburg County

CMS 3/588 bedsGovernmentMedicaid
Nurse hours
3.32 /day
Staff turnover
41%
Serious cites
0

Woodruff Manor runs on thin nursing coverage, 3.32 hours per resident day against a national average of 3.86, and weekends get even leaner, dipping about 8% below the home's own weekday numbers. The inspection record is where the real concern sits: 14 deficiencies, four of them serious enough to reach harm or jeopardy level, one tied to abuse, and $45,240 in fines across four penalties. Turnover at 40.6% is somewhat better than the 45.8% national figure, and the quality and staffing ratings both land at 4 out of 5. But a 2-out-of-5 inspection rating and that many harm-level findings carry weight a higher quality score can't offset.

B

78/100

Inman Healthcare

Inman, SC · Spartanburg County

CMS 3/540 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
49%
Serious cites
0

Inman Healthcare runs 40 certified beds under for-profit LLC ownership, and its staffing sits at 3.25 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 3% below its own weekday levels, and annual turnover reaches 48.6%, a bit above the 45.8% national figure. The current inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed April 3, 2025. Federal ratings place quality measures at 5 out of 5 and staffing at 4 out of 5, though the health inspection rating lands at 3. For a family weighing this home, the quality scores look strong while the hands-on hours per resident sit below what you'd find across the country.

B

77.5/100

Ellen Sagar Nursing Center

Union, SC · Union County

CMS 2/5113 bedsGovernmentMedicaid
Nurse hours
3.36 /day
Staff turnover
n/a
Serious cites
0

Ellen Sagar Nursing Center runs 113 beds in Union under hospital-district ownership, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86. Weekends dip roughly 8% below its own weekday coverage, which is worth asking about if your family member needs steady care on Saturdays and Sundays. The inspection record shows 13 deficiencies, two of them serious enough to involve harm or jeopardy, though none related to abuse. That last inspection was recent, in March 2025, so the picture is current rather than stale. Quality measures score well; staffing is where this home is thin.

B

77/100

White Oak At North Grove Inc

Spartanburg, SC · Spartanburg County

CMS 1/5132 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
39%
Serious cites
0

White Oak at North Grove runs 132 beds in Spartanburg under corporate ownership, and its numbers pull in two directions. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, with weekends about 10% thinner than weekdays. Turnover is 39.2%, which is actually better than the 45.8% national figure. What stands out is the inspection record: 16 deficiencies, two at harm or jeopardy level, two abuse-related, and one $10,364 fine, with the most recent inspection in May 2025. That record is what drags the overall picture down, even though the quality and staffing measures rate well individually.

B

76.5/100

Southland Health Care Center

Florence, SC · Florence County

CMS 4/588 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
51%
Serious cites
0

Southland Health Care Center runs on more nursing hours than the typical American home, 4.13 per resident day against a national average of 3.86. That cushion matters, but it thins out on weekends, when coverage drops roughly 19% below what the building staffs Monday through Friday. Staff turnover sits at 50.5%, a few points above the national rate, so some of those hours are being filled by people still learning the building. The health inspection record is the strongest part of the picture: three deficiencies, none involving harm or abuse, and a survey completed in January 2026. Limited liability ownership, for-profit. Solid on paper, with a weekend and retention question underneath.

B

76/100

Wesley Commons Health And Rehabilitation Center

Greenwood, SC · Greenwood County

CMS 4/580 bedsNon-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
46%
Serious cites
0

Wesley Commons runs a nonprofit operation in Greenwood with 80 certified beds, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average, which is the main reason its staffing rating reaches 4 stars. The catch is weekends, when coverage drops about 12% below what the home staffs on weekdays. Turnover is 45.6%, essentially identical to the national figure, so continuity isn't unusually bad here, just typical. What holds the overall picture back is the inspection record: five deficiencies, one of them serious enough to involve harm or jeopardy, plus a $14,521 fine. No abuse findings appear. The most recent inspection was February 2026, so the record is current.

B

76/100

Retreat At Wellmore Of Lexington

Lexington, SC · Lexington County

CMS 4/560 bedsFor-profit
Nurse hours
5.03 /day
Staff turnover
49%
Serious cites
0

The Retreat at Wellmore of Lexington runs about 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and its staffing rating reflects that. Weekend coverage dips about 7% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. On inspections, the home holds a 4 out of 5 star rating with a recent May 2025 visit and no abuse citations, but 17 deficiencies are on the record, one at the harm or jeopardy level, plus a $16,153 fine. Annual turnover sits at 49.2%, a bit above the 45.8% national figure. Quality measures score 2 out of 5, which is where the overall picture softens.

B

76/100

Retreat At Wellmore Of Daniel Island

Charleston, SC · Berkeley County

CMS 2/560 bedsFor-profit
Nurse hours
4.95 /day
Staff turnover
68%
Serious cites
0

Staffing at Retreat At Wellmore Of Daniel Island runs about 4.95 nurse hours per resident day, well above the national average of 3.86, and that shows up in a four-star staffing rating. But the same numbers carry a warning: turnover sits at 68.4 percent against a national 45.8, meaning roughly two of every three caregivers left within the year, and weekend coverage drops about six percent below weekday levels. Seventeen deficiencies sit on the current record, two involving actual harm or jeopardy, and the health inspection rating is 2 out of 5. Fines total $8,281 across one penalty. A for-profit limited liability company operates the 60-bed home, last inspected in April 2026.

B

74.5/100

Lake Marion Nursing Facility

Summerton, SC · Clarendon County

CMS 4/588 bedsNon-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
50%
Serious cites
0

Lake Marion runs a nonprofit home in Summerton with 88 certified beds, and the raw staffing number looks decent: 4.00 nurse hours per resident day, about 4% above the national average. But weekends drop roughly 15% below its own weekday coverage, and half the staff turned over last year, worse than the 45.8% national figure. Inspectors cited six deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with $15,646 in fines across two penalties. The most recent inspection was in September 2025, so the record is current. Strong weekday staffing and a clean-looking top-line number don't erase what those harm and abuse citations mean for daily safety.

B

74/100

Lakelands Nursing And Rehabilitation Center

Abbeville, SC · Abbeville County

CMS 4/569 bedsGovernmentMedicaid
Nurse hours
4.23 /day
Staff turnover
42%
Serious cites
0

Lakelands runs on county money, and the staffing numbers show it: 4.23 nurse hours per resident day, roughly 9% above the national average, with turnover at 41.8%, better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekday pace, worth asking about if you're planning visits then. The inspection record is clean: two deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent look was April 2026. What pulls the quality measure rating down to 1 out of 5 is the piece families feel day to day, weight loss, falls, pain, infections, so ask to see that data before deciding.

B

74/100

L.m.c.- Extended Care

Lexington, SC · Lexington County

CMS 3/5352 bedsNon-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
41%
Serious cites
0

L.m.c.- Extended Care runs 352 certified beds in Lexington, and its nurse staffing sits right at the national average of 3.86 hours per resident day, not below it, but with weekend coverage running about 12 percent lighter than weekdays, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 41.4 percent is lower than the national 45.8 percent, so the workforce is somewhat more stable than most. Against that, the current record carries 14 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with two fines totaling $30,021; the most recent inspection was in July 2025.

B

72/100

Golden Age Operations

Inman, SC · Spartanburg County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
61%
Serious cites
0

Golden Age Operations runs 44 beds in Inman, and its staffing is the first thing to notice: 3.43 nurse hours per resident day, about 11 percent under the national average, with weekends running roughly 9 percent thinner than weekdays. A 60.5 percent annual turnover rate, against a national 45.8 percent, means the aides and nurses caring for your relative are likely to change often, which matters for anyone with dementia or who needs consistent hands. The inspection record shows 12 deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus $10,364 in fines. Its last inspection was recent, February 2026, so the record isn't stale.

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