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.
The Heritage at Lowman has 152 certified beds and runs on a nonprofit corporate model, and its nurse staffing averages 4.11 hours per resident day, about 6% above the national average. That cushion thins on weekends, though, when coverage drops roughly 16% below the home's own weekday level. Staff turnover sits at 46.3%, basically even with the national rate, so continuity isn't the standout concern here. What is: a two-star health inspection rating and a one-star quality measure rating, with 24 deficiencies on the current record, one serious enough to involve harm or jeopardy. Two fines totaling $14,664 have been levied, and the most recent inspection came in December 2025.
Pocotaligo River runs a nonprofit home in Manning with 88 certified beds, and the staffing numbers are its clearest strength, 4.11 nurse hours per resident day, roughly 7% above the national average of 3.86. That helps explain a 4-out-of-5 staffing rating. But weekends drop about 11% below the home's own weekday coverage, so the care your family member gets on a Saturday may look different from a Tuesday. The inspection record is thinner: 12 deficiencies, including one at the harm level and one abuse-related, with two fines totaling $17,537 and a 2-out-of-5 inspection rating. Turnover sits at 46.2%, essentially the national average.
The Mcnair center runs on 2.72 nurse hours per resident day, roughly 30% under the national average of 3.86, and weekends drop about another 10% below its own weekday level. That's the trade-off families notice first, since less coverage shows up in slower response times and busier aides. On the other hand, staff turnover sits at 32% against a national 45.8%, so the people who are there tend to stay.
Its record shows 12 deficiencies, none at the harm level and none abuse-related, with the last inspection in January 2026 and a mid-range 3/5 on health inspections. Quality measures score 2/5, the weakest part of the profile.
Sedgewood Manor runs 38 beds in Hopkins under corporate ownership, and its staffing sits just under the national average at 3.84 nurse hours per resident day. That thin margin gets worse on weekends, when coverage drops about 13% below the home's own weekday levels. Staff turnover is the bigger flag: 60% a year against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. Inspections tell a similar story, a 1-star health inspection rating and 18 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy. The most recent inspection was July 29, 2025. Quality measures score better than staffing or inspections here. If you're weighing this one, ask specifically about weekend coverage and how they've addressed that abuse finding.
The Gables of Pelham runs 45 beds under for-profit LLC ownership, and its staffing score sits at the bottom of CMS's scale, one star out of five. Annual turnover is 53.1 percent against a national average of 45.8, so more than half the staff leaves every year. The inspection record shows 10 deficiencies, two of them serious enough to count as harm or jeopardy, and two tied to abuse. Two fines totaling $11,196 are on file, with the most recent inspection in July 2025. Quality measures also land at two stars. If you're considering this home, ask directly how they're addressing turnover and what changed after those abuse-related findings.
Seneca Health & Rehabilitation Center runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13% under the national average of 3.86. Weekends dip roughly another 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 51.5% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 19 deficiencies, none at harm or jeopardy level, but two are abuse-related, and CMS has issued two fines totaling $4,893. The last inspection was March 26, 2026.
Heritage Post Acute runs 132 beds in Florence under for-profit limited liability ownership, and its staffing sits about 10% under the national average, 3.49 nurse hours per resident day against 3.86. Weekends run roughly 15% thinner than weekdays, so coverage dips when families tend to visit. Annual turnover is 48.5%, a bit above the 45.8% national figure. The inspection record is current, dated February 2026, with 10 deficiencies and nothing flagged at harm or jeopardy level; no abuse citations either. What pulls the quality measure rating down to 1 out of 5 while inspections and staffing each hold at 3 is worth asking about directly.
Cheraw Healthcare runs 120 beds as a for-profit corporation, and its nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average. Weekends drop about 11 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover at 44.3 percent is slightly better than the 45.8 percent national figure, but still means nearly half the workforce turns over in a year. The inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $14,901 fine. The most recent inspection was March 12, 2026, so the picture is current rather than stale.
Ridgeway Manor runs on 2.87 nurse hours per resident per day, roughly a quarter below the national average, and its weekend staffing barely dips from weekday levels, so the thin coverage isn't a weekend problem, it's the baseline. The inspection record is where the real trouble sits: 30 deficiencies, three of them serious enough to cause harm or put residents in jeopardy, plus four tied to abuse. A one-out-of-five inspection rating with the most recent survey dated April 2026 gives you a picture of a building that has repeatedly fallen short on the fundamentals. Staff turnover, at 44.6%, is essentially at the national rate.
White Oak Estates runs 88 certified beds in Spartanburg under corporate for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average, with weekends about 9% thinner than its own weekdays. Annual staff turnover is 57.1% against a national 45.8%, so the people caring for your family member are changing more often than at the typical home. The current inspection record carries 12 deficiencies, one serious enough to reach harm or jeopardy level and one tied to abuse, plus a single $8,827 fine. The last inspection was March 5, 2026, so that record is recent.
C M Tucker Jr Nursing Care Center in Columbia runs on state government ownership and a big staff, 5.20 nurse hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level. What that staffing buys is a spotty record: 24 deficiencies on file, seven serious enough to put residents in harm's way, three tied to abuse, and four fines totaling $244,929. The last inspection was in May 2025, so the picture is current. High direct-care hours coexist here with repeated, sometimes dangerous, compliance failures, a split worth weighing carefully if you're choosing a place for someone.
Martha Franks Baptist Retirement Center sits in Laurens, and the numbers tell a mixed story worth sorting through. Nurse staffing runs 4.24 hours per resident day, roughly 10% above the national average, and weekend coverage holds up reasonably well even if it dips about 13% below weekdays. Staff turnover at 41.1% is slightly better than the national 45.8%, so people aren't fleeing. Where it gets harder: 11 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $12,735 fine. The last inspection was September 2025. Good daily care hours, but a compliance record that needs a close look.
Senior Care Of Marion runs 95 certified beds under for-profit LLC ownership, and the numbers worth knowing sit in its inspection record: 15 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. Turnover runs at 54.7%, well above the 45.8% national average, which matters because it means the people caring for residents keep changing. CMS gave it 2 out of 5 stars on both health inspections and quality measures. A recent inspection in September 2025 didn't undo any of that, and two fines totaling $24,054 are on file. If you're considering this one, ask directly about staffing stability and how those abuse-related findings were resolved.
Mountainview runs a nonprofit operation with 132 beds, and its 4.55 nurse hours per resident day sit about 18% above the national average, that part is genuinely good. The catch is consistency: weekend staffing drops roughly 17% below its own weekday level, and annual turnover hits 80.1% against a national 45.8%, meaning the people providing that care are largely new and cycling through. On inspections, the record is harder to defend: 27 deficiencies, including one at the harm level and one abuse-related, three fines totaling $15,324, and a November 2024 inspection that rated 2 out of 5 stars for health and just 1 for quality measures. Strong staffing numbers alone don't offset that pattern.
Sumter East runs 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday numbers. Staff turnover sits at 44.2%, close to the national figure, so the problem isn't retention so much as how few hands are on deck. The inspection record is harder to look past: 32 deficiencies, three at harm or jeopardy level, four tied to abuse, and five fines totaling $33,097, with the last inspection in March 2026. For a 176-bed for-profit run by an LLC, the staffing and inspection numbers together tell you where the risk sits.
Achieve Rehabilitation and Nursing Center runs 181 beds in Anderson under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.94 nurse hours per resident day against a national average of 3.86, with weekends about 14% thinner than weekdays. Annual turnover of 62.7% means most of the people caring for your family member are new, and nearly two-thirds of the staff left last year. The inspection record shows 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $73,538 in fines and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious problems.
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?