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142 Medicaid Nursing Homes With a Clean Record in South Carolina

142 of the 187 Medicare-certified nursing homes in South Carolina (76%) are Medicaid-certified, clean-record, and all are listed below. 17 of the 142 graded homes earn an A and 2 earn a D or F. They average 3.62 nursing hours per resident per day, 0.22 hours below the 3.84 for every home in South Carolina. Brightwater Skilled Nursing Center in Myrtle Beach grades highest at A (96 out of 100).

How Medicaid-certified, clean-record 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

3.62

All homes in South Carolina: 3.84

Worse than the local average

Nurse staff turnover

45.1%

All homes in South Carolina: 45.9%

Better than the local average

Average ElderGrade score

74.4/100

All homes in South Carolina: 74.6/100

Worse than the local average

Grade spread

A
B
C

17 grade A, 85 grade B, 38 grade C, 2 grade D,

The best-graded Medicaid-certified, clean-record home in South Carolina is Brightwater Skilled Nursing Center in Myrtle Beach, SC, grade A, 96/100.

Every Medicaid-certified, clean-record nursing home in South Carolina

Showing 61 to 80 of 142, best-graded first.

B

76.5/100

Oakhaven Nursing Center

Darlington, SC · Darlington County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
31%
Serious cites
0

Oakhaven's numbers tell a mixed story, and the mix matters. Staffing sits just above the national average at 3.94 nurse hours per resident day, and a 30.9% turnover rate is meaningfully better than the 45.8% national figure, that kind of stability usually means residents see familiar faces. But weekend staffing drops about 23% below weekday levels, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The health inspection record is clean: one deficiency, none at harm level, none abuse-related, and the most recent inspection was December 2025. The weaker spot is quality measures, which sit well below the inspection and staffing ratings.

B

76.5/100

Chandler Creek Post Acute

Greer, SC · Greenville County

CMS 1/5133 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
30%
Serious cites
0

Chandler Creek runs about 16% below the national average on nurse staffing hours, and weekends drop roughly 17% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover is the bright spot: 30.4% against a national 45.8% suggests a more stable crew than most. What pulls the record down is the inspection history: 23 deficiencies, two at harm or jeopardy level and one tied to abuse, with the most recent survey in May 2025. A for-profit LLC operates the 133-bed home. Strong quality scores and steady staff don't erase that inspection record, ask specifically what changed since May.

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

75.5/100

Greenville Post Acute

Greenville, SC · Greenville County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
n/a
Serious cites
0

Greenville Post Acute runs 3.06 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in CMS's staffing rating of 1 out of 5, even as the home's quality measure score sits at 5 out of 5, a gap worth asking about, since quality scores reflect reported care outcomes while staffing reflects who's actually on the floor. The health inspection rating is 2 out of 5, with 21 deficiencies on record, including 2 tied to abuse; none reached harm or jeopardy level, and fines total $5,831. It's a for-profit limited liability company, last inspected April 24, 2025.

B

75.5/100

Oak Harbor Healthcare

Mt Pleasant, SC · Charleston County

CMS 4/5132 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
n/a
Serious cites
0

Oak Harbor Healthcare runs 132 certified beds in Mt Pleasant under for-profit LLC ownership, and its staffing is the weak spot: 3.41 nurse hours per resident day sits about 12% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday levels. That thin coverage lines up with a 2-out-of-5 CMS staffing rating, though the quality measure score comes in at 4 out of 5 and inspections at 3 out of 5. The current record shows 12 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $7,901 fine, nothing abuse-related. Staffing is the number worth watching here, not the quality scores.

B

75/100

Oak Hollow Of Georgetown Rehabilitation Center Llc

Georgetown, SC · Georgetown County

CMS 2/584 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
42%
Serious cites
0

Oak Hollow runs lean on nurse staffing, 3.08 hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 9% below its own weekday level. That thinner weekend coverage matters, since 11 deficiencies sit on the current record, three of them serious enough to reach harm or jeopardy, one tied to abuse. Turnover is 41.7%, a bit better than the national 45.8%, and quality measures score well, but the health inspection side tells a rougher story. The last inspection was August 28, 2025, so the record is recent. Two fines totaling $10,312 round it out.

B

75/100

Carlyle Senior Care Of Fork

Fork, SC · Dillon County

CMS 3/5111 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
35%
Serious cites
0

Carlyle Senior Care of Fork runs 3.56 nurse hours per resident per day, about 8% under the national average, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 34.6%, notably better than the 45.8% national figure, which suggests the aides and nurses here tend to stay. The inspection record is the strong point: a 4-out-of-5 health inspection rating, eight deficiencies, none at harm or jeopardy level, no abuse findings, and a survey completed in April 2025. The weak spot is the 1-out-of-5 quality measure rating, so ask what that reflects for your family member's specific needs.

B

75/100

Union Post Acute

Union, SC · Union County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
38%
Serious cites
0

Union Post Acute runs lean. At 3.09 nurse hours per resident day, it sits about 20 percent under the national average of 3.86, and weekends dip roughly another 10 percent below its own weekday numbers, that's the kind of gap families notice when a call button goes unanswered on a Sunday. The record isn't clean, either: 13 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. What keeps it in decent territory is turnover at 38.2 percent, better than the 45.8 percent national figure, plus strong marks on inspections and quality measures. A February 2026 inspection means the picture is current. Go in asking who's on the floor on weekends.

B

74.5/100

Nhc Healthcare - Anderson

Anderson, SC · Anderson County

CMS 5/5290 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
42%
Serious cites
0

Nhc Healthcare - Anderson runs 290 certified beds under for-profit LLC ownership, and its health inspection record is the strongest part of the picture, six deficiencies on file, none at the harm or jeopardy level, though one is abuse-related. The staffing numbers are where it thins out: 3.58 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 17% below the home's own weekday staffing. Turnover at 42.3% is slightly better than the 45.8% national figure, which matters for continuity of care. A recent inspection in November 2025 means the record is current. Quality measures land mid-range. Nothing here reads as dangerous, but the weekend staffing dip is worth asking about directly.

B

74.5/100

Medford Nursing Center

Darlington, SC · Darlington County

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

Medford Nursing Center runs on more nursing hours than most homes, 4.35 per resident day against a national average of 3.86, and its last inspection in March 2026 turned up five deficiencies, none involving harm or abuse. Staffing fades on weekends, dropping roughly a fifth below weekday levels, and turnover sits at 50.5% versus 45.8% nationally, so the faces change fairly often. The quality measure rating of 2 out of 5 is the weak spot, and it's worth asking what specifically drives that number. A for-profit corporation owns the 88-bed building. The staffing and inspection record look steady; the clinical quality measures and retention are where the questions are.

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

73.5/100

Lila Doyle Post Acute

Seneca, SC · Oconee County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
n/a
Serious cites
0

Lila Doyle Post Acute runs 120 beds in Seneca under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, which matters when a resident needs help on a Sunday. The inspection record shows eight deficiencies, two at harm or jeopardy level and two tied to abuse, plus two fines totaling $22,838. The most recent inspection was June 24, 2026. Quality measures score well, but staffing and inspection results are where the concerns live.

B

73.5/100

Pruitthealth- Estill

Estill, SC · Hampton County

CMS 4/588 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
39%
Serious cites
0

Pruitthealth-Estill runs 88 certified beds under for-profit LLC ownership, and its staffing sits at 3.17 nurse hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 20% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 39.1%, better than the 45.8% national figure, which suggests some stability in the workforce even with the short hours. The inspection record shows 25 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $7,745 and a survey dated April 29, 2025. The 2/5 inspection rating is the weak spot; quality measures score 4/5.

B

73/100

Carlyle Senior Care Of Kingstree

Kingstree, SC · Williamsburg County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
38%
Serious cites
0

Carlyle Senior Care of Kingstree runs 96 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends running roughly 10% thinner than weekdays, a pattern families should ask about directly, since that's when coverage gaps tend to show. Turnover at 37.8% is actually better than the 45.8% national figure, which matters for consistency of care. The current record shows 9 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,788. The most recent inspection was April 2026.

B

73/100

Fountain Inn Post Acute

Fountain Inn, SC · Greenville County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
63%
Serious cites
0

Fountain Inn Post Acute runs 60 beds under limited-liability, for-profit ownership, and its nursing hours land at 3.37 per resident day, roughly 13% under the national average of 3.86. Weekends dip about 12% below the home's own weekday staffing, and annual turnover sits at 62.5% against a national 45.8%, so the same faces aren't guaranteed shift to shift. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in December 2025. Quality measure scores are strong at 5 out of 5, which reflects resident outcomes on paper. The tension here is real: good clinical metrics, thin staffing, and heavy turnover.

B

73/100

Springdale Healthcare Center

Camden, SC · Kershaw County

CMS 1/5148 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
64%
Serious cites
0

Springdale Healthcare Center runs on thin staffing: 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. That's the reality behind its 1-out-of-5 staffing rating. The current record carries 28 deficiencies, including 5 at harm or jeopardy level and 6 tied to abuse, with $34,210 in fines across two cases. Annual turnover of 63.9%, well above the 45.8% national figure, means the staff caring for your family member is likely to change often, which matters for continuity when residents have complex needs. A 4-out-of-5 quality measure rating doesn't erase a 2-out-of-5 inspection history, especially with a January 2026 inspection still fresh on the books.

B

73/100

Mccoy Memorial Nursing Center

Bishopville, SC · Lee County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
29%
Serious cites
0

McCoy Memorial runs a tight ship on staffing retention, 28.6% turnover is well under the 45.8% national average, which means the people caring for your relative are more likely to still be there next year. The trade-off shows up in two places. Weekend coverage drops about 14% below weekday levels, and overall nurse hours sit around 3.50 per resident day against a national average of 3.86. The current record lists six deficiencies, one serious enough to involve harm or jeopardy. One fine, $8,512. The last inspection was July 2025, so the picture is reasonably fresh. For-profit, LLC-owned, 120 beds.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in South Carolina?
There are 142 Medicaid-certified, clean-record Medicare-certified nursing homes in South Carolina, 76% of the 187 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In South Carolina they average 3.62 total nursing hours per resident per day, against 3.84 for all nursing homes in South Carolina, a difference of -0.22 hours. Staff turnover averages 45.1% against 45.9%.
Which Medicaid-certified, clean-record nursing home grades best in South Carolina?
Brightwater Skilled Nursing Center in Myrtle Beach, SC, grade A, 96 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 142 graded Medicaid-certified, clean-record homes in South Carolina, 17 grade A and 2 grade D or F.
Do Medicaid-certified, clean-record nursing homes in South Carolina accept Medicaid?
142 of the 142 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in South Carolina