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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 101 to 120 of 142, best-graded first.

B

70/100

Dr Ronald E Mcnair Nursing & Rehabilitation Center

Lake City, SC · Williamsburg County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
2.72 /day
Staff turnover
32%
Serious cites
0

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.

B

70/100

Sedgewood Manor Health Care Center

Hopkins, SC · Richland County

CMS 1/538 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
60%
Serious cites
0

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.

C

69.5/100

Pruitthealth- Aiken

Aiken, SC · Aiken County

CMS 1/5176 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
34%
Serious cites
0

Pruitthealth-Aiken runs 176 certified beds under corporate ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 24 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 33.8 percent actually beats the national 45.8 percent, which matters, but the inspection record is the real weight here: 18 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $21,645 fine. The most recent inspection closed in December 2025. A one-star health inspection rating with that abuse count deserves a close look before you decide.

C

69/100

Seneca Health & Rehabilitation Center

Seneca, SC · Oconee County

CMS 3/5132 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
52%
Serious cites
0

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.

C

69/100

Heritage Post Acute

Florence, SC · Florence County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
49%
Serious cites
0

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.

C

69/100

Pruitthealth- Conway At Conway Medical Center

Conway, SC · Horry County

CMS 4/588 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
62%
Serious cites
0

Pruitthealth-Conway runs 88 beds inside Conway Medical Center, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends drop another 15% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.4% against a national 45.8%, meaning more than half the nursing team leaves within a year. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated May 8, 2026. Corporate for-profit ownership, a two-star health inspection rating, and three stars each for staffing and quality measures round out the picture.

C

68.5/100

Pruitthealth- Dillon

Dillon, SC · Dillon County

CMS 3/584 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
27%
Serious cites
0

Pruitthealth-Dillon runs below the national average on nurse staffing, 2.96 hours per resident day against 3.86, and weekends drop about 17% below its own weekday level, which is when families often notice less help on the floor. The tradeoff is retention: 26.8% turnover beats the 45.8% national average, so the aides who are there tend to stay. Its inspection record is the weak point: 16 deficiencies, two at harm or jeopardy level, one abuse-related, and a $10,036 fine, with the most recent inspection in May 2025. For-profit, LLC-owned, 84 beds. Ask about weekend coverage and how those harm-level findings were resolved before deciding.

C

68/100

Cheraw Healthcare

Cheraw, SC · Chesterfield County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
44%
Serious cites
0

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.

C

68/100

Fleetwood Post Acute

Easley, SC · Pickens County

CMS 2/5103 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
65%
Serious cites
0

Fleetwood Post Acute runs about 3.07 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekend coverage dips another 9% below its own weekday pace. That thin staffing shows up in the numbers that matter: 64.9% annual turnover against a national 45.8%, and a staffing rating of 2 out of 5. The inspection record carries 10 deficiencies, three at harm or jeopardy level and one tied to abuse, with two fines totaling $14,842 and a May 2025 inspection still recent. Ownership is for-profit, a limited liability company. The 4/5 quality measure score reflects resident care data, but staffing and inspections are where the risk sits.

C

68/100

Simpsonville Post Acute

Simpsonville, SC · Greenville County

CMS 4/5132 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
55%
Serious cites
0

Simpsonville Post Acute runs lean on nursing hours, about 3.03 per resident day against a national average near 3.86, and weekends drop roughly another 11% below its own weekday coverage. With 55.1% annual turnover, staff are cycling out faster than the national rate, which matters most on Saturdays and Sundays when fewer hands are already scheduled. The inspection record isn't clean either: seven deficiencies, two serious enough to reach harm or jeopardy level, one tied to abuse, and a $9,710 fine. That said, its last inspection was recent (January 2026) and CMS scored the health inspection and quality measures at four stars each. The weak spot is staffing, and it's a real one.

C

68/100

Powdersville Post-Acute

Easley, SC · Pickens County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
61%
Serious cites
0

Powdersville Post-Acute runs about 3.24 nursing hours per resident each day, roughly 16% under the national average of 3.86, and weekends dip another 12% below its own weekday staffing. That thin coverage lines up with a 61.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses caring for your relative are frequently new to the building. The health inspection record is mixed: 11 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $7,496, and the most recent inspection was in August 2025. Ownership is a for-profit limited liability company. Quality measures score well, but staffing is where the numbers get tight.

C

68/100

Piedmont Post-Acute

Piedmont, SC · Greenville County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
56%
Serious cites
0

Piedmont Post-Acute runs about 3.45 nursing hours per resident day, roughly 11% under the national average, and weekends dip another 15% below its own weekday staffing. That thinner coverage matters more here because 55.6% of staff turned over in the last year, well above the national 45.8%. Inspectors cited 23 deficiencies on the current record, one serious enough to involve harm, and fined the home $8,018; the most recent inspection was April 2026. The quality star rating looks strong at 4/5, but it sits alongside 2/5 marks for both staffing and health inspections. For-profit LLC ownership rounds out the picture.

C

67.5/100

Southpointe Healthcare And Rehabilitation

Greenville, SC · Greenville County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
53%
Serious cites
0

Southpointe runs lean on nursing staff, 3.14 hours per resident day against a national average of 3.86, and weekends thin out even further, down about 16% from its own weekday coverage. That staffing picture helps explain a 1-out-of-5 CMS staffing rating, and it's paired with a 53.2% annual turnover rate, well above the national 45.8%. The current inspection record carries 17 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $14,433 fine. The most recent inspection was March 27, 2026, so the findings are recent. Corporate for-profit ownership, 120 certified beds in Greenville.

C

67.5/100

Opus Post Acute Rehabilitation

West Columbia, SC · Lexington County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
50%
Serious cites
0

Opus Post Acute Rehabilitation runs 98 beds in West Columbia under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap looks small until you see weekends, when coverage drops roughly 16% below the home's own weekday level, exactly when families tend to visit. Annual turnover hits 50%, higher than the 45.8% national figure, so the people caring for your relative are changing often. The current record carries 15 deficiencies, including one at the harm level and one tied to abuse, plus $12,043 in fines across two penalties. Its last inspection was January 29, 2026, so that picture is recent.

C

66.5/100

Magnolia Manor - Spartanburg

Spartanburg, SC · Spartanburg County

CMS 3/595 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
56%
Serious cites
0

Staffing is the weak spot at Magnolia Manor, Spartanburg. At 3.13 nurse hours per resident day, it runs about 19% under the national average, and weekends drop roughly 15% below what the home staffs during the week, so the thinnest coverage lands when families tend to visit. Annual turnover of 56.4% sits well above the 45.8% national figure, meaning aides and nurses cycle through faster than most places. The inspection record shows 13 deficiencies, including one at the harm level and one tied to abuse, with a $12,054 fine. The most recent inspection was in May 2025. Corporate for-profit ownership, 95 certified beds.

C

66.5/100

Pruitthealth- Bamberg

Bamberg, SC · Bamberg County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
38%
Serious cites
0

Pruitthealth-Bamberg runs on 3.24 nurse hours per resident per day, about 16 percent under the national average, and weekends drop roughly 23 percent below its own weekday staffing. That thin weekend coverage matters most when families visit and when problems surface. Turnover sits at 37.7 percent, which is actually better than the 45.8 percent national figure, the steadier crew is a genuine point in its favor. But the inspection record carries 18 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus four fines totaling $34,606. The most recent inspection was May 2025. If you're considering this one, ask directly how weekends are staffed and what changed after those abuse citations.

C

66/100

The Oaks Post Acute

Orangeburg, SC · Orangeburg County

CMS 1/5122 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
45%
Serious cites
0

The Oaks Post Acute runs on 3.08 nurse hours per resident day, about a fifth below the national average, and weekends drop roughly 11% below what the home already staffs during the week. Twenty-one deficiencies sit on its current record, including one at the harm level and one tied to abuse, with 14 fines totaling $111,710. Ownership is for-profit, through a limited liability company, and the last inspection was January 13, 2026. Turnover among nursing staff is 45.3%, almost exactly the national figure, so the problem here isn't retention, it's how few hours each resident actually gets and what inspectors keep finding.

C

66/100

Pruitthealth- Moncks Corner

Moncks Corner, SC · Berkeley County

CMS 2/5132 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
49%
Serious cites
0

Pruitthealth-Moncks Corner runs 132 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 26% below its own weekday levels, that gap matters when families visit Saturday and Sunday. Turnover is 48.7%, a few points above the national figure, so the faces change often. Inspections show 19 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $21,970 in fines across three events. The most recent inspection was August 2025, so the record is current.

C

66/100

St George Healthcare Center

Saint George, SC · Dorchester County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
31%
Serious cites
0

St George Healthcare Center runs 88 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is the relative bright spot at 30.6%, well under the 45.8% national figure, which means less churn in who's actually at the bedside. Against that, the current inspection record carries 13 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $16,894. The most recent inspection was February 17, 2026.

C

66/100

Lancaster Health And Rehabilitation

Lancaster, SC · Lancaster County

CMS 1/5142 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
55%
Serious cites
0

Lancaster Health and Rehabilitation runs 142 beds under for-profit LLC ownership, and its staffing is the number that jumps out: 3.05 nurse hours per resident per day against a national average of 3.86, roughly a fifth lighter. Weekends drop about another 10% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover sits at 54.7%, well above the 45.8% national figure, meaning the aides and nurses you meet may not be there in a year. Fifteen deficiencies are on record, one tied to abuse, none flagged at harm or jeopardy level, and the last inspection was May 2025, so the picture is reasonably current.

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