131 of the 187 Medicare-certified nursing homes in South Carolina (70%) are chain-owned, and all are listed below. They average 3.64 nursing hours per resident per day, 0.2 hours below the 3.84 for every home in South Carolina. 12 of the 131 graded homes earn an A and 8 earn a D or F. Willow Brooke Court At Park Pointe Village in Rock Hill grades highest at A (97 out of 100).
How chain-owned homes in South Carolina compare
This group set against every nursing home in South Carolina, from the current CMS release.
Iva Post-Acute is a 60-bed for-profit home in Anderson County, and the numbers tell a split story. On paper, the care quality looks strong, a 5/5 quality measure rating and a 4/5 on health inspections, with the most recent inspection in September 2025 finding 11 deficiencies, none of them serious enough to cause harm or jeopardy and none tied to abuse.
The catch is staffing. At 2.92 nurse hours per resident day, this home runs roughly 24% below the national average, and weekends dip another 11% below its own weekday levels. Annual turnover sits at 57.8% against a national rate of 45.8%. A limited liability company owns it. Good inspection results matter, but they can't fully offset thin, churning staffing.
Angel Oak runs lean on the floor: 3.25 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 5% below its own weekday coverage. That shortfall matters more when you look at turnover, 57.3% of staff leaving annually, well above the 45.8% national figure, so the people providing care keep changing. Inspectors last visited in February 2026 and found eight deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $13,520 fine on record. The recent inspection and quality scores look decent on paper, but staffing is where the trouble shows.
Summit Hills runs a small house, 27 beds, and staffs it better than most: 4.86 nurse hours per resident day against a national average of 3.86, with weekend coverage holding nearly level with weekdays. That's the good news. The harder fact is turnover at 65.4% against a national 45.8%, which means the people delivering those hours keep changing. Five deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection came in January 2026. Quality measures rate 2 of 5, the weakest mark in the file. Ownership is for-profit through a limited liability company. Strong hands-on hours, but a workforce that doesn't stay.
Linley Park Post Acute runs thin on nursing hours: 3.23 per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekdays. Annual turnover sits at 63.4 percent against a national 45.8, meaning most of the people caring for residents weren't there a year ago. The for-profit, limited-liability owner has kept a clean inspection record lately, 12 deficiencies, none at harm or jeopardy level, no abuse findings, and a survey from December 2025, and quality measures score well. What a family should weigh is whether adequate clinical outcomes can hold up when the staffing line is the weakest part of the file.
Edisto Post Acute runs on thin staffing. At 3.09 nurse hours per resident day, it sits about 20% under the national average of 3.86, and weekends drop roughly 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. The CMS staffing rating reflects that at 1 out of 5. Turnover is the bigger tell: 60.9% of nursing staff leaving annually against a national 45.8% means caregivers rarely stay long enough to learn your mother's routines. Sixteen deficiencies sit on the current record, one abuse-related, though none reached harm or jeopardy level. The last inspection was recent, September 2025. Quality measures score well, but that reflects charted outcomes, not the hands available to deliver them.
Oakbrook runs lean on nursing hours, 3.13 per resident day, roughly 19% under the national average, and weekends get thinner still, with about 13% less coverage than weekdays. Staff turnover sits at 63.9% against a national rate near 46%, meaning nearly two out of three caregivers are leaving each year, which usually shows up as unfamiliar faces and unfinished routines. The inspection record backs that up: 13 deficiencies, three serious enough to involve harm or jeopardy, and $22,564 in fines across three separate penalties, with a 1-out-of-5 inspection rating. Its most recent survey was in May 2026, so the findings are current, not stale.
Carlyle Senior Care of Florence runs 88 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. That gap matters when you're thinking about who's answering a call light on a Sunday. Annual turnover is 59.8% against a national 45.8%, so the faces change often. The current inspection record shows 17 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Its last inspection was March 26, 2026, so the picture is recent.
Anchor Post Acute runs 3.42 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekdays, that's the staffing picture behind its one-star CMS staffing rating. Annual turnover sits at 67.8% when the national figure is 45.8%, meaning roughly two of every three caregivers left last year. The inspection record shows 20 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and the last survey was September 2025. A for-profit LLC operates the 120-bed home, with one fine of $9,428 on record. Its four-star quality measure score stands out against everything else here.
Millennium Post Acute Rehabilitation runs 132 beds in West Columbia under for-profit LLC ownership, and the numbers pull in two directions. Nurse staffing sits at 4.05 hours per resident day, about 5% above the national average, but the weekend schedule drops roughly 16% below its own weekday level, and annual turnover hits 59.4% against a national 45.8%, which is a lot of churn for a building this size. The health inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $4,271; the most recent inspection was March 2026. CMS rates the quality measures 5 out of 5 and staffing just 1, so ask how care actually holds up on Saturdays.
Brushy Creek Post Acute in Greer runs below the national average on nurse staffing, 3.61 hours per resident day against 3.86, and drops about 13% further on weekends, so coverage thins exactly when families tend to visit. Turnover sits at 38.5%, better than the national 45.8%, but that's the one number here working in the home's favor. Its inspection record is the real concern: 16 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus a $30,665 fine and a one-star health inspection rating, with the most recent inspection in December 2025. A for-profit limited liability company owns the 144-bed building.
Carlyle Senior Care of Aiken runs 86 certified beds under for-profit LLC ownership, and its staffing is genuinely its strong point, 4.10 nurse hours per resident day, roughly 6% above the national average. Weekend coverage dips about 8% below weekday levels, and turnover sits at 44.3%, slightly better than the national 45.8%. Where the picture darkens is inspections and care quality: both CMS ratings sit at 1 out of 5, with 11 deficiencies on the current record, including 2 at harm or jeopardy level and 3 tied to abuse. That's a lot of serious findings for a home this size, and it points to problems that adequate staffing hours alone haven't prevented.
Life Care Center of Hilton Head runs about 3.69 nursing hours per resident day, roughly 5% under the national average, and weekend staffing drops around 14% below its own weekday level. Staff turnover sits at 56.3%, well above the 45.8% national figure, that's more than half the nursing staff leaving in a year. The current inspection record shows 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $8,281. Its most recent inspection was July 17, 2025. Quality measure scores look strong, but the inspection history and staffing pattern tell a different story.
Mccormick Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.11 nurse hours per resident day, roughly 19 percent under the national average, with weekends about 11 percent thinner than weekdays. That thin coverage shows up in the inspection record, a one-star health inspection rating, 21 deficiencies including three at harm or jeopardy level and two tied to abuse, plus $77,101 in fines across two penalties. Staff turnover sits at 40.9 percent, a bit better than the 45.8 percent national figure, and the quality measure rating is strong at five stars, but those measures lean on resident assessments rather than day-to-day care capacity. The most recent inspection was May 2025, so the picture is current.
Carlyle Senior Care of Blackville runs 85 certified beds under corporate, for-profit ownership, and the numbers worth knowing start with its inspection record: 16 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus 2 tied to abuse. Three fines totaling $58,881 have followed. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly 16% below the home's own weekday level, so coverage thins out right when families tend to visit. Staff turnover at 43.9% is slightly better than the 45.8% national figure, and the most recent inspection was March 31, 2026.
Calhoun Convalescent Center runs on 3.16 nursing hours per resident per day, roughly 18 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. That thin coverage shows up in the numbers: 60 percent annual turnover, well above the 45.8 percent national figure, and 28 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse. Ownership is for-profit corporate, and CMS gave it one star each for health inspections and staffing, with three fines totaling $63,106. The most recent inspection was February 24, 2026. Quality measures scored three stars, the one measure that isn't flagging problems.
Riverside Health And Rehab runs 160 certified beds in Charleston under for-profit LLC ownership, and its nurse staffing sits at 2.72 hours per resident day, roughly 30% under the national average of 3.86, with weekend coverage dipping about 10% below its own weekday level. Turnover is 46.2%, essentially tracking the national figure, so the shortfall isn't about constant churn; it's about how few hands are scheduled. The inspection record shows 21 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus three fines totaling $27,788. The most recent inspection was April 21, 2026. Staffing star rating lands at 1 out of 5.
River Falls Post Acute runs 44 beds in Marietta under for-profit LLC ownership, and the staffing numbers are where the concern sits. At 3.12 nurse hours per resident day, it's roughly 19% under the national average, and weekends drop another 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.5% is nearly 14 points above the national rate, meaning the aides and nurses caring for residents are frequently new. Inspections look better: a 4/5 health inspection rating, last survey in April 2026, 9 deficiencies with one at harm level and none abuse-related, plus a single $8,824 fine. The quality measures also rate 4/5. The gap between how care is documented and how consistently it's staffed is what pulls the overall picture down.
Magnolia Manor - Greenwood runs on 3.25 nurse staffing hours per resident day, roughly 16% under the national average, and weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with two fines totaling $13,075 and a one-star health inspection rating. Staff turnover sits at 47.9%, slightly above the national 45.8%. This is a for-profit limited liability company, 88 beds, last inspected June 2025.
Brookview runs on 3.00 nurse hours per resident day, about 22% under the national average, and weekends drop roughly another 12% below its own weekday staffing. That thin coverage shows up in the inspection record: 14 deficiencies, 4 serious enough to put residents in harm's way, 3 tied to abuse, and $42,599 in fines. Staff turnover sits at 49%, slightly worse than the 45.8% national figure, so the people providing care keep changing. The last inspection was January 8, 2026, meaning the record is current, not old news. This is a for-profit LLC with 132 certified beds, and the pattern across staffing, turnover, and serious deficiencies is consistent rather than a one-time slip.
Peachtree Centre runs a 151-bed for-profit operation in Gaffney, and the staffing numbers are the first thing a family should sit with. At 3.02 nurse hours per resident day, it's about 22% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit and when backup is hardest to call in. Turnover sits at 64.6% against a national 45.8%, meaning roughly two of every three caregivers are new to the building each year. Eighteen deficiencies are on record, none at harm or jeopardy level and none abuse-related, which matters, but the most recent inspection was May 2026.
Frequently asked questions
How many chain-owned nursing homes are there in South Carolina?
There are 131 chain-owned Medicare-certified nursing homes in South Carolina, 70% of the 187 nursing homes there.
Are chain-owned nursing homes better staffed?
In South Carolina they average 3.64 total nursing hours per resident per day, against 3.84 for all nursing homes in South Carolina, a difference of -0.2 hours. Staff turnover averages 47% against 45.9%.
Which chain-owned nursing home grades best in South Carolina?