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.
Sandpiper Post Acute runs on 3.05 nurse hours per resident day, roughly a fifth less than the national average, and staffing thins out further on weekends. More than half its nurses left over the past year, well above the typical rate. The inspection record is heavier: 47 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and five fines totaling about $85,000. Federal inspectors gave it one star for both staffing and health inspections, though its quality measure score came in at three. A Charleston County family weighing this 176-bed for-profit home should ask hard questions about who's on the floor at 2 a.m. and how abuse concerns were resolved.
St Andrews Operator runs 108 certified beds in Columbia under individual for-profit ownership, and the numbers behind its F grade are worth walking through. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends run about 11% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 79.3% is nearly double the national rate, meaning most of the people caring for residents are new to the building. The current record carries 40 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, plus $52,910 in fines. Its last inspection was July 2025, so the picture is recent.
The Physical Rehabilitation and Wellness Center of Spa carries 27 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, that's a heavy citation load, and it's the main reason its inspection rating sits at the bottom of CMS's scale. Staffing runs thin here too: 3.23 nurse hours per resident day, roughly 16 percent under the national average, with weekends about 9 percent lighter than weekdays and turnover at 60.8 percent against a national 45.8. A for-profit LLC with 120 beds, this home was last inspected on January 16, 2026. Quality measures score better than its staffing and inspection numbers, but the pattern of low hours, high turnover, and repeated deficiencies tells the story.
Magnolia Manor - Inman runs 2.90 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop about 9% below its own weekday level. Staff turnover sits at 62.2% versus 45.8% nationally, so the people providing that care are leaving faster than usual. Twenty-five deficiencies appear on the current record, six at harm or jeopardy level and five abuse-related, with six fines totaling $94,778. CMS has placed the home in its Special Focus Facility program, and the most recent inspection closed out in August 2025.
Heartland Health Care Center - Greenville East carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Ten deficiencies are on the current record, four of them at the harm or jeopardy level, and the home has paid one fine of $19,105. Staffing runs about 3.07 nurse hours per resident day, roughly 20 percent under the national average, and weekends are thinner still, about 20 percent below its own weekday levels, with turnover at 51.8 percent. The five-star quality measure score looks strong, but that number comes largely from resident assessments the home reports itself, so weigh it against the inspection findings.
Ridgeland Nursing Center runs on 2.76 nurse hours per resident per day, roughly 28% under the national average of 3.86, and weekend coverage drops about 14% below what it manages on weekdays. That thin bench shows in the turnover number: 71.1% of staff leave each year against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record backs that up, a 1-out-of-5 health inspection rating, 24 deficiencies on file including 2 at harm or jeopardy level and 4 tied to abuse. A recent May 2025 inspection at least means the picture is current. For-profit, LLC-owned, with quality measures scoring midrange while staffing sits at the bottom.
Rehab Center Of Cheraw runs 3.03 nurse hours per resident per day, roughly 22 percent under the national average, and weekends are thinner still, about 15 percent below its own weekday staffing. That gap matters because falls, infections, and medication errors don't wait for Monday. The home's record backs up the concern: 13 deficiencies, two serious enough to put residents in harm's way, one tied to abuse, and $64,075 in fines across four penalties. Staff turnover sits at 50.5 percent, above the 45.8 percent national figure, so the people providing care keep changing. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor performance.
Nurse staffing at Johns Island Post Acute works out to 2.85 hours per resident day, roughly a quarter below the national average, and it thins out further on weekends. That matters because the home's record includes 22 deficiencies, five of them serious enough to involve harm or jeopardy, five tied to abuse, plus two fines. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and its health inspection rating sits at one star. Annual turnover of 52.2% means more than half the nursing staff leaves within a year.
Forest Acres runs lean on nurses, 2.88 hours per resident day against a national average of 3.86, roughly a quarter below what CMS considers typical, and weekends drop about 7% further from its own weekday levels. That thin coverage shows up in the numbers: 64.9% of staff left over the past year, versus 45.8% nationally, and the current record carries 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A single $82,018 fine and a May 2025 inspection round out the picture at this for-profit, limited-liability home. The quality measure rating looks good on paper, but staffing is what families actually feel day to day.
Lake Emory runs about 3.12 nursing hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage dips below its own weekday level. Staff turnover sits at 60.5% against a national 45.8%, which means more than half the nursing staff turns over in a year. The current inspection record shows 14 deficiencies, three serious enough to cause harm, four related to abuse, and two fines totaling $13,627. Ownership is corporate for-profit. A recent August 2025 inspection keeps the record current, but the staffing shortfall, high turnover, and harm-level findings together describe a home where care is thin.
Oak Hollow Of Sumter Rehabilitation Center runs 96 certified beds under corporate for-profit ownership, and the numbers here are hard to dress up. Nurse staffing sits at 3.30 hours per resident day against a national average of 3.86, roughly 15% lighter, and it thins further on weekends, dropping about 18% below the home's own weekday coverage. Turnover tells its own story: 66% of staff leave annually, well above the 45.8% national figure, so the people caring for your family member are often new to the building. Inspections have logged 29 deficiencies, four at harm or jeopardy level and one tied to abuse, with five fines totaling $63,303. 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?