Here are 11 Nursing Homes in Charleston County, SC
Nursing homes across Charleston County, South Carolina, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Bishop Gadsden runs 5.37 nurse hours per resident day, roughly 39% above the national average of 3.86. That's a real gap, not a rounding difference, it means more hands on deck per resident than most homes in the country. Staff turnover sits at 33.9% against a national average of 45.8%, so workers tend to stick around longer here than elsewhere. Weekends run about 10% lighter than weekdays, which is worth knowing if you'll be visiting then. The inspection record shows 10 deficiencies, one at the harm level and none tied to abuse, with the most recent visit in April 2025. As a nonprofit, there's no owner extracting profit from the operation.
Nhc Healthcare - Charleston runs leaner on inspection problems than its one-star health inspection rating might suggest at first glance, nine deficiencies on record, only one serious enough to cause harm, and none tied to abuse. Where it stands out is staffing: 5.09 nurse hours per resident day, roughly a third more than the national average, with turnover at 32.4% against a national 45.8%. That's a workforce that stays put more than most. The catch is weekends, when coverage drops about 11% below the home's own weekday pace. A for-profit LLC with 88 beds, inspected most recently in April 2026.
Kempton Of Charleston runs on a small 23-bed footprint, and the staffing numbers are the strongest part of the story, 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The concerning figure is turnover: 64.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year even though coverage levels stay high. Inspections are recent (May 2025) with four deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $6,032.
Life Care Center Of Charleston runs 148 certified beds in North Charleston, and the staffing numbers are the first thing to notice: 3.54 nurse hours per resident day, roughly 8 percent under the national average, with weekends dipping about 12 percent below its own weekdays. Turnover sits at 42.7 percent, a touch better than the 45.8 percent national figure, so the concern isn't retention so much as how thin the floor gets on Saturdays and Sundays. The current inspection record shows 13 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus $24,247 in fines across two penalties. Clinical quality measures score well, but the January 2026 inspection history and below-average daily staffing carry more weight than that.
Franke Health Care Center runs on a nonprofit model with 44 beds in Mount Pleasant, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That edge matters, though weekends dip about 14% below the home's own weekday coverage, so staffing isn't perfectly even across the week. Staff turnover comes in at 42.6%, a touch better than the 45.8% national figure. The current inspection record shows 8 deficiencies, none at the harm or jeopardy level and none related to abuse, with the most recent inspection dated April 2026. Federal stars land at 4 for health inspections, 4 for staffing, and 3 for quality measures, a solid, recently reviewed record without serious findings.
White Oak Manor in Charleston runs 176 beds under corporate ownership, and its staffing sits slightly above the national average at 3.98 nurse hours per resident day. That edge shrinks on weekends, when coverage drops roughly 12% below weekday levels, worth asking about if your family visits Saturday or Sunday. Turnover lands at 38.9%, better than the 45.8% national figure, which suggests a steadier crew than many homes manage. The inspection record shows six deficiencies, one serious enough to involve harm, plus a single fine of $8,788; the most recent state visit was August 2025. Nothing here reads as dangerous, but the weekend gap and that one harm-level finding are the details to press on.
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.
Ashley River Healthcare runs 125 certified beds in Charleston under for-profit limited liability ownership. Its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $46,164. Quality measures score well and the last inspection was recent, but the staffing pattern and that harm-level citation are the numbers worth weighing.
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.
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.
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.