Every Medicare-certified nursing home in South Carolina, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
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.
C M Tucker Jr Nursing Care Center in Columbia runs on state government ownership and a big staff, 5.20 nurse hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level. What that staffing buys is a spotty record: 24 deficiencies on file, seven serious enough to put residents in harm's way, three tied to abuse, and four fines totaling $244,929. The last inspection was in May 2025, so the picture is current. High direct-care hours coexist here with repeated, sometimes dangerous, compliance failures, a split worth weighing carefully if you're choosing a place for someone.
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.
Martha Franks Baptist Retirement Center sits in Laurens, and the numbers tell a mixed story worth sorting through. Nurse staffing runs 4.24 hours per resident day, roughly 10% above the national average, and weekend coverage holds up reasonably well even if it dips about 13% below weekdays. Staff turnover at 41.1% is slightly better than the national 45.8%, so people aren't fleeing. Where it gets harder: 11 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $12,735 fine. The last inspection was September 2025. Good daily care hours, but a compliance record that needs a close look.
Senior Care Of Marion runs 95 certified beds under for-profit LLC ownership, and the numbers worth knowing sit in its inspection record: 15 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. Turnover runs at 54.7%, well above the 45.8% national average, which matters because it means the people caring for residents keep changing. CMS gave it 2 out of 5 stars on both health inspections and quality measures. A recent inspection in September 2025 didn't undo any of that, and two fines totaling $24,054 are on file. If you're considering this one, ask directly about staffing stability and how those abuse-related findings were resolved.
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.
Mountainview runs a nonprofit operation with 132 beds, and its 4.55 nurse hours per resident day sit about 18% above the national average, that part is genuinely good. The catch is consistency: weekend staffing drops roughly 17% below its own weekday level, and annual turnover hits 80.1% against a national 45.8%, meaning the people providing that care are largely new and cycling through. On inspections, the record is harder to defend: 27 deficiencies, including one at the harm level and one abuse-related, three fines totaling $15,324, and a November 2024 inspection that rated 2 out of 5 stars for health and just 1 for quality measures. Strong staffing numbers alone don't offset that pattern.
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.
Sumter East runs 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday numbers. Staff turnover sits at 44.2%, close to the national figure, so the problem isn't retention so much as how few hands are on deck. The inspection record is harder to look past: 32 deficiencies, three at harm or jeopardy level, four tied to abuse, and five fines totaling $33,097, with the last inspection in March 2026. For a 176-bed for-profit run by an LLC, the staffing and inspection numbers together tell you where the risk sits.
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.
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.
Achieve Rehabilitation and Nursing Center runs 181 beds in Anderson under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.94 nurse hours per resident day against a national average of 3.86, with weekends about 14% thinner than weekdays. Annual turnover of 62.7% means most of the people caring for your family member are new, and nearly two-thirds of the staff left last year. The inspection record shows 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $73,538 in fines and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious problems.