How many nursing homes are in Charleston, SC, and how are they rated?
Inside Charleston's four areas, DPH licenses 5 nursing homes with 440 licensed beds; of the 5 CMS rates, 2 have five stars, 1 four, 2 three, 0 two and 0 one.
| Charleston area | Nursing homes | Licensed beds | CMS 4-5 stars |
|---|---|---|---|
| Downtown Peninsula | 1 | 23 | 1 |
| West Ashley | 2 | 257 | 1 |
| James Island | 1 | 100 | 1 |
| Daniel Island & Cainhoy | 1 | 60 | 0 |
Are any Lowcountry nursing homes on CMS's Special Focus list?
Yes: CMS lists Johns Island Post Acute (SFF Candidate) in its Special Focus Facility program for homes with persistent serious quality problems.
Each home's page carries its latest inspection date, deficiency counts, fines and any South Carolina enforcement order, taken from CMS Care Compare and DPH's monthly reports.
How well staffed are nursing homes around Charleston?
Across the 18 tri-county nursing homes with CMS staffing data, total nurse staffing runs from 2.86 to 5.89 hours per resident per day (middle value 3.61), and nursing staff turnover has a middle value of 45.6%.
The figures come from CMS's payroll-based staffing data. Every facility page sets its own hours and turnover beside the tri-county middle value, a quick way to spot a thinly staffed building before you tour.
Which Lowcountry nursing homes share a campus with assisted living?
5 nursing homes in the three counties share a street address with a licensed CRCF on DPH's data: Bishop Gadsden-Gadsden Glen Center for Health and Rehab (Charleston), Franke Health Care Center (Mount Pleasant), Kempton of Charleston (Charleston), Presbyterian Communities of South Carolina-Summerville (Summerville), Retreat at Wellmore of Daniel Island (Charleston).
On a shared campus a resident can usually move from assisted living to nursing care, or return after rehab, without changing communities, which matters when one spouse stays in assisted living. Ask whether campus nursing beds are reserved for residents and whether Healthy Connections Medicaid is accepted once private funds are spent.
Nursing homes in Charleston at a glance
| Nursing homes in Charleston is | Nursing homes in Charleston is not | |
|---|---|---|
| Ratings | CMS overall, inspection, staffing and quality stars | Ratings we invent |
| Coverage | 5 rated homes inside city limits | Every nursing bed in the region |
| Payment | Medicare short stays, Healthy Connections Medicaid long stays | Free long stays under Medicare |
| South Carolina median (2025) | About $9,034/month semi-private | A Charleston-specific price |