Charleston Senior AdvisorWest Ashley is the large part of the city across the Ashley River from the peninsula, following Savannah Highway, Sam Rittenberg Boulevard, Highway 61 and Bees Ferry Road, from Avondale and the Crescent out toward Carolina Bay and the Ashley River plantations. Bon Secours St. Francis Hospital is on Savannah Highway.
It is the city's main cluster of purpose-built assisted living, with several mid-size and large communities, a stand-alone Alzheimer's care center and nursing homes along the Highway 61 and Bees Ferry corridors. Families from James Island and Johns Island often end up comparing West Ashley buildings because they are a short drive across the Stono or Ashley.
How much licensed senior care is in West Ashley, Charleston?
DPH's licensing data shows 5 senior-serving assisted living facilities (429 beds) and 2 nursing homes (257 beds) in Charleston's West Ashley area, ZIP codes 29407, 29414.
| Found in West Ashley | Not found in West Ashley | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 5, Nursing homes: 2, Adult day care: 2, Home health agencies: 1, In-home care providers: 18 | — |
| Missing locally | — | Hospice programs, Hospice houses |
| Alzheimer's special care units | 5 buildings | — |
Which assisted living buildings are licensed in West Ashley?
DPH's current data lists 5 senior-serving CRCFs in West Ashley, 5 flagged for an Alzheimer's special care unit and 0 with 16 or fewer beds; Harmony at West Ashley is the largest at 105 licensed beds.
| Facility | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 | License status |
|---|---|---|---|---|
| Harmony at West Ashley 1925 Essex Farms Dr, 29414 | 105 | Unit + care | 0 | Licensed through 10/31/2027 |
| Colonnade at West Ashley 2030 Charlie Hall Blvd, 29414 | 100 | Unit + care | 0 | Licensed through 03/31/2027 |
| Addison of West Ashley-Senior Living in Charleston SC 1445 Bluewater Way, 29414 | 98 | Unit + care | 0 | Licensed through 10/31/2026 |
| Ashley Gardens Alzheimer's Special Care Center 2290 Henry Tecklenburg Dr, 29414 | 66 | Unit + care | 0 | Licensed through 06/30/2027 |
| Palmettos of Charleston 1900 Ashley Crossing Dr, 29414 | 60 | Unit + care | 0 | Licensed through 07/31/2027 |
Which nursing homes are in West Ashley, and how does CMS rate them?
West Ashley has 2 licensed nursing homes with 257 licensed beds between them; 1 of the 2 that CMS rates hold four or five stars overall.
| Facility | CMS overall rating | Licensed beds | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Ashley River Healthcare 1137 Sam Rittenburg Blvd, 29407 | 3 of 5 | 125 | March 18, 2026 | 2 |
| NHC Healthcare Charleston 2230 Ashley Crossing Dr, 29414 | 4 of 5 | 132 | April 3, 2026 | 5 |
Are home health, hospice or adult day providers based in West Ashley?
Yes: DPH's data shows 1 home health agency, 0 hospice programs and houses and 2 adult day centers with West Ashley addresses, though agencies typically serve far beyond their office.
- Active Day of Charleston — adult day care facility, license ADC-0130, up to 68 participants
- Sunrise Community of South Carolina Adult Day Health Care — adult day care facility, license ADC-0483, up to 54 participants
- Amedisys Home Health of Charleston East — home health agency, license HHA-0191
How many in-home care agencies have an office in West Ashley?
18 licensed in-home care providers list a West Ashley office on DPH's data; these are the agencies that send aides for bathing, dressing, meals and companionship.
All of them are in the in-home care roster, which can be filtered by city. A DPH license means the agency meets the state's standards for screening and supervising aides. Ask each about minimum shift length and what happens when an aide calls out.
Which hospitals are closest to West Ashley?
From the middle of the area, the nearest general hospitals on DPH's roster are Bon Secours St. Francis Xavier Hospital (about 1.0 miles) and Roper Hospital (about 6.5 miles).
MUSC Medical Center is about 6.5 miles away. Straight-line distances ignore the rivers and bridges that shape real Lowcountry drives.
