Home / South Carolina / Charleston
Bishop Gadsden Episcopal Health Care Center
1 Bishop Gadsden Way, Charleston, SC 29412 · Charleston County · (843) 762-3300
41 certified beds, about 26 residents a day · Non profit - Corporation · Medicare since 2018
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425411 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 25, 2025, inspectors cited 3 health deficiencies (the South Carolina average is 3.7, the national average 9.2).
Of 10 health citations since February 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.37 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 1.24 of those hours.
33.9% of nursing staff left within the year CMS measured (South Carolina average 45.9%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
April 25, 2025Standard inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to individualize comprehensive plans for urinary catheter bulb size for two (2) of two (2) residents reviewed for catheter care (Resident (R)11 and R123). This failure could place the residents at risk for discomfort and/or pain.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, interviews, review of facility policy and clinical records, the facility failed to monitor and/or document the use of a wander guard device according to standards of practice for one (1) of one (1) sampled resident (Resident (R)3), and toprovide care and services consistent with professional standards for the management of pain related to a resident's frequent request for an opioid pain medication prescribed as needed (PRN) and or to ensure the consistent administration of pain medication for one (1) of two (2) residents (R4) sampled for pain.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, clinical record review, and staff interview, the facility failed to follow physician orders for oxygen therapy prescribed for one (1) of one (1) sampled resident (Resident (R)14).
March 20, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure the kitchens were maintained and operated in a safe manner to minimize the chances for potential spread of foodborne illness to all 21 residents in the facility. Failures included not storing food properly, handling ready to eat foods with gloves that had been in contact with potentially contaminated surfaces, failure to air dry pans and food containers before storage, and failure to ensure employee hair restraint while in the kitchens.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record reviews and interviews the facility failed to assure a medication error rate of less than 5% (percent) based on medication pass observations for 1 of 3 residents. There were two medication administration errors resulting in an error rate of 7.67%. related to medication administration to Resident (R)224 who was admitted to the facility on [DATE] with diagnoses including, but not limited to acute respiratory failure with hypoxia.
- D Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Inspectors wroteBased on observation, record review, staff interview, manufacturer' guidelines and review of the facility's policy and procedures, the facility failed to ensure the Medical Director worked with the facility to completely assess 1 of 5 residents (Resident (R)75) for unnecessary medications. Specifically, an antipsychotic and psychoactive medication was used by the facility without an attempted gradual dose reduction (GDR), proper medical rationale or proper indication for use.
February 17, 2022Standard inspection · 4 citations
- K Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review the facility failed to maintain an effective infection control and prevention program by failing to monitor COVID 19 screening process logs to ensure accurate and within normal limit temperature measurements of 97 degrees Fahrenheit (F) to 99.5 degrees F. Specifically, all residents, staff members, vendors, and visitors entering the facility campus were checked for an increase in temperature over 99.5 F. and symptoms of COVID 19. Review of the temperature measurements recorded on the screening process logs revealed there were temperature measurements out of normal range that could indicate a symptom of COVID 19 illness. The deficient practice had the potential to increase the risk of exposure and/or contracting the COVID 19 virus or its variants. [...]
- F Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, record reviews, interview and facility Departmental Procedure, the facility failed to ensure expired medications were removed from active storage in 1 of 1 medications rooms.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and review of the facility Departmental Procedure, Food Storage in Country Kitchen Refrigerator, the facility failed to ensure an expired item was removed from the reach in cooler and failed to ensure open items in the cooler, freezer and the dry storage were labeled with an open date and resealed. The facility further failed to ensure food splatter was removed from the microwave in the Bistro and failed to ensure a covered trash receptacle was provided at the hand washing sink in the Bistro. This deficient practice has the potential to affect all 34 residents eating foods prepared and stored in the Bistro.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observations, record review, staff interview, review of the manufacturer's guidelines for medication use, and review of the facility's policy and procedure, the facility failed to ensure that one of five residents (Resident (R) R10) reviewed for unnecessary medication use did not receive psychoactive medication without a clinical risk versus benefit assessment and analysis, appropriate indication for use of the medication, attempting gradual dose reductions, identifying and routinely monitoring specific target behavior, and developing and implementing resident specific non-pharmacological interventions. This deficient practice had the potential for serious harm and/or death for all residents who reside in the facility.
Fire safety inspections
1 fire safety citation on file: 1 on April 25, 2025.
Every fire safety citation1 citation
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.37 | 3.84 | 3.86 |
| Registered nurses | 1.24 | 0.63 | 0.69 |
| All nursing staff on weekends | 4.84 | 3.33 | 3.42 |
| Nurse aides | 2.85 | ||
| Licensed practical nurses | 1.29 | ||
| Nursing staff turnover (share who left in a year) | 33.9% | 45.9% | 45.8% |
| Registered nurse turnover | 27.3% | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.41 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.59 on weekdays and 4.84 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.38 in April to June 2025 to 5.37 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.37 | 1.24 | 5.59 | 4.84 | 2.7% | 0 of 90 | 26 |
| Oct to Dec 2025 | 5.59 | 1.45 | 5.74 | 5.18 | 3.3% | 0 of 92 | 26 |
| Jul to Sep 2025 | 5.79 | 1.48 | 6.00 | 5.20 | 1.9% | 0 of 92 | 23 |
| Apr to Jun 2025 | 5.38 | 1.44 | 5.56 | 4.94 | 4.5% | 0 of 91 | 26 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Carolina, Jan to Mar 2026 | 3.62 | 0.53 | 3.81 | 3.13 | 7.2% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for South Carolina
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Carolina, all employers | |||
| CNAs (nursing assistants) | $17.90 | $16.81 to $19.08 | 21,760 |
| LPNs and LVNs | $29.72 | $27.59 to $34.24 | 9,400 |
| Registered nurses | $39.60 | $37.17 to $46.75 | 49,750 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Carolina | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.9 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.8 | 13.9 | 12.0 |
Owners and operators
Legal business name: BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Adams, David | Corporate director | Individual | 01/01/2022 | |
| Baldwin, Robert | Corporate director | Individual | 01/01/2022 | |
| Carter, Heyward | Corporate director | Individual | 01/01/2017 | |
| Cook, Jonna | Corporate director | Individual | 01/01/2025 | |
| Hill, Joanne | Corporate director | Individual | 01/01/2021 | |
| Jones, Greg | Corporate director | Individual | 01/01/2025 | |
| Kelley, Melinda | Corporate director | Individual | 01/01/2025 | |
| Kelly, Patrick | Corporate director | Individual | 01/01/2021 | |
| Mack, Angela | Corporate director | Individual | 01/01/2025 | |
| Maybank, David | Corporate director | Individual | 01/01/2025 | |
| Smith, Gregory | Corporate director | Individual | 01/01/2020 | |
| Woodliff-Stanley, Ruth | Corporate director | Individual | 01/01/2022 | |
| Hussain, Brian | Corporate officer | Individual | 01/01/2015 | |
| Kerrison, Lynne L | Operational/managerial control | Individual | 01/01/2025 | |
| Roberts, Evan | Operational/managerial control | Individual | 01/01/2025 | |
| Roop, Aaron | Operational/managerial control | Individual | 01/01/2025 | |
| Tipton, Sarah | Operational/managerial control | Individual | 01/01/2025 | |
| Adams, David | Adp of the SNF | Individual | 01/01/2025 | |
| Baldwin, Robert | Adp of the SNF | Individual | 01/01/2025 | |
| Carter, Heyward | Adp of the SNF | Individual | 01/01/2025 | |
| Cook, Jonna | Adp of the SNF | Individual | 01/01/2025 | |
| Hill, Joanne | Adp of the SNF | Individual | 01/01/2025 | |
| Hussain, Brian | Adp of the SNF | Individual | 01/01/2025 | |
| Jones, Greg | Adp of the SNF | Individual | 01/01/2025 | |
| Kelley, Melinda | Adp of the SNF | Individual | 01/01/2025 | |
| Kelly, Patrick | Adp of the SNF | Individual | 01/01/2025 | |
| Kerrison, Lynne L | Adp of the SNF | Individual | 01/01/2025 | |
| Mack, Angela | Adp of the SNF | Individual | 01/01/2025 | |
| Maybank, David | Adp of the SNF | Individual | 01/01/2025 | |
| Smith, Gregory | Adp of the SNF | Individual | 01/01/2025 | |
| Tipton, Sarah | Adp of the SNF | Individual | 01/01/2025 | |
| Woodliff-Stanley, Ruth | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on March 20, 2024: "Ensure medication error rates are not 5 percent or greater."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 25, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 20, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on April 25, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
Other nursing homes nearby
- Kempton of Charleston Charleston, 4 mi · 5 of 5 stars · 7 citations
- Ashley River Healthcare Charleston, 4.9 mi · 5 of 5 stars · 11 citations
- NHC Healthcare - Charleston Charleston, 6.6 mi · 4 of 5 stars · 9 citations
- Johns Island Post Acute Johns Island, 6.6 mi · 1 of 5 stars · 24 citations
- Sandpiper Post Acute Mount Pleasant, 8.3 mi · 1 of 5 stars · 35 citations
- Riverside Health and Rehab Charleston, 8.6 mi · 1 of 5 stars · 22 citations
- Oak Harbor Healthcare Mt Pleasant, 8.8 mi · 4 of 5 stars · 8 citations
- Retreat at Wellmore of Daniel Island Charleston, 10.1 mi · 2 of 5 stars · 17 citations
South Carolina contacts for a concern about a nursing home
These are the official offices in South Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Carolina Department of Public Health, Healthcare Quality, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Carolina Long Term Care Ombudsman Program, Department on Aging, 1-800-868-9095. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: SC Survey and Certification Public CMS-2567 Search, where South Carolina publishes its own records on licensed homes.
Common questions
- What is Bishop Gadsden Episcopal Health Care Center's Medicare star rating?
- CMS rates Bishop Gadsden Episcopal Health Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bishop Gadsden Episcopal Health Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on April 25, 2025. The South Carolina average is 3.7.
- Has Bishop Gadsden Episcopal Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Bishop Gadsden Episcopal Health Care Center accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Bishop Gadsden Episcopal Health Care Center?
- CMS lists 32 owners and managers. Legal business name: BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.