Home / South Carolina / Charleston
NHC Healthcare - Charleston
2230 Ashley Crossing Drive, Charleston, SC 29414 · Charleston County · (843) 766-5228
88 certified beds, about 77 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425381 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 3, 2026, inspectors cited 4 health deficiencies (the South Carolina average is 3.7, the national average 9.2).
Of 9 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $25,495 in the last three years; the largest was $25,495, and the latest is dated April 3, 2026.
Nurses and nurse aides worked 5.09 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 1.09 of those hours.
32.4% of nursing staff left within the year CMS measured (South Carolina average 45.9%).
CMS links it to National Healthcare Corporation, an affiliated group of 71 nursing homes.
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 9 health citations on file.
April 3, 2026Standard inspection · 5 citations
- J Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure that Resident (R)24 received medications that had adequate/appropriate indications of use, for 1 of 6 residents reviewed for unnecessary medications. Specifically, the facility administered R24, a resident who does not have a history or diagnosis of blood glucose/sugar complications/diabetes, 10 units of insulin on two separate dates. The facility further failed to ensure that residents' orders were verified appropriately for accuracy and medications had an adequate/appropriate indication of use. R24 reported to facility staff/medical providers that her anxiety had worsened after this medication error, and she now questions every medication she receives from nursing staff at the facility. [...]
- 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 observation, record review, interview, facility policy review, manufacturer and pharmacy labeling review, the facility failed to ensure that drugs and biologicals were properly stored in 2 of 2 medication rooms.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and review of facility policy, the facility failed to ensure Resident (R)9's dignity was protected for 1 of 1 residents observed with catheter bag. Specifically, R9's catheter bag was not covered.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure that Resident (R)24's Medical Doctor/Director was informed in a timely manner of an inadvertent administration of a medication, for 1 of 3 residents reviewed.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessments for 4 of 4 residents listed on the Missing Obra Assessment Report were corrected, completed and transmitted in a timely manner.
May 15, 2025Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, interview, and policy review, the facility failed to utilize personal protective equipment (PPE) for enhanced barrier precautions (EBP) for one of two residents (Resident (R) 61) reviewed for EBP out of a sample of 18 residents. This created the potential for transmission of infection to staff and other residents.
November 2, 2023Standard inspection, Complaint inspection · 3 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure care was provided in a dignified and timely manner for 3 (Resident (R)15, R23, R35) of 4 residents reviewed for dignity out of a total sample of 20 residents. This resulted in R15's colostomy (a pouch on the outside of the body to hold stool) bag exploding and R23 feeling mad about having to wet herself but having to go with the flow.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to order medication in a timely manner and failed to administer medication when it was available for 1 (Resident (R)15) of 2 residents reviewed for antibiotic use.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review, the facility failed to ensure enough staff was working to ensure care was provided in a timely manner for seven residents (Resident (R)15, R23, R35, R37, R19, R46, and R159) of total sample of 20 residents.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 3, 2026 | Fine | $25,495 |
| April 3, 2026 | Payment Denial | 16 days from May 2, 2026 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 5.09 | 3.84 | 3.86 |
| Registered nurses | 1.09 | 0.63 | 0.69 |
| All nursing staff on weekends | 4.54 | 3.33 | 3.42 |
| Nurse aides | 2.67 | ||
| Licensed practical nurses | 1.33 | ||
| Nursing staff turnover (share who left in a year) | 32.4% | 45.9% | 45.8% |
| Registered nurse turnover | 22.2% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.74 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 5.31 on weekdays and 4.54 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.22 in April to June 2025 to 5.09 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 | 5.09 | 1.09 | 5.31 | 4.54 | 0.0% | 0 of 90 | 77 |
| Oct to Dec 2025 | 5.18 | 1.07 | 5.35 | 4.74 | 0.0% | 0 of 92 | 81 |
| Jul to Sep 2025 | 5.28 | 0.93 | 5.51 | 4.67 | 0.0% | 0 of 92 | 79 |
| Apr to Jun 2025 | 5.22 | 0.89 | 5.47 | 4.60 | 0.0% | 0 of 91 | 80 |
| 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.
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 long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.1 | 11.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.1 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.5 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.0 | 12.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.4 | 15.3 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.8 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.0 | 13.9 | 12.0 |
Owners and operators
Legal business name: NHC HEALTHCARE-CHARLESTON LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| NHC-Op LP | Direct ownership interest | Organization | 08/01/2008 | |
| Blackrock Inc | Indirect ownership interest | Organization | 03/20/2019 | |
| Dimensional Fund Advisors LP | Indirect ownership interest | Organization | 03/07/2023 | |
| Morgan Stanley | Indirect ownership interest | Organization | 11/08/2024 | |
| National Health Corporation | Indirect ownership interest | Organization | 08/01/2008 | |
| National Healthcare Corporation | Indirect ownership interest | Organization | 08/01/2008 | |
| NHC/Delaware Inc | Indirect ownership interest | Organization | 08/01/2008 | |
| Vanguard Group Inc | Indirect ownership interest | Organization | 03/27/2017 | |
| Bartlett, Gregory | Managing control - governing body | Individual | 03/01/2016 | |
| Moorhouse, Bradley | Managing control - governing body | Individual | 07/01/2018 | |
| National Healthcare Corporation | Operational/managerial control | Organization | 08/01/2008 | |
| NHC-Op LP | Operational/managerial control | Organization | 08/01/2008 | |
| Bartlett, Gregory | Operational/managerial control | Individual | 03/01/2016 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Emmel, John | Operational/managerial control | Individual | 08/01/2008 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| Moorhouse, Bradley | Operational/managerial control | Individual | 07/01/2018 | |
| Shelly, Timothy | Operational/managerial control | Individual | 07/12/2024 | |
| Ussery, Robert | Operational/managerial control | Individual | 01/01/2017 | |
| White, Ann | Operational/managerial control | Individual | 04/21/2021 | |
| Blackrock Inc | Adp of the SNF | Organization | 03/20/2019 | |
| Dimensional Fund Advisors LP | Adp of the SNF | Organization | 03/07/2023 | |
| Morgan Stanley | Adp of the SNF | Organization | 11/08/2024 | |
| National Health Corporation | Adp of the SNF | Organization | 08/01/2008 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 08/01/2008 | |
| NHC-Op LP | Adp of the SNF | Organization | 08/01/2008 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 03/27/2017 | |
| Bartlett, Gregory | Adp of the SNF | Individual | 07/24/2025 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Emmel, John | Adp of the SNF | Individual | 08/01/2008 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 3, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 3, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 3, 2026: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 15, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Ashley River Healthcare Charleston, 1.9 mi · 5 of 5 stars · 11 citations
- Riverside Health and Rehab Charleston, 4.3 mi · 1 of 5 stars · 22 citations
- Kempton of Charleston Charleston, 5.4 mi · 5 of 5 stars · 7 citations
- Bishop Gadsden Episcopal Health Care Center Charleston, 6.6 mi · 5 of 5 stars · 10 citations
- Johns Island Post Acute Johns Island, 7.3 mi · 1 of 5 stars · 24 citations
- Retreat at Wellmore of Daniel Island Charleston, 8.5 mi · 2 of 5 stars · 17 citations
- The Reserve Healthcare and Rehabilitation Charleston, 9.1 mi · 5 of 5 stars · 0 citations
- Sandpiper Post Acute Mount Pleasant, 10.2 mi · 1 of 5 stars · 35 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 NHC Healthcare - Charleston's Medicare star rating?
- CMS rates NHC Healthcare - Charleston 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare - Charleston get at its last inspection?
- 4 health deficiencies at the standard inspection on April 3, 2026. The South Carolina average is 3.7.
- Has NHC Healthcare - Charleston been fined?
- Yes. CMS lists 1 fine totaling $25,495 in the last three years.
- Does NHC Healthcare - Charleston accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns NHC Healthcare - Charleston?
- CMS lists 31 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-CHARLESTON LLC.
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.