The 10 Worst Nursing Homes in South Carolina

  Worst Nursing Homes in South Carolina By City

Every city in South Carolina has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Charleston

• Hilltop Skilled Nsg and Rehab (204)
• Create arrangements with other facilities to receive patients. (2024-11-13)
• Address subsistence needs for staff and patients. (2024-11-13)
• Ashley River Healthcare (178.25)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-05-09)
• Have simulated fire drills held at unexpected times. (2025-05-02)
• Charleston Rehab and Health Cc (174)
• Keep residents' personal and medical records private and confidential. (2025-05-02)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-05-02)
• Riverside Health and Rehab (171.75)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-11-07)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-11-07)
• Charleston Healthcare Center (130)
• Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (2024-12-30)
• Install smoke barrier doors that can resist smoke for at least 20 minutes. (2024-11-26)
• Complete Care at Oak Ridge LLC (119)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-09-04)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2024-09-04)
• The Reserve Healthcare and Rehabilitation (88)
• Have proper medical gas storage and administration areas. (2023-11-03)
• Address subsistence needs for staff and patients. (2023-11-03)
• Meadowbrook Acres (68)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-05-30)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2025-05-30)
• Thomas Hospital Skilled Nursing Unit (37)
• Reasonably accommodate the needs and preferences of each resident. (2022-10-18)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2022-10-18)
• The Arthur B Hodges Center (35)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-09-01)
• Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2023-09-01)

Worst Nursing Homes in Columbia

• Bria of Columbia (210.25)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-05-05)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-02-21)
• C M Tucker Jr Nursing Care Center Fewell and Stone (197.5)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-07-11)
• Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-02-09)
• Pruitthealth- Columbia (160.75)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-02-28)
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. (2025-02-28)
• The Bluffs (149.5)
• Ensure that residents are free from significant medication errors. (2025-02-24)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-02-19)
• C M Tucker Jr Nursing Care Center Roddey Pavilion (141.5)
• Provide and implement an infection prevention and control program. (2025-05-12)
• Provide enough food/fluids to maintain a resident's health. (2025-05-12)
• Lorien Health Systems - Columbia (135)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-08-25)
• Respond appropriately to all alleged violations. (2024-08-25)
• Parkside Manor (132.5)
• Ensure services provided by the nursing facility meet professional standards of quality. (2025-03-07)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-03-07)
• Columbia Manor Health and Rehabilitation (113)
• Provide and implement an infection prevention and control program. (2025-02-28)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2024-07-12)
• Susquehanna Health and Wellness Center (104)
• Provide safe and appropriate respiratory care for a resident when needed. (2025-04-30)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-10-09)
• South Hampton Place (99)
• Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. (2025-05-29)
• Follow proper procedures when the fire alarm was out of service for more than 4 hours. (2025-05-29)

Worst Nursing Homes in Greenville

• Greenville Skilled Nursing and Rehabilitation (259.5)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-04-29)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-04-29)
• Greenville Health and Rehabilitation Center (213)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2025-05-13)
• Protect each resident from the wrongful use of the resident's belongings or money. (2025-05-13)
• Greenville Nursing and Rehab Center (148)
• Install emergency lighting that can last at least 1 1/2 hours. (2025-06-03)
• Establish emergency prep training and testing. (2025-06-03)
• Macgregor Downs Health Center By Harborview (128)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-04-17)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2025-04-17)
• The Gables of Pelham Skilled Nursing and Rehab (121.5)
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (2025-03-11)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2025-03-11)
• Briarcliff Health Center of Greenville (114.25)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-12-13)
• Reasonably accommodate the needs and preferences of each resident. (2024-12-13)
• Mission Point Nsg and Phy Rehab Ctr of Greenville (114)
• Allow residents to self-administer drugs if determined clinically appropriate. (2025-07-01)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-07-01)
• Universal Health Care/greenville (91)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-02-14)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2025-02-10)
• Ayden Healthcare of Greenville (88)
• Provide appropriate care/assistance for a resident with a prosthesis. (2025-02-27)
• Administer the facility in a manner that enables it to use its resources effectively and efficiently. (2025-02-27)
• Stillwater Assisted Living and Skilled Nursing Com (83)
• Keep residents' personal and medical records private and confidential. (2025-04-18)
• Ensure services provided by the nursing facility meet professional standards of quality. (2025-04-18)

Worst Nursing Homes in Myrtle Beach

• Brightwater Skilled Nursing Center (85.5)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2023-10-18)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-10-18)
• Myrtle Beach Manor (29)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-09-16)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-09-16)
• Angel Oak Nursing and Rehabilitation Center, LLC (22)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-12-13)
• Protect each resident from the wrongful use of the resident's belongings or money. (2024-12-13)

Worst Nursing Homes in Spartanburg

• Physical Rehabilitation and Wellness Center of Spa (148.5)
• Ensure medication error rates are not 5 percent or greater. (2025-02-26)
• Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2025-02-19)
• Magnolia Manor - Spartanburg (81.5)
• Have approved installation, maintenance and testing program for fire alarm systems. (2025-05-29)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-05-29)
• White Oak at North Grove Inc (69.5)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-06-09)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2025-06-09)
• Mountainview Nursing Home (48)
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2024-12-30)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-12-30)
• White Oak Estates (42.75)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-02-18)
• 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. (2025-02-07)
• Valley Falls Terrace (29)
• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (2025-05-02)
• Provide enough food/fluids to maintain a resident's health. (2025-05-02)
• Summit Hills Skilled Nursing Facility (16)
• Provide safe, appropriate dialysis care/services for a resident who requires such services. (2025-01-27)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-01-27)
• White Oak Manor - Spartanburg (8)
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2025-04-11)
• Provide and implement an infection prevention and control program. (2025-04-11)
• Spartanburg Hospital For Restorative Care Snf (0)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2021-01-27)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in South Carolina
• Analysis of Nursing Homes in South Carolina

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in South Carolina:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in South Carolina

Every month, we rank all of the skilled nursing facilities in South Carolina. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in South Carolina is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates South Carolina nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in South Carolina nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!