Last Updated: October 2026

🏆 Top 25 Nursing Homes in South Carolina

View our comprehensive rankings of the highest quality facilities in South Carolina, based on CMS data, staffing, safety, and quality measures.

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South Carolina at a Glance

393
Total Facilities
3.0
Average Rating
0.63
Avg RN Hours/Day
45.9%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
79
20.1%
(4-Star)
69
17.6%
(3-Star)
81
20.6%
(2-Star)
83
21.1%
(1-Star)
79
20.1%

About Nursing Homes in South Carolina

South Carolina has 393 Medicare-certified nursing homes with an average quality rating of 3.0 stars. 79 facilities (20.1%) earn the top five-star rating, above the national average of 18.9%. Facilities in South Carolina average 0.63 RN hours per resident per day.

Staff turnover averages 45.9% across South Carolina facilities, below the national average of 46.8%. Lower turnover rates are associated with better continuity of care and higher quality ratings.

All nursing homes in South Carolina are regulated by state and federal agencies, undergo regular CMS inspections, and must meet federal quality standards. Use our search tool to compare facilities based on Medicare ratings, staffing levels, quality measures, and safety records.

Nursing Home Costs in South Carolina

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Statewide Average

Nursing home costs in South Carolina average $295-$314 per day ($8,850-$9,420/month) for skilled nursing care, which is 7% below the national median according to the 2024 Genworth Cost of Care Survey.

Most facilities accept Medicare for short-term rehabilitation (up to 100 days), private insurance, and Medicaid for eligible residents.

Cost Variation by Metro Area

We have city-level cost data for 5 metro areas in South Carolina. Costs can vary significantly by location:

Charleston
$300-$308/day ($9,000-$9,240/month)
Columbia
$295-$313/day ($8,850-$9,390/month)
Greenville
$305-$340/day ($9,150-$10,200/month)
Spartanburg
$275-$337/day ($8,250-$10,110/month)
Sumter
$324-$344/day ($9,720-$10,320/month)
Calculate detailed costs for South Carolina →

Browse by City in South Carolina

View nursing homes in specific cities across South Carolina. Each city page shows facilities ranked by quality.

Greenville
14 facilities
Columbia
12 facilities
GREENVILLE
12 facilities
COLUMBIA
12 facilities
Spartanburg
11 facilities

🏆 Top 10 Nursing Homes by City

See our expert rankings of the best facilities in major cities across South Carolina.

Top 10 in GreenvilleTop 10 in ColumbiaTop 10 in GREENVILLETop 10 in COLUMBIATop 10 in Spartanburg

All Nursing Homes in South Carolina

Filter and sort facilities below. Default ranking uses our composite quality score, which combines CMS ratings, staffing quality, safety records, and compliance history.

Showing 393 of 393 facilities in South Carolina

Lakes At Litchfield

120 Lakes At Litchfield Drive, Pawleys Island, SC 29585

Phone: (843)235-9393

Distance: 0 miles | Beds: 24 | Est. Occupancy: 62% (~9 available)

For-ProfitCMS Rating: 5/5 Stars

Fraser Health Center

300 Wood Haven Drive, Hilton Head Island, SC 29928

Phone: (843)842-3747

Distance: 0 miles | Beds: 33 | Est. Occupancy: 74% (~9 available)

NonprofitCMS Rating: 4/5 Stars
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Search All South Carolina Facilities

Use our advanced search to find facilities by location, ratings, and specific criteria

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How Does South Carolina Compare?

Explore nursing home quality in neighboring states and regions:

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National State Rankings

See where South Carolina ranks among all 50 states for quality, staffing, and safety.

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Low Staff Turnover

South Carolina's 45.9% turnover is below the national average of 46.8%.

📚 Expert Guides to Evaluating Nursing Homes

Learn how to interpret quality ratings and staffing metrics with our data-driven guides based on 14,751 facilities nationwide.

The Truth About Star Ratings

Only 18.9% of facilities earn 5 stars. Learn what ratings really mean and how to use them effectively.

Read Guide →

Understanding Staffing Levels

South Carolina averages 0.63 RN hours/day. Learn what staffing metrics reveal about care quality.

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Facility Tour Checklist

Essential questions to ask and red flags to watch for when visiting South Carolina facilities.

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Warning Signs of Neglect

Critical red flags that indicate neglect, abuse, or substandard care at any facility.

Read Guide →
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Decoding CMS Data

Learn how to read health inspections, quality measures, and compliance reports.

Read Guide →
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All Expert Guides

Browse our complete library of nursing home evaluation resources.

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