Bishop Gadsden Episcopal Health Care Center
1 Bishop Gadsden Way, Charleston, SC 29412 · Charleston County · 41 certified beds · avg 26 residents/day · certified since Feb 19, 2018
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Feb 17, 2022 · F-0880
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 21, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 20, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility. |
| Feb 17, 2022 | ▲ K · Immediate jeopardy, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 17, 2022 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 17, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 17, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 1 | K ▲ |
| 2024 | 3 | 0 | F |
| 2025 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.04 | 4.08 | 3.95 | top 6% in South Carolina; top 4% in the U.S. |
| Registered Nurse hours | 1.39 | 0.67 | 0.69 | top 6% in South Carolina; top 6% in the U.S. |
| Weekend total nurse staffing | 5.44 | 3.55 | 3.50 | top 4% in South Carolina; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.05 | 0.41 | 0.48 | top 5% in South Carolina; top 5% in the U.S. |
| Total nursing staff turnover (%) | 33.9 | 45.9 | 45.8 | top 19% in South Carolina; top 22% in the U.S. |
| RN turnover (%) | 27.3 | 42.1 | 42.9 | top 25% in South Carolina; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.37, RN 1.24, weekend 4.84. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Adams, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Baldwin, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Baldwin, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Carter, Heyward | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Carter, Heyward | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Cook, Jonna | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Cook, Jonna | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Hill, Joanne | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Hill, Joanne | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Hussain, Brian | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Hussain, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Jones, Greg | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Jones, Greg | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Kelley, Melinda | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Kelley, Melinda | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Kelly, Patrick | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Kelly, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Kerrison, Lynne L | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Kerrison, Lynne L | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who is your medical director, and how involved are they in day-to-day care decisions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Kempton of Charleston | 4.0 mi | Charleston, SC | ★★★★★ | 4/5 | |
| Ashley River Healthcare | 4.9 mi | Charleston, SC | ★★★★★ | 4/5 | |
| NHC Healthcare - Charleston | 6.6 mi | Charleston, SC | ★★☆☆☆ | 1/5 | |
| Johns Island Post Acute | 6.6 mi | Johns Island, SC | ★☆☆☆☆ | 1/5 | abuseSFF |
| Sandpiper Post Acute | 8.3 mi | Mount Pleasant, SC | ★☆☆☆☆ | 1/5 | abuseSFF |
| Riverside Health and Rehab | 8.6 mi | Charleston, SC | ★☆☆☆☆ | 2/5 | |
| Oak Harbor Healthcare | 8.8 mi | Mt Pleasant, SC | ★★★☆☆ | 3/5 | |
| Retreat at Wellmore of Daniel Island | 10.1 mi | Charleston, SC | ★★☆☆☆ | 2/5 | |
| Franke Health Care Center | 10.9 mi | Mount Pleasant, SC | ★★★★☆ | 4/5 | |
| The Reserve Healthcare and Rehabilitation | 15.0 mi | Charleston, SC | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
All facilities in Charleston →
Facility data as of CMS processing date 2026-08-01. CCN 425411.