NHC Healthcare - Charleston
2230 Ashley Crossing Drive, Charleston, SC 29414 · Charleston County · 88 certified beds · avg 77 residents/day · certified since Apr 22, 2004
Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
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, one-off · Apr 3, 2026 · F-0757
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 30, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 3, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 3, 2026 | 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. |
| Apr 3, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 3, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 3, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 15, 2025 | D · Potential for harm, one-off | 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. |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2025 | 1 | 0 | D |
| 2026 | 5 | 1 | J ▲ |
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)
1 fine totaling $25,495, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 3, 2026 | Fine | $25,495 |
| Apr 3, 2026 | Payment Denial | 26 days from May 2, 2026 |
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) | 5.22 | 4.08 | 3.95 | top 11% in South Carolina; top 10% in the U.S. |
| Registered Nurse hours | 1.12 | 0.67 | 0.69 | top 13% in South Carolina; top 12% in the U.S. |
| Weekend total nurse staffing | 4.65 | 3.55 | 3.50 | top 10% in South Carolina; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.85 | 0.41 | 0.48 | top 8% in South Carolina; top 10% in the U.S. |
| Total nursing staff turnover (%) | 32.4 | 45.9 | 45.8 | top 16% in South Carolina; top 19% in the U.S. |
| RN turnover (%) | 22.2 | 42.1 | 42.9 | top 16% in South Carolina; top 17% 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 5.09, RN 1.09, weekend 4.54. 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: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Blackrock INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/20/2019 |
| Dimensional Fund Advisors LP | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/07/2023 |
| Morgan Stanley | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/08/2024 |
| National Health Corporation | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2008 |
| National Healthcare Corporation | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2008 |
| Nhc-Op LP | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/01/2008 |
| Nhc/Delaware INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2008 |
| Vanguard Group INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/27/2017 |
| Bartlett, Gregory | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2016 |
| Bartlett, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2016 |
| Bartlett, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 07/24/2025 |
| Blackrock INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/20/2019 |
| Dimensional Fund Advisors LP | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2023 |
| Dodson, Vicki | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| Dodson, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2019 |
| Emmel, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2008 |
| Emmel, John | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2008 |
| Kidd, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Kidd, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| Moorhouse, Bradley | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "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 |
|---|---|---|---|---|---|
| Ashley River Healthcare | 1.9 mi | Charleston, SC | ★★★★★ | 4/5 | |
| Riverside Health and Rehab | 4.3 mi | Charleston, SC | ★☆☆☆☆ | 2/5 | |
| Kempton of Charleston | 5.4 mi | Charleston, SC | ★★★★★ | 4/5 | |
| Bishop Gadsden Episcopal Health Care Center | 6.6 mi | Charleston, SC | ★★★★★ | 4/5 | |
| Johns Island Post Acute | 7.3 mi | Johns Island, SC | ★☆☆☆☆ | 1/5 | abuseSFF |
| Retreat at Wellmore of Daniel Island | 8.5 mi | Charleston, SC | ★★☆☆☆ | 2/5 | |
| The Reserve Healthcare and Rehabilitation | 9.1 mi | Charleston, SC | ★★★★★ | 5/5 | |
| Sandpiper Post Acute | 10.2 mi | Mount Pleasant, SC | ★☆☆☆☆ | 1/5 | abuseSFF |
| Oak Harbor Healthcare | 10.4 mi | Mt Pleasant, SC | ★★★☆☆ | 3/5 | |
| White Oak Manor - Charleston | 11.3 mi | Charleston, SC | ★★★★☆ | 4/5 | |
| Life Care Center of Charleston | 11.5 mi | N Charleston, SC | ★★★☆☆ | 2/5 | |
| Oakbrook Health and Rehabilitation Center | 12.1 mi | Summerville, SC | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
All facilities in Charleston →
Facility data as of CMS processing date 2026-08-01. CCN 425381.