Nursing Homes in South Carolina: Staffing, Turnover, and Penalties
South Carolina has 187 Medicare- or Medicaid-certified nursing homes in 85 cities. On CMS's August 2026 figures, nurse aides there log 2.19 hours per resident per day, 6% below the US average of 2.32, and 45.9% of nursing staff leave in a year (US 45.8%).
South Carolina averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Columbia (12), Greenville (12), Spartanburg (9). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Abbeville (1)
- Aiken (4)
- Anderson (4)
- Bamberg (1)
- Barnwell (1)
- Beaufort (1)
- Bennettsville (1)
- Bishopville (1)
- Blackville (1)
- Bluffton (1)
- Camden (2)
- Charleston (8)
- Cheraw (2)
- Chester (1)
- Clinton (2)
- Columbia (12)
- Conway (3)
- Darlington (3)
- Dillon (1)
- Easley (3)
- Edgefield (1)
- Estill (1)
- Fairfax (1)
- Florence (8)
- Fork (1)
- Fort Mill (1)
- Fountain Inn (1)
- Gaffney (3)
- Garden City (1)
- Georgetown (2)
- Greenville (12)
- Greenwood (4)
- Greer (3)
- Hartsville (1)
- Hilton Head Island (4)
- Hopkins (1)
- Inman (5)
- Iva (1)
- Johns Island (1)
- Kingstree (1)
- Lake City (1)
- Lancaster (2)
- Laurens (2)
- Lexington (3)
- Loris (1)
- Manning (1)
- Marietta (1)
- Marion (1)
- McCormick (1)
- Moncks Corner (1)
- Mount Pleasant (2)
- Mt Pleasant (1)
- Mullins (1)
- Myrtle Beach (3)
- N Charleston (1)
- Newberry (2)
- North Augusta (2)
- Okatie (1)
- Orangeburg (4)
- Pawleys Island (1)
- Pickens (1)
- Piedmont (1)
- Port Royal (1)
- Ridgeland (1)
- Ridgeway (2)
- Rock Hill (6)
- Saint George (1)
- Saint Matthews (1)
- Saint Stephen (1)
- Saluda (1)
- Scranton (1)
- Seneca (2)
- Simpsonville (1)
- SIX Mile (1)
- Spartanburg (9)
- Summerton (1)
- Summerville (3)
- Sumter (3)
- Union (2)
- Walterboro (2)
- West Columbia (4)
- White Rock (1)
- Williston (1)
- Woodruff (1)
- York (1)
Largest nursing home chains in South Carolina
CMS links 121 of South Carolina's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in SC | Homes nationwide |
|---|---|---|
| Pacs Group | 25 | 274 |
| Fundamental Healthcare | 23 | 66 |
| National Healthcare Corporation | 16 | 69 |
| Pruitthealth | 15 | 95 |
| The Ensign Group | 9 | 342 |
| Carlyle Senior Care | 7 | 7 |
| Presbyterian Communities of South Carolina | 5 | 5 |
| Senior Living Communities | 5 | 9 |
| Wilson Senior Care | 5 | 5 |
| Life Care Centers of America | 3 | 194 |
| Life Care Services | 2 | 43 |
| Regional Health Properties | 2 | 5 |
| Sprenger Health Care Systems | 2 | 12 |
| Acts Retirement-Life Communities | 1 | 27 |
| Ahava Healthcare | 1 | 16 |
Chain as recorded in the CMS Provider Information file, August 2026 release