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Ashley River Healthcare
1137 Sam Rittenburg Blvd., Charleston, SC 29407
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 125 beds, Ashley River Healthcare serves Charleston in Charleston County, South Carolina and has taken Medicare and Medicaid residents since 1999.
CMS gives it 5 of 5 stars overall, above the South Carolina median of 3; the health inspection rating is 4, staffing 3 and quality measures 5.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (2, 1, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 8.8 per 100 beds, fewer than the state median of 12.6.
CMS lists 2 penalties in the period covered: fines totalling $46K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the South Carolina median of 3.6.
Compared with county, state and nation
| Measure | This facility | Charleston Co. median | South Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 11 | 11 | 28.7 |
| Citations per 100 beds | 8.8 | 13.8 | 12.6 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | — | 42.7% | 45.3% | 45.8% |
| Fines listed | $46,164 | $24,247 | $4,271 | — |
County and state figures are medians across facilities (11 in the county, 187 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Mar 2026, 10 Apr 2025.
Severity mix: L ×1 D ×5 E ×3 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0761 | 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. | E | Standard survey | 3 Apr 2026 |
| 18 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Apr 2026 |
| 10 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 May 2025 |
| 10 Jan 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | L | Standard survey | 19 Jan 2024 |
| 10 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Jan 2024 |
| 10 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 11 Jan 2024 |
| 10 Jan 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 5 Feb 2024 |
| 10 Jan 2024 | F0761 | 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. | E | Standard survey | 8 Feb 2024 |
| 10 Jan 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 6 Feb 2024 |
| 10 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Feb 2024 |
| 10 Jan 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jan 2024 | Payment denial | — | 17 days |
| 10 Jan 2024 | Fine | $46,164 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Carolina average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.9% | 10.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.0% | 11.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | 14.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Orange Grove Healthcare Inc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Onshift Inc | Operational/managerial control | NOT APPLICABLE | 09/01/2023 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 07/26/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Charleston County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bishop Gadsden Episcopal Health Care Center | Charleston | 41 | 5 | 4 | 5 | 10 | 24.4 | — | 25 Apr 2025 |
| Kempton of Charleston | Charleston | 23 | 5 | 4 | 4 | 4 | 17.4 | $6K | 6 May 2025 |
| Franke Health Care Center | Mount Pleasant | 44 | 4 | 4 | 4 | 8 | 18.2 | — | 17 Apr 2025 |
| White Oak Manor - Charleston | Charleston | 176 | 4 | 4 | 4 | 6 | 3.4 | $9K | 20 Aug 2025 |
| Life Care Center of Charleston | N Charleston | 148 | 3 | 2 | 3 | 13 | 8.8 | $24K | 8 Jan 2026 |
| Oak Harbor Healthcare | Mt Pleasant | 132 | 3 | 3 | 2 | 12 | 9.1 | $8K | 15 May 2025 |
| Nhc Healthcare - Charleston | Charleston | 88 | 2 | 1 | 5 | 9 | 10.2 | $25K | 3 Apr 2026 |
| Johns Island Post Acuteabuse iconSFF Candidate | Johns Island | 132 | 1 | 1 | 1 | 24 | 18.2 | $32K | 1 Jul 2026 |
All 11 facilities in Charleston County
Questions and answers
How many deficiencies has Ashley River Healthcare been cited for?
11 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Carolina median is 11 per facility.
Has Ashley River Healthcare been fined?
Yes. CMS lists fines totalling $46K in the period covered, plus 1 payment denial.
How does staffing at Ashley River Healthcare compare?
Reported total nurse staffing is 3.6 hours per resident per day against a South Carolina median of 3.6 and a national average of 3.9.
Who operates Ashley River Healthcare?
It is part of the The Ensign Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Onshift Inc. Individual owners and managers are not listed on this site.
When was Ashley River Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 18 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.