Ashley River Healthcare is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1999-01-05. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (843) 763-0233 or your local Medicaid office to verify current eligibility.

Ashley River Healthcare holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 80.2/100, placing it #3607 of 14703 facilities nationally and #59 of 187 in South Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Ashley River Healthcare receives a reported average of 3 hours 41 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 24 minutes; Licensed Practical Nurse (LPN) — 1 hour 14 minutes; Nurse Aide — 2 hours 3 minutes. On weekends, total nurse staffing is 3 hours 12 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 46.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $46,164. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $46,164, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 136.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Ashley River Healthcare ranks 3607th out of 14,703 facilities (composite score: 80.2/100), placing it in the top 25% nationwide. Within SC, it ranks 59th out of 187 nursing homes. In Charleston, it ranks 5th out of 8 facilities. For 2026 staffing: total nurse hours rank #7,299 nationally and RN hours rank #10,858 nationally (#127 in SC). Our composite quality score of 80.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Charleston, visit: https://nursinghomesnearme.org/south_carolina/charleston/