Charleston County, South Carolina · Nursing home
Ashley River Healthcare
5 of 5 overall from CMS
1137 Sam Rittenburg Blvd., Charleston, SC 29407
At a glance
- Overall rating 5 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.59 hours Below the state average of 3.84
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 11 1 at the harm level or above
- Fines in 3 years $46,164 1 fine
- Certified beds in use 82.1% of 125 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Ashley River Healthcare is a 125-bed nursing home in Charleston, South Carolina (Charleston County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.59 nurse staffing hours per resident per day, below the South Carolina average of 3.84. CMS lists 1 fine totaling $46,164 in the past three years.
- Certified beds
- 125
- Residents per day (average)
- 102.6
- Certified since
- 1999 (27 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of The Ensign Group (344 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Ashley River Healthcare
Chosen from this home's public data.
- CMS lists 1 fine totaling $46,164 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.13 hours per resident on weekends against 3.59 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.60 hours per resident per day; the South Carolina average is 0.63. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 South Carolina average 3.0
- Health inspections 4 of 5 South Carolina average 2.9
- Staffing 3 of 5 South Carolina average 3.0
- Quality measures 5 of 5 South Carolina average 3.5
The vertical line marks the South Carolina average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.59 h South Carolina average 3.84
- Nurse aides 1.98 h South Carolina average 2.19
- Licensed practical nurses 1.01 h South Carolina average 1.02
- Registered nurses 0.60 h South Carolina average 0.63
- All staff, weekends 3.13 h South Carolina average 3.33
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the South Carolina average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- South Carolina average45.9%
- Registered nurse turnoverNot reported
- South Carolina average42.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the South Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | South Carolina | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 4.9% | 11.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.4% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.0% | 1.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 8.4% | 3.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% | 91.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 7.0% | 12.7% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.1% | 21.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.2% | 90.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.2% | 5.1% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.7% | 16.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 6.3% | 15.3% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.35 | 2.04 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.14 | 1.84 | 1.78 |
Short-stay residents
| Measure | This home | South Carolina | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.9% | 81.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.7% | 78.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% | 24.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% | 13.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 11 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. The most recent citation at the harm level or above was on Jan 10, 2024: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 18, 2026 | 2 | 4 |
| Apr 10, 2025 | 1 | 1 |
| Jan 10, 2024 | 8 | 9 |
South Carolina homes averaged 3.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (11)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 9, 2025)
-
LImmediate jeopardy, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Jan 19, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 11, 2024)
Show 6 more
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jan 11, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Feb 5, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Feb 8, 2024)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 6, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 6, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Feb 5, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 10, 2024 | Fine | $46,164 |
| Jan 10, 2024 | Payment Denial | 17 days |
South Carolina homes averaged 1.1 fines and $14,833 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within South Carolina
- Size63 of 187 by certified beds
- South Carolina average residents per day92.1
- ChainThe Ensign Group
- Chain average overall rating3.2 of 5
- Resident or family councilNone
- Homes in Charleston8
- Homes in Charleston County11
Common questions
What is the CMS star rating for Ashley River Healthcare?
Ashley River Healthcare has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 3 and quality measures is 5.
How many beds does Ashley River Healthcare have?
Ashley River Healthcare has 125 certified beds. It averages 102.6 residents per day, about 82.1% of its certified beds.
How much nursing care do residents get at Ashley River Healthcare?
The home reports 3.59 hours of nurse staffing per resident per day, including 0.60 hours from registered nurses. The South Carolina average is 3.84 hours and 0.63 hours from registered nurses.
Has Ashley River Healthcare been fined?
Yes. CMS lists 1 fine totaling $46,164 in the past three years. It also lists 1 payment denial.
Does Ashley River Healthcare accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 NHC Healthcare - Charleston 88beds 88.0%in use 5.09nurse hours a day
- 5 of 5 Kempton Of Charleston 23beds 88.3%in use 5.04nurse hours a day
- 1 of 5 Riverside Health and Rehab 160beds 96.8%in use 2.72nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Charleston County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 425362. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.