Nursing HomeMedicaid Needs closer review

Nhc Healthcare - Charleston

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2230 Ashley Crossing Drive, West Ashley · Charleston, SC 29414|88 beds|Licensed & active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 50 Google reviews

(843) 766-5228 Directions Website

Street View

Email Nhc Healthcare - Charleston to yourself

Get a one-time email with a link to this profile so it is easy to find and share later.

This sends one email and does not add you to a mailing list.

4flags

Review before deciding

Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low overall rating (2/5 stars)
Low health inspection rating (1/5 stars)
2 Medicare penalties on record
Above-median findings in the latest survey (5 vs median 3)

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 5 findings, above the SC average of 3.7. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Google Reviews

54 public Google reviews available

Reviews for this facility are highly polarized, with many families praising the warm, attentive staff and engaging social environment, while others report severe concerns regarding neglect, poor management, and communication failures. While some residents thrive and feel at home, multiple reports of staff incompetence, unprofessional behavior at the front desk, and lapses in basic care suggest significant inconsistency in service quality.

Quality Themes

Tap a score for details

Strengths

Warm and compassionate individual staff members
Active social calendar and engagement opportunities
Clean and well-maintained physical environment
Effective and welcoming move-in process

Concerns

Neglectful or unprofessional care by nursing/caregiving staff (mentioned by 4 reviewers)
Poor management responsiveness and lack of administrative oversight (mentioned by 4 reviewers)
Unprofessional or rude front desk staff (mentioned by 2 reviewers)
Inefficiency in medication management and doctor's orders (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 54 analyzed

⚡11 reviews posted between Aug 26, 2019 – Aug 30, 2019 · 11 were 5-star

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

1I noticed the facility has a very active social calendar; could you walk me through what a typical week of engagement looks like for a resident?
2How does your leadership team ensure that communication remains consistent and responsive when families have questions or concerns about their loved one's care?
3Given the importance of medication accuracy, what specific protocols or double-check systems do you have in place to ensure orders are followed precisely?
4I see that the facility has a high CMS staffing rating; how do you foster a culture of consistent, compassionate care among your nursing team throughout all shifts?
5When a concern or issue arises regarding a resident's daily care, what is the established process for families to escalate that to management for a timely resolution?
6How do you handle medical emergencies or changes in condition, and how quickly can we expect to be updated if something happens after hours?

Personalized based on this facility's data

Key Review Excerpts

“The nursing supervisor of the memory care side of the building, when my grandmother asked for help up to use the restroom, raised her voice to her and told her to 'just pee in your diaper!' and refused to help her up.”

Memory care family member · 2017★☆☆☆☆

“This facility is cheaper and has provided a better level of care and service that prior one did. The staff are friendly, responsive and I've seen a dramatic improvement in my mother's health.”

Memory care family member · 2024★★★★★

“Nurses and managers are always behind closed doors and they do not have an active presence in managing resident care. Caregivers are not certified and have minimal training.”

Family member · 2017★☆☆☆☆

Source: 54 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

1.09hrs

Registered nurses for medical care

Total Nursing

5.09hrs

All nurses + aides combined

Staff Turnover

32%

Lower is better (< 30% = good)

RN Turnover

22%

Lower is better (< 30% = good)

This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents on antipsychotic medication

↓ Lower is better

This Facility25.4%

Worse than Avg

Here

25.4%

15.4%

15.3%

Charleston

9.8%

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.8%

3.1%

Charleston

1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility8.2%

Better than Avg

Here

8.2%

19.5%

21.0%

Charleston

17.9%

Residents vaccinated for the flu

↑ Higher is better

This Facility84.4%

Mixed vs Avgs

Here

84.4%

95.5%

90.6%

Charleston

82.2%

Residents whose walking got worse

↓ Lower is better

This Facility17.0%

Worse than Avg

Here

17.0%

14.1%

12.7%

Charleston

9.4%

Residents needing more daily help over time

↓ Lower is better

This Facility16.1%

Worse than Avg

Here

16.1%

13.9%

11.9%

Charleston

8.6%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility70.1%

Mixed vs Avgs

Here

70.1%

79.8%

78.0%

Charleston

69.7%

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility84.4%

Better than Avg

Here

84.4%

82.0%

81.5%

Charleston

81.5%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.8%

Worse than Avg

Here

1.8%

1.6%

1.5%

Charleston

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

9findings in history

2penalties

Latest survey: 5 · above SC avg (3.7)

3 complaint-triggered findings

Families previously filed complaints that led to findings regarding nursing staffing levels, treatment care, and resident rights in November 2023, though these issues were reportedly corrected. The facility also had a separate infection control deficiency in May 2025 that was addressed. While all four deficiencies across the two surveys have correction dates, the complaint-triggered nature of most findings suggests families should inquire about ongoing quality monitoring and staffing adequacy during visits.

Apr 3, 2026Routine5 findings

0757Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

May 15, 2025Routine1 finding

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 2, 2023Complaint3 findings

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Federal Penalties

Fine

Apr 3, 2026

$25,495

Payment Denial

Apr 3, 2026

26-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nhc Healthcare - Charleston

Organization Type

for profit

Chain Affiliation

Chain Name

National Healthcare Corporation

Chain Size

69 facilities nationwide

Chain avg rating: 3.9/5 · Rank 1 of 65 (Highest rating)

Ownership & Management

Owners

Nhc-Op Lp

Owner · Organization

Blackrock INC