Cycle 1
Health 2025-05-15 · Fire 2025-05-15
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Charleston, SC
NHC Healthcare - Charleston
5-star overall rating with 5-star inspections with 1 recent health deficiencies
2230 Ashley Crossing Drive, Charleston, SC
(843) 766-5228
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
88
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
2004-04-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
65 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.93
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.62
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
5.28
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.56
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
4.67
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.26
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
5.34
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,985
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9849
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 24.95% · Performance 25.19% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.63% · Performance 8.52% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.83
Baseline 71.43% · Performance 51.26% · Measure score 3.83 · Achievement 3.04 · Improvement 3.83
Adjusted total nurse staffing
7.43
Baseline 5.87 hours · Performance 5.19 hours · Measure score 7.43 · Achievement 7.43 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 433 · Observed rate 9.93% · Lower 95% interval 7.99% |
| Discharge to community | 64.23% |
50.57%
13.7 pts better
|
Better than the National Rate · Eligible stays 499 · Observed rate 56.11% · Lower 95% interval 58.63% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.72% |
95.27%
4.5 pts better
|
Numerator 362 · Denominator 363 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 3 · Denominator 360 |
| Discharge self-care score | 79.01% |
53.69%
25.3 pts better
|
Numerator 143 · Denominator 181 |
| Discharge mobility score | 80.66% |
50.94%
29.7 pts better
|
Numerator 146 · Denominator 181 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 358 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.52% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 327 · Observed rate 9.17% · Lower 95% interval 6.5% |
| Staff COVID-19 vaccination coverage | 6.28% |
8.2%
1.9 pts worse
|
Numerator 13 · Denominator 207 |
| Staff flu vaccination coverage | 70.93% |
42%
28.9 pts better
|
Numerator 183 · Denominator 258 |
| Discharge function score | 81.77% |
56.45%
25.3 pts better
|
Numerator 148 · Denominator 181 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 202 · Denominator 202 |
| Transfer of health information to patient | 98.57% |
96.28%
2.3 pts better
|
Numerator 138 · Denominator 140 |
| Resident COVID-19 vaccinations up to date | 8.79% |
25.2%
16.4 pts worse
|
Numerator 16 · Denominator 182 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
2.0
1.2 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.8 · Expected 4.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.8 · Expected 2.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.5% |
90.5%
6 pts worse
|
93.4%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 56.5% · Q2 72.0% · Q3 97.0% · Q4 100.0% · 4Q avg 84.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.4% |
90.6%
6.2 pts worse
|
95.5%
11.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.0%
1.3 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 8.0% · Q3 3.0% · Q4 2.9% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
2.9%
2.9 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.2%
1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 13.0% · Q3 0.0% · Q4 3.6% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.1% |
20.4%
9.3 pts better
|
19.6%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 13.0% · Q3 11.1% · Q4 10.7% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.4% |
16.3%
0.1 pts worse
|
16.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 15.0% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.3% |
14.9%
3.6 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
12.4%
2.2 pts worse
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 13.0% · Q3 16.0% · Q4 18.5% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.5% |
0.7%
2.8 pts worse
|
1.0%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.0% · Q3 5.4% · Q4 2.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.6%
0.7 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% |
17.2%
2.5 pts better
|
19.8%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 18.4% · Q3 11.3% · Q4 12.7% · 4Q avg 14.7% |
| Percentage of long-stay residents with pressure ulcers | 11.0% |
5.8%
5.2 pts worse
|
5.1%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 14.8% · Q3 8.4% · Q4 7.1% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.4% |
79.8%
0.4 pts worse
|
81.7%
2.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.6% · Q2 73.0% · Q3 83.0% · Q4 90.5% · 4Q avg 79.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
14.1%
1.9 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 15.5% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.6%
0.1 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 1.1% · Q3 2.7% · Q4 2.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.1% |
78.0%
7.9 pts worse
|
79.7%
9.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
24.7%
1.9 pts better
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 22.6% · Expected 23.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-02 · Fire 2023-11-02
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-11-12 · Fire 2021-11-12
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-07
D · Potential for more than minimal harm
2023-11-02
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-19
D · Potential for more than minimal harm
2023-11-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-19
D · Potential for more than minimal harm
2023-11-02
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-12-19
Penalties and ownership
What sits behind the stars
Ownership
Bartlett, Gregory
Operational/Managerial Control · Individual
Dodson, Vicki
Operational/Managerial Control · Individual
Emmel, John
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Moorhouse, Bradley
Operational/Managerial Control · Individual
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Shelly, Timothy
Operational/Managerial Control · Individual
Ussery, Robert
Operational/Managerial Control · Individual
White, Ann
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Ashley River Healthcare
Charleston, SC
2-star overall rating with 1-star inspections with $46,164 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Riverside Health and Rehab
Charleston, SC
1-star overall rating with 1-star inspections with $33,883 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Kempton Of Charleston
Charleston, SC
5-star overall rating with 4-star inspections with $6,032 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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