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C
Below Standard

Ashley River Healthcare

1137 Sam Rittenburg Blvd. · Charleston, SC 29407

8437630233 · For profit - Limited Liability company

125 beds98.8 residents288 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Ashley River Healthcare receives an overall staffing grade of C (Below Standard). With 3.6921 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4017 HPRD, below the recommended 0.75. It is 0.20 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.7% compared to weekdays. The facility relies heavily on temporary agency staff (15.15% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️RN staffing (0.4017 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️15.15% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.6921hrs/resident/day▼ 0.20
CMS benchmark: 3.48
RN HPRD
0.4017hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
17.7%
3.8865 weekday → 3.1987 weekend
Agency Staff
15.15%
3.43% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0373hrs/resident/day
Direct care aides
LPN HPRD
1.2363hrs/resident/day
Licensed practical nurses
Consistency
0.3975std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Charleston County Average-0.25 HPRD
3.95
03.69 HPRD
vs. South Carolina State Average-0.16 HPRD
3.86
03.69 HPRD
vs. National Average-0.20 HPRD
3.90
03.69 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Ashley River Healthcare ★
Charleston · This facility
—
C
3.69210.4017★★☆☆☆
NHC Healthcare - Charleston
Charleston
1.9 mi
A
5.28020.9336★★★★★
Kempton Of Charleston
Charleston
3.6 mi
A
4.92731.315★★★★★
Riverside Health and Rehab
Charleston
4.3 mi
D
2.83350.345★☆☆☆☆
Bishop Gadsden Episcopal Health Care Center
Charleston
4.9 mi
A+
5.85111.5002★★★★★
Johns Island Post Acute, LLC
Johns Island
7.2 mi
C
3.02060.4149★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
27
Total Deficiencies
$142,640
Fines Assessed
Apr 10, 2025Health
1 deficiency cited
▼
Jan 10, 2024Health
8 deficiencies cited· Includes actual harm
▼
Apr 13, 2023Health
3 deficiencies cited· Includes actual harm
▼
Mar 10, 2023Health
2 deficiencies cited
▼
Feb 3, 2022Health
13 deficiencies cited
▼

Penalty History

Jan 10, 2024Fine
$46,164
Jan 10, 2024Payment Denial
Mar 10, 2023Fine
$96,476
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.