Ashley River Healthcare
1137 Sam Rittenburg Blvd. · Charleston, SC · 29407 · 8437630233
125 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- Cleaner inspection record than most facilities nationally.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $46,164 |
Inspection citations (11 in the current record)
-
Potential for harm · E March 18, 2026
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.
Corrected April 3, 2026 · Pharmacy Service
-
Potential for harm · D March 18, 2026
Provide and implement an infection prevention and control program.
Corrected April 3, 2026 · Infection Control
-
Potential for harm · D April 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 9, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · L January 10, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 19, 2024 · Environmental
-
Potential for harm · D January 10, 2024
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.
Corrected February 6, 2024 · Quality of Life and Care
-
Potential for harm · D January 10, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 6, 2024 · Quality of Life and Care
-
Potential for harm · D January 10, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected February 5, 2024 · Pharmacy Service
-
Potential for harm · E January 10, 2024
Ensure that residents are free from significant medication errors.
Corrected February 5, 2024 · Pharmacy Service
-
Potential for harm · E January 10, 2024
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.
Corrected February 8, 2024 · Pharmacy Service
-
Potential for harm · F January 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 11, 2024 · Nutrition and Dietary
-
Potential for harm · F January 10, 2024
Provide and implement an infection prevention and control program.
Corrected January 11, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 10, 2024 | Fine | $46,164 |
| January 10, 2024 | Payment Denial | 17 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 425362 · certified since January 5, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.