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South Carolina

Nursing Home Staffing Profile — 2025Q3

183 facilities16,954 residents3.86 avg HPRD

vs National Average

-0.04 HPRD

National avg: 3.90 · South Carolina: 3.86

📋

South Carolina ranks among the lower-performing states for nursing home staffing, with an average of 3.86 HPRD — 0.04 hours below the national average. Only 56.3% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.63 HPRD, with 21.9% of facilities meeting the 0.75 research recommendation.

3.86

Average Total HPRD

All nursing staff combined

▼ 0.04 vs national

0.63

Average RN HPRD

Recommended: 0.75

▼ 0.05 vs national

56.3%

Meet CMS Benchmark

103 of 183 facilities

17.5%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

6.9%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.57

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How South Carolina's 183 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.64

avg HPRD

148 facilities (81%)

Non-Profit

4.80

avg HPRD

22 facilities (12%)

Government

4.69

avg HPRD

13 facilities (7%)

💡 Non-profit facilities in South Carolina average 1.16 more HPRD than for-profit ones — about 32% higher staffing.

▲ Best Staffed in South Carolina

Top 5 by total nurse HPRD

A+

Rolling Green Village

C M Tucker Jr Nursing Care Center Roddey Pavilio

The Preston Health Center

Spartanburg Hospital for Restorative Care SNF

Spartanburg

6.09 HPRD

RN: 3.03

▼ Most Understaffed in South Carolina

Bottom 5 by total nurse HPRD

183

Ridgeway Manor Healthcare Center

Dr Ronald E McNair Nursing & Rehabilitation Center

Riverside Health and Rehab

Oak Hollow Of Sumter Rehabilitation Center

Lancaster Health and Rehabilitation

Lancaster

2.87 HPRD

RN: 0.29

⚖️

Compare Two Facilities Side by Side

Pick any two South Carolina nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in South Carolina — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Greenville	19	3.92	0.67	52.6%	Mixed C/B
▸Spartanburg	15	3.81	0.66	46.7%	Mostly C
▸Richland	14	4.21	0.67	64.3%	Mixed C/A+
▸Charleston	11	3.95	0.66	54.5%	Mixed D/C
▸Florence	9	4.12	0.51	77.8%	Mixed D/A
▸York	8	4.13	0.98	75.0%	Mixed C/A
▸Horry	8	3.89	0.66	62.5%	Mixed C/A
▸Beaufort	7	4.57	1.02	85.7%	Mixed A+/B
▸Aiken	6	3.78	0.44	83.3%	Mixed D/C
▸Lexington	6	4.41	0.80	100.0%	Mixed B/C
▸Pickens	5	3.77	0.87	20.0%	Mostly C
▸Anderson	5	3.43	0.41	60.0%	Mixed D/B
▸Darlington	4	4.42	0.53	100.0%	Mixed B/C
▸Dorchester	4	3.59	0.51	25.0%	Mixed C/A
▸Orangeburg	4	3.33	0.34	25.0%	Mixed D/C
▸Berkeley	4	3.93	0.70	75.0%	Mixed B/A
▸Cherokee	3	4.07	0.41	33.3%	Mixed B/D
▸Laurens	3	3.65	0.70	33.3%	Mostly C
▸Sumter	3	3.05	0.32	0.0%	Mixed C/D
▸Greenwood	3	3.54	0.69	33.3%	Mostly C
▸Georgetown	3	3.96	0.70	33.3%	Mixed A+/C
▸Barnwell	3	3.59	0.52	66.7%	Mostly C
▸Newberry	2	3.80	0.52	100.0%	Mixed B/D
▸Chesterfield	2	3.20	0.36	0.0%	Mostly D
▸Clarendon	2	3.87	0.57	100.0%	Mixed B/C
▸Colleton	2	3.37	0.56	0.0%	Mostly C
▸Dillon	2	3.35	0.36	50.0%	Mixed C/D
▸Fairfield	2	2.99	0.45	0.0%	Mixed C/D
▸Jasper	2	3.56	0.62	100.0%	Mixed B/C
▸Kershaw	2	3.63	0.60	50.0%	Mixed A/D
▸Lancaster	2	3.36	0.37	50.0%	Mixed C/D
▸Marion	2	4.18	0.79	50.0%	Mixed A/C
▸Oconee	2	3.70	0.60	50.0%	Mixed B/D
▸Union	2	3.43	0.44	50.0%	Mostly C
▸Williamsburg	2	3.26	0.62	50.0%	Mixed B/D
▸Bamberg	1	3.46	0.37	0.0%	Mostly D
▸Lee	1	3.61	0.40	100.0%	Mostly C
▸Hampton	1	3.14	0.32	0.0%	Mostly D
▸Edgefield	1	3.14	0.50	0.0%	Mostly C
▸Saluda	1	4.44	0.70	100.0%	Mostly B
▸Chester	1	3.93	0.71	100.0%	Mostly B
▸Mccormick	1	2.91	0.28	0.0%	Mostly D
▸Calhoun	1	2.96	0.46	0.0%	Mostly D
▸Marlboro	1	3.18	0.40	0.0%	Mostly D
▸Abbeville	1	4.60	1.18	100.0%	Mostly A

HPRD Range in South Carolina

The spread between best and worst staffed facilities

3.20

25th pctile

3.57

Median

4.13

75th pctile

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.