Nursing HomeInspections

Ashley River Healthcare

Nursing home in Charleston, SC

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
1137 Sam Rittenburg Blvd., Charleston, SC 29407
Phone
(843) 763-0233
Listed under
For-profit
Medicare CCN
425362
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
125
Average residents per day
101
Ownership
For-profit, limited Liability company
Legal business name
Orange Grove Healthcare INC
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 5, 1999
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 425362. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 18, 2026. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 10, 2024 to Mar 18, 2026): 0 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 18, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Mar 18, 2026Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Apr 10, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jan 10, 2024Ensure 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 10, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 10, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jan 10, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Jan 10, 2024Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Jan 10, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Jan 10, 2024Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Jan 10, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
L
Immediate jeopardy, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $46,164 and 1 denial of Medicare payment for new admissions in the last three years.

Jan 10, 2024Fine: $46,164
Jan 10, 2024Payment denial for 17 days from Feb 13, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.54 hours
Registered nurse (RN) time per resident per day
0.52 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
3.07 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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