These are the lowest-rated nursing homes in South Carolina based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $875,609. 3 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Brushy Creek Post Acute | Greer | $30,665 | |
| 2 | PruittHealth- Columbia | Columbia | $48,523 | |
| 3 | Carlyle Senior Care of Aiken | Aiken | $0 | |
| 4 | Magnolia Manor - Inman | Inman | $94,778 | |
| 5 | Achieve Rehabilitation and Nursing Center | Anderson | $73,538 | |
| 6 | Brookview Healthcare Center | Gaffney | $42,599 | |
| 7 | Sumter East Health & Rehabilitation Center | Sumter | $33,097 | |
| 8 | Oak View Health And Rehabilitation | Conway | $59,005 | |
| 9 | PruittHealth- Rock Hill | Rock Hill | $0 | |
| 10 | St Andrews Operator, LLC | Columbia | $52,910 | |
| 11 | The Oaks Post Acute | Orangeburg | $111,710 | |
| 12 | Ridgeland Nursing Center Inc | Ridgeland | $0 | |
| 13 | Chandler Creek Post Acute | Greer | $0 | |
| 14 | PruittHealth- Aiken | Aiken | $21,645 | |
| 15 | Sandpiper Post Acute | Mount Pleasant | $84,974 | |
| 16 | Life Care Center of Hilton Head | Hilton Head Island | $8,281 | |
| 17 | Oakbrook Health and Rehabilitation Center | Summerville | $22,564 | |
| 18 | Ridgeway Manor Healthcare Center | Ridgeway | $0 | |
| 19 | Magnolia Manor - Rock Hill | Rock Hill | $128,214 | |
| 20 | Calhoun Convalescent Center | Saint Matthews | $63,106 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.