Deficiency Index

Ashley River Healthcare

Charleston, South Carolina · CCN 425362

22 surveys since 2010. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
127
Surveys
22
Harm or worse
13
Immediate jeopardy
6
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
125
Ownership
For profit - Limited Liability company
Chain
THE ENSIGN GROUP
County
Charleston
Medicare-certified since
1999

CMS ratings

Overall
5
Health inspection
4
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 28 for-profit facilities of 100–127 beds in South Carolina.

Last survey on record

Mar 18, 2026

236 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.593.43
Registered-nurse hours per resident day0.60—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$46,164 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L19.1%
Actual harmG—H—I—
No harm, potential for more than minimalD545.5%E327.3%F218.2%
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 127 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7612×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6931×

    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.

  • F6951×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Ashley River Healthcare, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF925Jan 10, 2024

    Based on review of the facility policy, observations, record review, and interviews, the facility failed to maintain an effective, ongoing pest control program after the identification of rodents and bugs in the facility. Specifically, (1) roach like bugs were observed in 1 residents bathroom. Additionally, (2) evidence of rodents were found in the facility's dry food storage room. On 01/07/24 at 3:23 PM, the Administrator was notified that the failure to implement interventions after the identification of rodents in the dry food storage room constituted Immediate Jeopardy (IJ) at F925. On 01/07/24 at 3:23 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 01/05/24. […]

  • Immediate jeopardy, widespreadF835Apr 13, 2023

    Based on review of facility policy, record review, and interviews, the facility failed to be administered in a manner that enabled it to use its financial resources effectively and efficiently. Specifically, the facility failed to have a system in place to ensure all financial obligations are met to guarantee care and services are provided to the residents. This failure has the potential to affect 89 of 89 residents in the facility. On 04/13/23 at 1:30 PM the Administrator was notified that the failure to keep up to date with payment to vendors, utility services, and critical services provided to the residents of the facility constituted Immediate Jeopardy (IJ) at F835. The facility was unable to present an acceptable plan of removal of the immediate jeopardy. […]

  • Immediate jeopardy, widespreadF837Apr 13, 2023

    Based on review of facility policy, record review, and interviews, the facility failed to have an effective governing body in place to ensure proper management and operation of the facility's financial resources. Specifically, the facility's governing body failed to have a system in place to ensure all financial obligations were met to guarantee care and services are provided to the residents. This failure had the potential to 89 of 89 residents residing in the facility. On 04/13/23 at 1:30 PM the Administrator was notified that the failure to keep up to date with payment to vendors, utility services, and critical services provided to the residents of the facility constituted Immediate Jeopardy (IJ) at F837. […]

  • Immediate jeopardy, isolatedF686Nov 11, 2022

    Based on observations, interviews, record reviews, facility policy review, and facility document review, the facility failed to monitor and assess residents' skin and pressure ulcers/injuries, failed to provide pressure ulcer treatment and prevention measures as ordered by the physician, and failed to implement measures to prevent pressure ulcers for 3 (Resident (R)9, R1, and R8) of 5 sampled residents reviewed for wounds. The failure resulted in non-healing and/or deterioration of pressure ulcers and had the potential to affect any resident who had or was at risk for pressure ulcers. It was determined the facility's non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

  • Immediate jeopardy, isolatedF689Mar 24, 2022

    Based on review of the facility policy titled: Elopements and Wandering Residents, observation, interviews, and record reviews, the facility failed to provide adequate supervision to prevent elopement, for 1 of 3 residents reviewed for elopement. On March 22, 2022, at approximately 8:37 PM, Resident (R)1 eloped from the facility through the front doors. She had a wanderguard in place to her left ankle, in which the alarm did sound on the door. However, at the time of her exit, family members were being buzzed into the building, allowing her to have a successful elopement. R1 was found approximately 500 feet from the facility in front of the [NAME] Lodge building, and returned unharmed at approximately 8:50 PM. […]

Read 26 findings in full →The most serious and the most recent: 26 of 127 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 18, 2026Standard2 findings
  • Apr 10, 2025Standard1 finding
  • Jan 10, 2024Standard8 findings · 1 harm
  • Apr 13, 2023Complaint3 findings · 2 harm
  • Mar 10, 2023Complaint2 findings
  • Nov 11, 2022Complaint8 findings · 5 harm
  • Mar 24, 2022Complaint1 finding · 1 harm
  • Feb 3, 2022Standard13 findings
Show the 14 earlier surveys
  • Feb 1, 2021Complaint1 finding
  • Oct 5, 2020Infection control1 finding · 1 harm
  • Sep 1, 2020Infection control1 finding · 1 harm
  • Mar 19, 2020Standard and complaint2 findings
  • Jan 24, 2019Standard11 findings
  • Dec 15, 2017Standard20 findings
  • Sep 27, 2017Complaint5 findings · 2 harm
  • Sep 29, 2016Standard20 findings
  • Jun 11, 2015Standard7 findings
  • Mar 14, 2014Standard6 findings
  • Oct 17, 2012—10 findings
  • Aug 21, 2012—2 findings
  • Nov 16, 2011—1 finding
  • Aug 11, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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