Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health...

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May 1, 2018 hlalzrpt.rdf May 1, 2018 Name of Facility Location Street Location City, State Administrator License#/Expiration County/Ownership Type Mailing Address Licensee Facilities That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties Page 1 of 43 A'LELIA RESIDENTIAL CARE ABBEVILLE RESIDENTIAL CARE LLC AMARA PLACE AT COLUMBIA ANDERSON OAKS ASSISTED LIVING ARBORETUM AT THE WOODLANDS AT FURMAN 10 JACOB WHITE RD 294 HWY 28 BYPASS 651 POLO RD 997 HWY 90 50 ARBORETUM LN YEMASSEE, SC 29945-7820 FACILITY #:843-466-0356 ABBEVILLE, SC 29620 FACILITY #:864-302-9202 COLUMBIA, SC 29223-2905 FACILITY #:803-788-9555 CONWAY, SC 29526-7520 FACILITY #:843-347-9280 GREENVILLE, SC 29617-6227 FACILITY #:864-371-3100 MILES CARRIE R PH#: 843-466-0356 SIMPSON JOYCE T PH#: 864-302-9202 PATTERSON KALEY A PH#: 803-788-9555 WISE WYATT E PH#: 843-347-9280 BABBITT CAROL S PH#: 864-371-3100 CRC-1115 / 09/30/2018 CRC-1981 / 07/31/2018 CRC-1944 / 12/31/2018 CRC-1506 / 07/31/2018 CRC-1492 / 05/31/2018 Beaufort / Corporation Abbeville / Richland / Horry / Corporation Greenville / Non-Profit Corporation 10 JACOB WHITE RD 294 HWY 28 BYPASS 651 POLO RD 997 HWY 90 1500 TRAILHEAD CT YEMASSEE, SC 29945-7820 ABBEVILLE, SC 29620 COLUMBIA, SC 29223 CONWAY, SC 29526-2750 GREENVILLE, SC 29617-6226 MILES RESIDENTIAL CARE FACILITY INC MARISOL PALACIOS-CRUZ TWG POLO ROAD LLC HERMAN L ANDERSON INC UPSTATE SENIOR LIVING INC Alzheimer Care: Alzheimer Care: Alzheimer Care: Alzheimer Care: Alzheimer Care: Y Y Y Y Y N N Y N Y Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: 20 5 59 80 64 Alzheimer Unit: Alzheimer Unit: Alzheimer Unit: Alzheimer Unit: Alzheimer Unit: Facility Email: Facility Email: Facility Email: Facility Email: Facility Email: [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] Fac. Contact Email: Fac. Contact Email: Fac. Contact Email: Fac. Contact Email: Fac. Contact Email: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Unit Beds: Max # Unit Beds: Max # Unit Beds: Max # Unit Beds: Max # Unit Beds: 2 3 0 10 16 0 0 19 0 16

Transcript of Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health...

Page 1: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 1 of 43

A'LELIA RESIDENTIAL CARE

ABBEVILLE RESIDENTIAL CARE LLC

AMARA PLACE AT COLUMBIA

ANDERSON OAKS ASSISTED LIVING

ARBORETUM AT THE WOODLANDS AT FURMAN

10 JACOB WHITE RD

294 HWY 28 BYPASS

651 POLO RD

997 HWY 90

50 ARBORETUM LN

YEMASSEE, SC 29945-7820 FACILITY #:843-466-0356

ABBEVILLE, SC 29620 FACILITY #:864-302-9202

COLUMBIA, SC 29223-2905 FACILITY #:803-788-9555

CONWAY, SC 29526-7520 FACILITY #:843-347-9280

GREENVILLE, SC 29617-6227 FACILITY #:864-371-3100

MILES CARRIE R PH#: 843-466-0356

SIMPSON JOYCE T PH#: 864-302-9202

PATTERSON KALEY A PH#: 803-788-9555

WISE WYATT E PH#: 843-347-9280

BABBITT CAROL S PH#: 864-371-3100

CRC-1115 / 09/30/2018

CRC-1981 / 07/31/2018

CRC-1944 / 12/31/2018

CRC-1506 / 07/31/2018

CRC-1492 / 05/31/2018

Beaufort / Corporation

Abbeville /

Richland /

Horry / Corporation

Greenville / Non-Profit Corporation

10 JACOB WHITE RD

294 HWY 28 BYPASS

651 POLO RD

997 HWY 90

1500 TRAILHEAD CT

YEMASSEE, SC 29945-7820

ABBEVILLE, SC 29620

COLUMBIA, SC 29223

CONWAY, SC 29526-2750

GREENVILLE, SC 29617-6226

MILES RESIDENTIAL CARE FACILITY INC

MARISOL PALACIOS-CRUZ

TWG POLO ROAD LLC

HERMAN L ANDERSON INC

UPSTATE SENIOR LIVING INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

20

5

59

80

64

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

2

3

0

10

16

0

0

19

0

16

Page 2: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 2 of 43

ASHLAN VILLAGE

ASHLEY GARDENS ALZHEIMER'S SPECIAL CARE CENTER

ASHLEY PLACE

ASHLEY RIVER PLANTATION

ATRIA FOREST LAKE

415 BRENDA WAY

2290 HENRY TECKLENBURG DR

526 HALTIWANGER RD

2333 ASHLEY RIVER RD

4405 FOREST DR

LYMAN, SC 29365-9264 FACILITY #:864-949-7825

CHARLESTON, SC 29414 FACILITY #:843-556-4100

GREENWOOD, SC 29649-1799 FACILITY #:864-943-1933

CHARLESTON, SC 29414-4755 FACILITY #:843-766-9898

COLUMBIA, SC 29206-3103 FACILITY #:803-790-9800

AHO ROBERT M PH#: 864-949-7825

CARLETON KELLY JEAN PH#: 843-556-4100

MOORE BRENT PH#: 864-943-1933

DAVIS SEAN C PH#: 843-766-9898

ELLROTT FAYE ESTES PH#: 803-790-9800

CRC-1483 / 10/31/2018

CRC-1595 / 06/30/2018

CRC-1404 / 11/30/2018

CRC-1376 / 06/30/2018

CRC-1143 / 05/31/2018

Spartanburg / Limited Liability

Charleston / Limited Liability

Greenwood / Corporation

Charleston / Limited Liability

Richland / Limited Liability

415 BRENDA WAY

PO BOX 820528

330 N WABASH AVE STE 3700

400 CENTRE ST

300 E MARKET ST STE 100

LYMAN, SC 29365-9264

VANCOUVER, WA 98682-0011

CHICAGO, IL 60611-7605

NEWTON, MA 02458-2094

LOUISVILLE, KY 40202

ASHLAN PROPERTIES LLC

CHARLESTON CARE GROUP LLC

ASHLEY AID OPCO LLC

SNH SE ASHLEY RIVER TENANT LLC

WG FOREST LAKE SH LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

72

66

44

123

60

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

19

66

3

51

16

22

66

0

51

16

Page 3: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 3 of 43

AUTUMN LEAVES OF FORT MILL

AUTUMN LEAVES OF GREENVILLE

BAILEY MANOR

BELVEDERE COMMONS OF SENECA

BENTON HOUSE OF BLUFFTON

1061 GOLD HILL RD

352 PELHAM RD

300 JACOBS HWY

515 BENTON ST

8 HAMPTON LAKE DR

FORT MILL, SC 29708 FACILITY #:803-493-3193

GREENVILLE, SC 29615-3110 FACILITY #:864-558-0383

CLINTON, SC 29325-9401 FACILITY #:864-833-3425

SENECA, SC 29672-6883 FACILITY #:864-888-4114

BLUFFTON, SC 29910-9568 FACILITY #:843-757-3111

MCCUIN KRISTI PH#: 803-493-3193

HESS HEATHER PH#: 864-558-0383

STANLEY RITA G PH#: 864-833-3425

MEDLIN ANTHONY PH#: 864-888-4114

KETCHUM VALORIE PH#: 843-757-3111

CRC-1948 / 04/30/2019

CRC-1947 / 04/30/2019

CRC-0732 / 08/31/2018

CRC-1466 / 11/30/2018

CRC-1585 / 03/31/2019

York /

Greenville / Limited Liability

Laurens / Non-Profit Corporation

Oconee / Ltd. Liability

Beaufort / Limited Liability

545 E JOHN CARPENTER FWY STE 500

352 PELHAM RD

300 JACOBS HWY

515 BENTON ST

11175 CICERO DR STE 500

IRVING, TX 75062-8144

GREENVILLE, SC 29615

CLINTON, SC 29325-9400

SENECA, SC 29672-6883

ALPHARETTA, GA 30022-0004

FORT MILL MEMORY CARE LLC

GREENVILLE MEMORY CARE LLC

CAROLINA CHRISTIAN MINISTRIES INC

FKP SENECA SENIOR LIVING TENANT LLC

BLUFFTON SLP LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

54

54

30

62

104

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

35

35

5

30

24

54

54

0

21

28

Page 4: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 4 of 43

BENTON HOUSE OF WEST ASHLEY

BETHEA BAPTIST ASSISTED LIVING

BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY

BLAKE AT CARNES CROSSROADS LLC

BLAKE AT EDGEWATER

1445 BLUEWATER WAY

157 HOME AVE

1 BISHOP GADSDEN WAY

4015 2ND AVE

1099 EDGEWATER CORPORATE PKWY

CHARLESTON, SC 29414 FACILITY #:843-576-9667

DARLINGTON, SC 29532-7625 FACILITY #:843-393-2867

CHARLESTON, SC 29412-3500 FACILITY #:843-762-3300

SUMMERVILLE, SC 29486 FACILITY #:843-376-3996

INDIAN LAND, SC 29707 FACILITY #:803-312-4242

LYON RICHARD E PH#: 843-576-9667

SPURLING BENJAMIN S PH#: 843-393-2867

TIPTON SARAH E H PH#: 843-762-3300

DAUGHERTY KATHRYN PH#: 843-376-3996

CUNNINGHAM BECKIE W PH#: 803-312-4242

CRC-1897 / 12/31/2018

CRC-1533 / 08/31/2018

CRC-0451 / 11/30/2018

CRC-1896 / 07/31/2018

CRC-1921 / 01/31/2019

Charleston /

Darlington / Non-Profit Corporation

Charleston / Non-Profit Corporation

Berkeley / Limited Liability

Lancaster / Limited Liability

11175 CICERO DR STE 500

157 HOME AVE

1 GADSDEN WAY

4015 2ND AVE

1099 EDGEWATER CORPORATE PKWY

ALPHARETTA, GA 30022-0004

DARLINGTON, SC 29532-7625

CHARLESTON, SC 29412

SUMMERVILLE, SC 29486

INDIAN LAND, SC 29707

WEST ASHLEY SLP LLC

SOUTH CAROLINA BAPTIST MINISTRIES FOR THE AGING INC

BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY

BLAKE AT CARNES CROSSROADS

BLAKE AT EDGEWATER LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

80

14

112

114

105

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

3

20

0

0

22

0

20

40

40

Page 5: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 5 of 43

BLAKE AT WOODCREEK FARMS

BLOOM AT BELFAIR

BLOOM AT HILTON HEAD

BRIAN'S RESIDENTIAL CARE II

BRIGHTWATER ASSISTED LIVING

385 SPEARS CREEK CHURCH RD

60 OAK FOREST RD

35 BEACH CITY RD

4003 CALHOUN ST

201 BRIGHTWATER DR

ELGIN, SC 29045-9312 FACILITY #:803-828-7370

BLUFFTON, SC 29910-5010 FACILITY #:843-815-2338

HILTON HEAD ISLAND, SC 29926-4725 FACILITY #:843-342-5599

BRANCHVILLE, SC 29432-2243 FACILITY #:803-274-8051

MYRTLE BEACH, SC 29579-8298 FACILITY #:843-903-8940

HERNANDEZ ROB PH#: 803-828-7370

FENNELL ERIC J PH#: 843-815-2338

BAZEN TIFFANY R PH#: 843-342-5599

STOKES DELAURA PH#: 803-274-8051

FRYAR LESLIE PH#: 843-903-8940

CRC-1570 / 02/28/2019

CRC-1510 / 12/31/2018

CRC-1382 / 04/30/2019

CRC-0947 / 09/30/2018

CRC-1489 / 04/30/2019

Richland /

Beaufort / Limited Liability

Beaufort /

Orangeburg / Partnership

Horry / Limited Liability

385 SPEARS CREEK CHURCH RD

60 OAK FOREST RD

35 BEACH CITY RD

1027 BERKELEY DR

201 BRIGHTWATER DR

ELGIN, SC 29045

BLUFFTON, SC 29910-5010

HILTON HEAD ISLAND, SC 29926-4725

ORANGEBURG, SC 29118-8356

MYRTLE BEACH, SC 29579-8298

BLAKE AT WOODCREEK FARMS LLC

BLOOMFIELD SENIOR LIVING OF BLUFFTON LLC

BLOOMFIELD SENIOR LIVING OF HILTON HEAD LLC

ALBERT STOKES AND DELAURA STOKES

BRIGHTWATER RETIREMENT LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

100

68

72

20

56

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

20

68

20

1

11

40

68

18

0

24

Page 6: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 6 of 43

BROAD CREEK CARE CENTER ASSISTED LIVING

BROAD CREEK CARE CENTER SKILLED NURSING

BROOKDALE BRUSHY CREEK

BROOKDALE CHARLESTON

BROOKDALE CLEVELAND PARK

801 LEMON GRASS CT

801 LEMON GRASS CT

2010 BRUSHY CREEK RD

2030 CHARLIE HALL BLVD

12 BOYCE AVE

HILTON HEAD ISLAND, SC 29928-3022 FACILITY #:843-341-7300

HILTON HEAD ISLAND, SC 29928-3022 FACILITY #:843-341-7300

GREER, SC 29650-2614 FACILITY #:864-244-9994

CHARLESTON, SC 29414-5830 FACILITY #:843-763-4055

GREENVILLE, SC 29601-3110 FACILITY #:864-250-1188

JACKSON WILLIAM F PH#: 843-341-7300

JACKSON WILLIAM F PH#: 843-341-7300

GROTE EMILY K PH#: 864-244-9994

FOARD PAULA PH#: 843-763-4055

KRUGER JESSICA L PH#: 864-223-2281

CRC-1036 / 07/31/2018

NCF-0753 / 07/31/2018

CRC-1306 / 12/31/2018

CRC-2018 / 03/31/2019

CRC-1398 / 07/31/2018

Beaufort / Corporation

Beaufort / Corporation

Greenville / Corporation

Charleston / Limited Liability

Greenville / Ltd. Liability

700 TIDEPOINTE WAY

700 TIDEPOINTE WAY

2010 BRUSHY CREEK RD

2030 CHARLIE HALL BLVD

12 BOYCE AVE

HILTON HEAD ISLAND, SC 29928-3040

HILTON HEAD ISLAND, SC 29928-3040

GREER, SC 29650-2614

CHARLESTON, SC 29414-5830

GREENVILLE, SC 29601-3110

CC-HILTON HEAD INC

CC-HILTON HEAD INC

BROOKDALE SENIOR LIVING COMMUNITIES INC

BKD CHARLESTON SOUTH CAROLINA LLC

ARC CLEVELAND PARK LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

50

25

52

100

115

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

No Facility Email on Record

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

6

0

52

29

17

0

0

0

33

17

Page 7: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 7 of 43

BROOKDALE COLUMBIA

BROOKDALE EBENEZER ROAD

BROOKDALE GREENVILLE

BROOKDALE GREENWOOD

BROOKDALE HARBISON

251 SPRINGTREE DR

1920 EBENEZER RD

1306 PELHAM RD OFC

1408 PKWY RD

51 WOODCROSS DR

COLUMBIA, SC 29223-7989 FACILITY #:803-741-2600

ROCK HILL, SC 29732-1014 FACILITY #:803-366-1189

GREENVILLE, SC 29615-3661 FACILITY #:864-286-6600

GREENWOOD, SC 29646-4043 FACILITY #:864-223-2281

COLUMBIA, SC 29212-2350 FACILITY #:803-732-0300

SHULL BRIAN PH#: 803-741-2600

COWLEY JOY Y PH#: 803-366-1189

HUNTER ANDREA M PH#: 864-286-6600

JACKSON CYNTINA PH#: 864-223-2281

KEAR DOUGAL PH#: 803-732-0300

CRC-1310 / 12/31/2018

CRC-1308 / 02/28/2019

CRC-1140 / 10/31/2018

CRC-1309 / 12/31/2018

CRC-1311 / 12/31/2018

Richland / Limited Liability

York / Corporation

Greenville / Corporation

Greenwood / Limited Liability

Richland / Limited Liability

251 SPRINGTREE DR

1920 EBENEZER RD

6737 W WASHINGTON ST STE 2300

1408 PKWY RD

51 WOODCROSS DR

COLUMBIA, SC 29223-7989

ROCK HILL, SC 29732-1014

MILWAUKEE, WI 53214-5650

GREENWOOD, SC 29646-4043

COLUMBIA, SC 29212-2350

BROOKDALE SENIOR LIVING COMMUNITIES INC

BROOKDALE SENIOR LIVING COMMUNITIES INC

EMERITUS CORPORATION

BROOKDALE SENIOR LIVING COMMUNITIES INC

BROOKDALE SENIOR LIVING COMMUNITIES INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

52

52

119

52

52

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

42

52

27

52

13

0

0

26

0

12

Page 8: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 8 of 43

BROOKDALE HAWTHORNE PARK

BROOKDALE HILTON HEAD COURT

BROOKDALE NORTH AUGUSTA

BROOKDALE SOUTHPOINTE DRIVE

BROOKDALE SPRING ARBOR

20 HAWTHORNE PARK CT

48 MAIN ST

105 N HILLS DR OFC

23 SOUTHPOINTE DR

1800 INDIA HOOK RD

GREENVILLE, SC 29615-3194 FACILITY #:864-288-6775

HILTON HEAD ISLAND, SC 29926-1647 FACILITY #:843-342-7122

NORTH AUGUSTA, SC 29841-0113 FACILITY #:803-819-0034

GREENVILLE, SC 29607-5956 FACILITY #:864-675-0220

ROCK HILL, SC 29732-1933 FACILITY #:803-325-1144

THOMAS AMY S PH#: 864-591-1116

HERNDON ADAM W PH#: 843-342-7122

MEEHAN TANYA JO PH#: 803-819-0034

RAST LARRY PH#: 864-675-0220

WOOD CHRYSTAL PH#: 803-325-1144

CRC-1396 / 08/31/2018

CRC-1275 / 08/31/2018

CRC-1298 / 02/28/2019

CRC-1335 / 09/30/2018

CRC-1392 / 08/31/2018

Greenville / Corporation

Beaufort / Corporation

Aiken / Limited Liability

Greenville / Corporation

York / Corporation

20 HAWTHORNE PARK CT

48 MAIN ST

105 N HILLS DR OFC

3131 ELLIOTT AVE STE 500

1800 INDIA HOOK RD

GREENVILLE, SC 29615-3194

HILTON HEAD ISLAND, SC 29926-1647

NORTH AUGUSTA, SC 29841-0113

SEATTLE, WA 98121-1032

ROCK HILL, SC 29732-1933

EMERITUS CORPORATION

EMERITUS CORPORATION

BROOKDALE SENIOR LIVING COMMUNITIES INC

EMERITUS CORPORATION

EMERITUS CORPORATION

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

68

36

52

162

92

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

27

52

11

30

17

36

0

0

20

Page 9: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 9 of 43

BROOKDALE SUMTER

CANTERFIELD OF BLUFFTON

CANTRELL'S RESIDENTIAL CARE FACILITY

CAROLINA GARDENS AT CONWAY

CAROLINA GARDENS AT HARBISON

1180 WILSON HALL RD OFC

567 N OKATIE HWY

124 GLADYS CT

2310-2314 HWY 378

990 COLUMBIA AVE

SUMTER, SC 29150-1741 FACILITY #:803-469-4508

RIDGELAND, SC 29936 FACILITY #:843-645-4000

SPARTANBURG, SC 29301-3701 FACILITY #:864-587-1993

CONWAY, SC 29527 FACILITY #:843-397-2273

IRMO, SC 29063-2854 FACILITY #:803-749-7889

SCOTT SHERRI R PH#: 803-469-4508

ROBERTS SUSAN C PH#: 843-645-4000

WALKER LINDA C PH#: 864-587-1993

TAYLOR JASON PH#: 843-397-2273

BRADLEY CHARLES PH#: 803-749-7889

CRC-1312 / 12/31/2018

CRC-1571 / 11/30/2018

CRC-1105 / 06/30/2018

CRC-1912 / 08/31/2018

CRC-1932 / 12/31/2018

Sumter / Limited Liability

Jasper / Limited Liability

Spartanburg / Corporation

Horry / Limited Liability

Lexington / Limited Liability

1180 WILSON HALL RD OFC

567 N OKATIE HWY

124 GLADYS CT

1626 JEURGENS CT

990 COLUMBIA AVE

SUMTER, SC 29150-1741

RIDGELAND, SC 29936

SPARTANBURG, SC 29301-3701

NORCROSS, GA 30093-2219

IRMO, SC 29063-2854

BROOKDALE SENIOR LIVING COMMUNITIES INC

CANTERFIELD OF BLUFFTON LLC

CANTRELL'S RESIDENTIAL CARE FACILITY INC

FC MIDLANDS CONWAY LLC

FC MIDLANDS HARBISON LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

52

93

22

100

82

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

52

22

0

24

26

0

22

0

28

32

Page 10: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 10 of 43

CAROLINA GARDENS AT LAURENS

CAROLINA GARDENS AT LEXINGTON

CAROLINA GARDENS AT ROCK HILL

CAROLINA GARDENS AT WEST COLUMBIA

CAROLINA GARDENS AT YORK

420 W FARLEY AVE

5422 AUGUSTA RD

1785 LEXINGTON COMMONS DR

2705 LEAPHART RD

1020 N CONGRESS ST

LAURENS, SC 29360 FACILITY #:864-984-9844

LEXINGTON, SC 29072-3892 FACILITY #:803-520-5850

ROCK HILL, SC 29732 FACILITY #:803-207-8000

WEST COLUMBIA, SC 29169-3335 FACILITY #:803-939-3000

YORK, SC 29745 FACILITY #:803-684-0183

MIMS LYNN PH#: 864-984-9844

PIEPENBRING MATTHEW PH#: 803-520-5850

CECIL CHARLES CAMPBELL PH#: 803-207-8000

UNTHANK RUSSELL A PH#: 803-939-3000

PICARD JACKI PH#: 803-684-0183

CRC-1908 / 08/31/2018

CRC-1907 / 08/31/2018

CRC-1914 / 12/31/2018

CRC-1910 / 08/31/2018

CRC-1909 / 08/31/2018

Laurens / Limited Liability

Lexington /

York / Limited Liability

Lexington / Limited Liability

York / Limited Liability

420 W FARLEY AVE

5422 AUGUSTA RD

1785 LEXINGTON COMMONS DR

2705 LEAPHART RD

1020 NORTH CONGRESS ST

LAURENS, SC 29360

LEXINGTON, SC 29072-3892

ROCK HILL, SC 29732

COLUMBIA, SC 29169-3335

YORK, SC 29745

FC MIDLANDS LAURENS LLC

FC MIDLANDS LEXINGTON LLC

FC MIDLANDS ROCK HILL LLC

FC MIDLANDS WEST COLUMBIA LLC

FC MIDLANDS YORK LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

100

80

90

184

143

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

19

23

25

15

29

0

50

25

64

49

Page 11: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 11 of 43

CAROLINIAN

CARTER-MAY HOME

CASCADES VERDAE ASSISTED LIVING

CHERAW HEALTHCARE

CLEMSON AREA RETIREMENT CENTER-HEALTH CARE CENTER

718 S DARGAN ST

1660 INGRAM RD

30 SPRINGCREST CT

400 MOFFAT RD

500 DOWNS LOOP

FLORENCE, SC 29506-2559 FACILITY #:843-665-9314

CHARLESTON, SC 29407-4242 FACILITY #:843-556-8314

GREENVILLE, SC 29607-4034 FACILITY #:864-528-5501

CHERAW, SC 29520-3048 FACILITY #:843-320-7500

CLEMSON, SC 29631-2099 FACILITY #:864-654-1155

HUMPHRIES DEBORAH KAY PH#: 843-665-9314

BAUDER JANINE NEWELL PH#: 843-556-8314

CLEMENTS JAMES A PH#: 864-528-5501

DYSON JOEL W PH#: 843-320-7500

LEHEUP JOHN D PH#: 864-654-1155

CRC-0468 / 04/30/2019

CRC-0064 / 04/30/2018 (Renewal Pending)

CRC-1490 / 04/30/2019

NCF-0951 / 04/30/2019

NCF-0391 / 10/31/2018

Florence / Corporation

Charleston / Corporation

Greenville / Limited Liability

Chesterfield / Corporation

Pickens / Corporation

911 N STUDEBAKER RD

1660 INGRAM RD

30 SPRINGCREST CT

PO BOX 967

500 DOWNS LOOP

LONG BEACH, CA 90815-4900

CHARLESTON, SC 29407-4242

GREENVILLE, SC 29607-4034

CHERAW, SC 29520-0967

CLEMSON, SC 29631-2099

FLORENCE RHF HOUSING INC

CATHOLIC CHARITIES OF THE DIOCESE OF CHARLESTON INC

CASCADES NURSING LLC

CHERAW HEALTHCARE INC

CARC INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

38

25

92

120

68

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

11

1

19

25

0

0

0

24

0

0

Page 12: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 12 of 43

COLLETON COURTYARD

COLONIAL GARDENS ALZHEIMER'S SPECIAL CARE CENTER

COMMANDER NURSING CENTER

COTTONWOOD VILLAS

COVENANT PLACE

210 ACADEMY RD

3565 SUNSET BLVD

4438 PAMPLICO HWY

800 W CHURCH ST

2825 CARTER RD OFC

WALTERBORO, SC 29488-9208 FACILITY #:843-538-8181

WEST COLUMBIA, SC 29169-3043 FACILITY #:803-796-2556

FLORENCE, SC 29505-8502 FACILITY #:843-669-3502

BISHOPVILLE, SC 29010-1054 FACILITY #:803-484-5303

SUMTER, SC 29150-1736 FACILITY #:803-469-7007

WILLIAMS ANDRE PH#: 843-538-8181

HARRIS BRENDA PH#: 803-796-2556

COMMANDER IV JOSEPH M PH#: 843-669-3502

GAINEY FELICIA PH#: 803-484-5303

LINDER SR RISLEY E PH#: 803-469-7007

CRC-1484 / 12/31/2018

CRC-1542 / 03/31/2019

NCF-0233 / 07/31/2018

CRC-1186 / 06/30/2018

CRC-0758 / 03/31/2019

Colleton /

Lexington /

Florence / Corporation

Lee /

Sumter / Non-Profit Corporation

22 TREYBURN CT

3565 SUNSET BLVD

4438 PAMPLICO HWY

800 W CHURCH ST

2825 CARTER RD OFC

GREER, SC 29650-3686

WEST COLUMBIA, SC 29169-3043

FLORENCE, SC 29505-8502

BISHOPVILLE, SC 29010-1054

SUMTER, SC 29150-1736

LAKEFIELD PROPERTIES LLC

COLUMBIA CARE GROUP LLC

COMMANDER HEALTH CARE FACILITIES INC

LAKEFIELD PROPERTIES LLC

COVENANT PLACE OF SUMTER INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

44

66

163

85

70

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

10

66

0

5

45

0

66

0

14

17

Page 13: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 13 of 43

CROSSINGS AT COLUMBIA

CROSSINGS AT FIVE FORKS

CROSSINGS AT WESCOTT PLANTATION

CYPRESS PLACE

DAYSPRING ASSISTED LIVING

2300 CLEMSON RD

345 FIVE FORKS RD

5130 WESCOTT BLVD

205 MIDLAND PKWY

5146 TOWLES RD

COLUMBIA, SC 29229-8029 FACILITY #:803-223-9560

SIMPSONVILLE, SC 29681 FACILITY #:864-412-4700

SUMMERVILLE, SC 29485 FACILITY #:843-486-2712

SUMMERVILLE, SC 29485-8104 FACILITY #:843-875-7163

HOLLYWOOD, SC 29449-6119 FACILITY #:843-889-9757

BOWLES KAREN PH#: 803-223-9560

CAIN ANNA S PH#: 864-412-4700

FERRERE GLENN W PH#: 843-486-2712

DICKERSON MATTHEW B PH#: 843-875-7163

PH#:

CRC-1544 / 03/31/2019

CRC-1960 / 08/31/2018

CRC-1596 / 06/30/2018

CRC-1411 / 11/30/2018

CRC-1385 / 04/30/2018 (Renewal Pending)

Richland / Limited Liability

Greenville /

Dorchester / Limited Liability

Dorchester / Limited Liability

Charleston / Ltd. Liability

2300 CLEMSON RD

4423 PHEASANT RIDGE RD STE 301

5130 WESCOTT BLVD

330 N WABASH AVE STE 3700

5146 TOWLES RD

COLUMBIA, SC 29229-8029

ROANOKE, VA 24014-5300

SUMMERVILLE, SC 29485

CHICAGO, IL 60611-7605

HOLLYWOOD, SC 29449-6119

COLUMBIA AL OPERATIONS LLC

GREENVILLE OPERATIONS LLC

CHARLESTON OPERATIONS LLC

CYPRESS AID OPCO LLC

DAYSPRING ASSISTED LIVING LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

110

92

105

44

16

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

CAWPD.ED@THECROSSINGSATWESCOTTPLANTATION

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

24

28

36

6

16

24

24

34

0

0

Page 14: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 14 of 43

DAYSPRING OF JOHNS ISLAND

DIVINE MANOR ASSISTED LIVING CENTER

EDEN TERRACE OF SPARTANBURG

ELMCROFT OF FLORENCE

EMERALD GARDENS OF GREENWOOD

3455 BOHICKET RD

2210 OAK POND RD

2780 E MAIN ST

3006 HOFFMEYER RD

201 OVERLAND DR

JOHNS ISLAND, SC 29455-7222 FACILITY #:843-768-5335

ROCK HILL, SC 29730-7958 FACILITY #:803-329-4494

SPARTANBURG, SC 29307-1248 FACILITY #:864-579-7387

FLORENCE, SC 29501-7551 FACILITY #:843-292-0012

GREENWOOD, SC 29646-4097 FACILITY #:864-953-2174

MARSHALL YASSAMIN B PH#: 843-768-5335

AFAM DORIS O PH#: 803-329-4494

HUGHES CINDY B PH#: 864-579-7387

FLOYD NICA K PH#: 843-292-0012

THOMPSON GREGORY E PH#: 864-953-2174

CRC-1915 / 03/31/2019

CRC-1361 / 07/31/2018

CRC-1213 / 05/31/2018

CRC-1422 / 10/31/2018

CRC-1378 / 10/31/2018

Charleston / Corporation

York / Limited Liability

Spartanburg / Ltd. Liability

Florence / Ltd. Liability

Greenwood / Ltd. Liability

3455 BOHICKET RD

2210 OAK POND RD

2780 E MAIN ST

700 N HURSTBOURNE PKWY STE 200

201 OVERLAND DR

JOHNS ISLAND, SC 29455-7222

ROCK HILL, SC 29730-7958

SPARTANBURG, SC 29307

LOUISVILLE, KY 40222

GREENWOOD, SC 29646-4097

DAYSPRING OF JOHNS ISLAND INC

DIVINE NURSE CONSULTANT LLC

BRISTOL SPARTANBURG LLC

EC FLORENCE OPERATIONS LLC

EMERALD GARDENS OF GREENWOOD LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

24

32

140

82

66

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

3

4

35

38

15

0

0

48

38

15

Page 15: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 15 of 43

FAIRVIEW PARK SENIOR LIVING

FAMILY RESIDENTIAL CARE HOME I

FAMILY RESIDENTIAL CARE HOME II

FAMILY RESIDENTIAL CARE HOME III

FLORA'S RESIDENTIAL CARE FACILITY II

544 HARRISON BRIDGE RD

21 EDWARDS ST

23 EDWARDS ST

25 EDWARDS ST

703 S HARVIN ST

SIMPSONVILLE, SC 29680-7003 FACILITY #:864-757-8812

SUMTER, SC 29150-4808 FACILITY #:803-775-9555

SUMTER, SC 29150-4808 FACILITY #:803-775-9555

SUMTER, SC 29150-4808 FACILITY #:803-775-9555

SUMTER, SC 29150-6415 FACILITY #:803-775-6007

CONNELLY REATHA PH#: 864-757-8812

WALTERS MICHAEL A PH#: 803-775-9555

WALTERS MICHAEL A PH#: 803-775-9555

WALTER MICHAEL PH#: 803-775-9555

YORK-HERRIOTT LUCINDA PH#: 803-775-6007

CRC-1887 / 11/30/2018

CRC-1233 / 02/28/2019

CRC-1277 / 06/30/2018

CRC-1537 / 02/28/2019

CRC-1519 / 12/31/2018

Greenville / Limited Liability Partnership (not filing as a Corporation

Sumter / Sole Proprietorship

Sumter / Sole Proprietorship

Sumter / Sole Proprietorship

Sumter / Sole Proprietorship

544 HARRISON BRIDGE RD

21 EDWARDS ST

23 EDWARDS ST

25 EDWARDS ST

PO BOX 2980

SIMPSONVILLE, SC 29680-7003

SUMTER, SC 29150-4808

SUMTER, SC 29150-4808

SUMTER, SC 29150-4808

SUMTER, SC 29151-2980

FAIRVIEW PARK ALF LP

WALTERS MICHAEL A

WALTERS MICHAEL A

WALTERS MICHAEL A

YORK-HERRIOTT LUCINDA

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

N

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

90

5

5

12

5

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

18

3

3

7

0

22

0

0

0

0

Page 16: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 16 of 43

FLORENCE PLACE

FLOWERS RESIDENTIAL CARE FACILITY

FOOTHILLS ASSISTED LIVING

FOREST VIEW MANOR RETIREMENT CENTER

FRANKE HOME

1938 MOUNTAIN LAUREL CT

855 WATTS HILL RD

999 W UNION RD

141 CALLISON HWY

1885 RIFLE RANGE RD

FLORENCE, SC 29505-6084 FACILITY #:843-665-7978

LUGOFF, SC 29078-9234 FACILITY #:803-438-2654

WEST UNION, SC 29696-2642 FACILITY #:864-638-4370

MCCORMICK, SC 29835-3524 FACILITY #:864-443-5857

MOUNT PLEASANT, SC 29464-9440 FACILITY #:843-856-4700

OWENS ALICIA B PH#: 843-665-7978

FLOWERS MARY C PH#: 803-438-2654

STEWART VIRGINIA B PH#: 864-638-4370

NIXON KENNETH M PH#: 864-443-5857

STOLL SANDRA A PH#: 843-856-4700

CRC-1990 / 10/31/2018

CRC-0297 / 11/30/2018

CRC-1364 / 08/31/2018

CRC-0500 / 11/30/2018

CRC-1082 / 09/30/2018

Florence / Limited Liability

Kershaw / Sole Proprietorship

Oconee / Corporation

Edgefield / Corporation

Charleston / Non-Profit Corporation

330 N WABASH AVE STE 3700

855 WATTS HILL RD

106 MARLEE CT

141 CALLISON HWY

300 MINISTRY DR

CHICAGO, IL 60611-7605

LUGOFF, SC 29078-9234

LEXINGTON, SC 29072-8492

MCCORMICK, SC 29835-3524

IRMO, SC 29063-2366

FLORENCE BG OPCO LLC

MARY C FLOWERS

CITE HEALTH MANAGEMENT SERVICES INC

HILLSIDE INC

LUTHERAN HOMES OF SOUTH CAROLINA INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

90

7

76

40

86

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

11

0

18

3

22

13

0

20

0

22

Page 17: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 17 of 43

GARDEN HOUSE LLC

GARDENS AT EASTSIDE

GARDENS AT SUMTER

GOD'S HAVEN OF REST

GRACE RESIDENTIAL CARE FACILITY

201 EDGEBROOK DR

275 COMMONWEALTH DR

2065 MCCRAYS MILL RD

516 BELVEDERE CLEARWATER RD

6534 CAROLINA HWY

ANDERSON, SC 29621-2573 FACILITY #:864-964-5668

GREENVILLE, SC 29615-4814 FACILITY #:864-329-1200

SUMTER, SC 29154-6111 FACILITY #:803-778-9690

NORTH AUGUSTA, SC 29841-2583 FACILITY #:803-279-1129

DENMARK, SC 29042-2366 FACILITY #:803-793-3423

GUILBAULT KATHLEEN PH#: 864-964-5668

FORD JANE A PH#: 864-329-1200

CLARK JENNIFER PH#: 803-778-9690

AYERS HAZEL L PH#: 803-279-1129

DAVIS BERNESTINE C PH#: 803-793-3423

CRC-1437 / 07/31/2018

CRC-1222 / 08/31/2018

CRC-0988 / 06/30/2018

CRC-1237 / 12/31/2018

CRC-0584 / 08/31/2018

Anderson / Ltd. Liability

Greenville / Ltd. Liability

Sumter / Corporation

Aiken / Sole Proprietorship

Bamberg / Corporation

11175 CICERO DR STE 500

PO BOX 8217

2065 MCCRAYS MILL RD

516 BELVEDERE CLEARWATER RD

PO BOX 326

ALPHARETTA, GA 30022-0004

ROANOKE, VA 24014-0217

SUMTER, SC 29154-6111

NORTH AUGUSTA, SC 29841-2583

DENMARK, SC 29042-0326

ARHC GHANDSC01 TRS LLC

EASTSIDE ASSISTED LIVING LLC

SUMTER AL HOLDINGS LLC

HAZEL LEIGH AYERS

GRACE RESIDENTIAL CARE FACILITY INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

75

83

140

9

22

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

18

14

49

5

5

18

14

80

5

0

Page 18: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 18 of 43

GREENVILLE GLEN

GREENVILLE PLACE

GREER COMMUNITY RESIDENCE

HARBORCHASE OF AIKEN

HARBORCHASE OF COLUMBIA

1101 GARLINGTON RD

2006 PELHAM RD

112 S BEVERLY LN

1385 SILVER BLUFF RD

120 FAIRFOREST RD

GREENVILLE, SC 29615-5446 FACILITY #:864-627-8700

GREENVILLE, SC 29615-4005 FACILITY #:864-288-3331

GREER, SC 29651-1738 FACILITY #:864-879-8570

AIKEN, SC 29803-8860 FACILITY #:803-642-8444

COLUMBIA, SC 29212-2308 FACILITY #:803-781-2243

JONES DAVID G PH#: 864-627-8700

DURRAH SERINA PH#: 864-288-3331

MORTON TAMARA L PH#: 864-879-8570

GILLIAM KATHERINE N PH#: 803-642-8444

JONES ROBERT PH#: 803-781-2243

CRC-0887 / 04/30/2018 (Renewal Pending)

CRC-1402 / 11/30/2018

CRC-0237 / 09/30/2018

CRC-1316 / 11/30/2018

CRC-1315 / 11/30/2018

Greenville / Limited Liability

Greenville / Corporation

Greenville / State

Aiken / Corporation

Richland / Corporation

1101 GARLINGTON RD

2006 PELHAM RD

PO BOX 17467

1385 SILVER BLUFF RD

120 FAIRFOREST RD

GREENVILLE, SC 29615-5446

GREENVILLE, SC 29615-4005

GREENVILLE, SC 29606-8467

AIKEN, SC 29803-8860

COLUMBIA, SC 29212-2343

GREENVILLE GLEN ASSISTED LIVING LLC

CSL LEASECO INC

GREENVILLE COUNTY DISABILITIES & SPECIAL NEEDS BOARD

TWENTY TWO PACK MANAGEMENT CORPORATION

TWENTY TWO PACK MANAGEMENT CORPORATION

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

51

153

12

110

66

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

53

2

29

36

16

53

0

29

36

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May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 19 of 43

HARBORCHASE OF ROCK HILL

HAVEN IN THE SUMMIT

HAVEN IN THE VILLAGE AT CHANTICLEER

HELENA PLACE

HERITAGE AT LOWMAN RESIDENTIAL CARE

1611 CONSTITUTION BLVD

3 SUMMIT TER

355 BERKMANS LN

1624 PARIS AVE

2101 DUTCH FORK RD

ROCK HILL, SC 29732-3047 FACILITY #:803-981-6855

COLUMBIA, SC 29229-7639 FACILITY #:803-788-4633

GREENVILLE, SC 29605-5606 FACILITY #:864-467-0031

PORT ROYAL, SC 29935-2041 FACILITY #:843-982-0233

CHAPIN, SC 29036 FACILITY #:803-732-8800

TENBROECK JOHN PH#: 803-981-6855

LILLY TAMMY D PH#: 803-788-4633

HASZLER MEASHA PH#: 864-467-0031

KESLER LORIE A PH#: 843-982-0233

HYMAN ASHLEY PH#: 803-732-8800

CRC-1290 / 11/30/2018

CRC-1240 / 03/31/2019

CRC-1244 / 11/30/2018

CRC-1409 / 11/30/2018

CRC-0840 / 09/30/2018

York / Corporation

Richland / Limited Liability Limited Partnership

Greenville / Limited Liability Limited Partnership

Beaufort /

Richland / Non-Profit Corporation

1611 CONSTITUTION BLVD

400 CENTRE ST

400 CENTRE ST, FIVE STAR QUALITY CARE

330 N WABASH AVE STE 3700

PO BOX 444

ROCK HILL, SC 29732-3047

NEWTON, MA 02458-2094

NEWTON, MA 02458-2094

CHICAGO, IL 60611-7605

WHITE ROCK, SC 29177-0444

TWENTY TWO PACK MANAGEMENT CORPORATION

MORNINGSIDE OF ANDERSON LP

MORNINGSIDE OF ANDERSON LP

HELENA AID OPCO LLC

LUTHERAN HOMES OF SOUTH CAROLINA INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

110

60

60

44

132

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

36

60

60

4

48

36

60

60

0

48

Page 20: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 20 of 43

HERRIOTT'S RESIDENTIAL CARE FACILITY

HILLS OF CUMBERLAND VILLAGE

HITCHCOCK PLACE

HONORAGE NURSING CENTER

HOPE ARBOR OF LORIS

114 LIME LN

3215 WISE CREEK LN

102 CREPE MYRTLE DR OFC

1207 N CASHUA RD

260 WATSON HERITAGE RD

SUMTER, SC 29150-6630 FACILITY #:803-773-6882

AIKEN, SC 29801-2534 FACILITY #:803-641-8444

AIKEN, SC 29803-7552 FACILITY #:803-649-6439

FLORENCE, SC 29501-6969 FACILITY #:843-665-6172

LORIS, SC 29569 FACILITY #:843-716-4673

YORK-HERRIOTT LUCINDA PH#: 803-773-6882

CHEATHAM MELISSA PH#: 803-641-8444

NEAL ELIZABETH H PH#: 803-649-6439

TAYLOR PAMELA M PH#: 843-665-6172

MCCRAY JAMUS E PH#: 843-716-4673

CRC-1013 / 06/30/2018

CRC-1121 / 09/30/2018

CRC-1412 / 11/30/2018

NCF-0329 / 12/31/2018

CRC-1547 / 06/30/2018

Sumter / Partnership

Aiken / Corporation

Aiken /

Florence / Corporation

Horry /

PO BOX 2980

3215 WISE CREEK LN

330 N WABASH AVE STE 3700

1207 N CASHUA RD

260 WATSON HERITAGE RD

SUMTER, SC 29153

AIKEN, SC 29801-2534

CHICAGO, IL 60611-7605

FLORENCE, SC 29501-6969

LORIS, SC 29569

JOHN & LUCINDA HERRIOTT

MARRINSON GROUP INC

HITCHCOCK AID OPCO LLC

HONORAGE NURSING HOME OF FLORENCE SC INC

PARNERS IN HOPE INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

N

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

14

34

44

88

60

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

2

4

4

88

20

0

0

0

0

0

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May 1, 2018

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Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 21 of 43

INLET COASTAL RESORT

INVERNESS AT SPARTANBURG

IVY GROVE RESIDENTIAL CARE CENTER

J & T RESIDENTIAL CARE FACILITY

J F HAWKINS NURSING HOME

5087 HWY 17 N BP

2720 COUNTRY CLUB RD

483 LOCKHART LN

604 WAGON WHEEL RD

1330 KINARD ST

MURRELLS INLET, SC 29576 FACILITY #:843-405-2005

SPARTANBURG, SC 29302-4473 FACILITY #:864-591-1116

GAFFNEY, SC 29341-2841 FACILITY #:864-487-0869

HAMPTON, SC 29924-5346 FACILITY #:803-943-7177

NEWBERRY, SC 29108-3096 FACILITY #:803-276-2601

MCGRAW KEVIN PH#: 843-405-2005

SMITH SHELLY PH#: 864-591-1116

MELEKWE OBIAJULU E PH#: 864-487-0869

HAMILTON DA'ASIA S PH#: 803-584-5090

RANSDELL TY L PH#: 803-276-2601

CRC-1549 / 08/31/2018

CRC-1351 / 07/31/2018

CRC-1458 / 10/31/2018

CRC-1094 / 05/31/2018

NCF-0234 / 02/28/2019

Georgetown / Limited Liability

Spartanburg / Limited Liability

Cherokee / Ltd. Liability

Hampton / Sole Proprietorship

Newberry / Limited Liability

5087 OCEAN HWY 17 N BYPASS

2720 COUNTRY CLUB RD

483 LOCKHART LN

604 WAGON WHEEL RD

1300 KINARD ST

MURRELL'S INLET, SC 29576

SPARTANBURG, SC 29302-4473

GAFFNEY, SC 29341-2841

HAMPTON, SC 29924-5346

NEWBERRY, SC 29108

INLET COASTAL RESORT LLC

DSJ AL HOLDINGS LLC

HARMONY RESIDENTIAL CARE CENTER LLC

THELMA S MYERS

NEWBERRY OPERATOR LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

62

100

62

10

118

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

21

16

10

10

0

20

20

0

0

20

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May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 22 of 43

JOANNE'S COMMUNITY CARE HOME #1

KEOWEE PLACE

KERSHAWHEALTH KARESH LONG TERM CARE

LAKES AT LITCHFIELD ASSISTED LIVING

LAKEVIEW ASSISTED LIVING

5048 PERCIVAL RD

475 ROCHESTER HWY

1311 ROBERTS ST

120 LAKES AT LITCHFIELD DR

3420 CLEMSON BLVD STE 17

ELGIN, SC 29045-9156 FACILITY #:803-736-3860

SENECA, SC 29672 FACILITY #:864-886-0070

CAMDEN, SC 29020-3737 FACILITY #:803-713-6376

PAWLEYS ISLAND, SC 29585-5515 FACILITY #:843-235-9393

ANDERSON, SC 29621-1324 FACILITY #:864-638-5212

CALDWELL JOANNE M PH#: 803-736-3860

CARLISLE CARROL A PH#: 864-886-0070

HANLEY JEANNE H PH#: 803-713-6376

BARBER JEFF PH#: 843-235-9393

WRIGHT DOUGLAS A PH#: 864-225-3370

CRC-0932 / 06/30/2018

CRC-1460 / 12/31/2018

NCF-0313 / 09/30/2018

CRC-1116 / 08/31/2018

CRC-0086 / 04/30/2018 (Renewal Pending)

Richland / Sole Proprietorship

Oconee / Ltd. Liability

Kershaw / County

Georgetown / Ltd. Liability

Anderson / Non-Profit Corporation

PO BOX 23494

330 N WABASH AVE STE 3700

1311 ROBERTS ST

120 LAKES AT LITCHFIELD DR

3420 CLEMSON BLVD STE 17

COLUMBIA, SC 29224-3494

CHICAGO, IL 60611-7605

CAMDEN, SC 29020-3798

PAWLEYS ISLAND, SC 29585-5515

ANDERSON, SC 29621-1324

JOANNE M CALDWELL

INN AT SENECA AID OPCO LLC

KERSHAW HOSPITAL LLC

LITCHFIELD RETIREMENT LLC

LAKEVIEW ASSISTED LIVING INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

N

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

10

50

96

79

19

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

2

4

0

20

2

0

0

0

24

0

Page 23: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 23 of 43

LAKEWOOD SENIOR LIVING

LANGSTON PLACE

LAUREL CREST

LAURENS MEMORIAL HOME FOR AGED

LEMONAIDE HOUSE

3709 CLARK RD

939 SPRINGDALE DR

100 JOSEPH WALKER DR

3744 TORRINGTON RD

1018 CRYSTAL CLEAR LN

BOILING SPRINGS, SC 29316 FACILITY #:864-586-1457

CLINTON, SC 29325-7266 FACILITY #:864-833-0338

WEST COLUMBIA, SC 29169-6939 FACILITY #:803-796-0370

LAURENS, SC 29360-0638 FACILITY #:864-682-2322

HOPKINS, SC 29061-8237 FACILITY #:803-776-1742

BOWMAN KAREN S PH#: 864-586-1457

MORGAN MARY A PH#: 864-833-0338

ROWLETTE-CARTER CASSANDRA N PH#: 803-796-0370

PENLAND CAROLYN B PH#: 864-682-2322

ETHERIDGE LULA J PH#: 803-776-1742

CRC-1924 / 10/31/2018

CRC-1408 / 11/30/2018

CRC-1999 / 01/31/2019

CRC-0316 / 12/31/2018

CRC-0924 / 05/31/2018

Spartanburg / Limited Liability

Laurens /

Lexington / Non-Profit Corporation

Laurens / Non-Profit Corporation

Richland / Partnership

PO BOX 6384

330 N WABASH AVE STE 3700

2817 ASHLAND RD

PO BOX 638

1018 CRYSTAL CLEAR LN

SPARTANBURG, SC 29304-6384

CHICAGO, IL 60611-7605

COLUMBIA, SC 29210

LAURENS, SC 29360-0638

HOPKINS, SC 29061-8237

CR LAKEWOOD LLC

LANGSTON AID OPCO LLC

LAUREL CREST RETIREMENT COMMUNITY

LAURENS MEMORIAL HOME FOR AGED INC

LULA J ETHERIDGE AND NANCY A SMITH

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

90

44

26

50

15

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

2

6

2

1

0

0

6

0

0

Page 24: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 24 of 43

LEXINGTON MEDICAL CENTER EXTENDED CARE

LONG'S RESIDENTIAL CARE CENTER

LONGWOOD PLANTATION

MAGNOLIAS OF GAFFNEY ASSISTED LIVING COMMUNITY

MAGNOLIAS OF SANTEE

815 OLD CHEROKEE RD

1280 DENNY HWY

1687 LONGWOOD DR

101 PARK CT

118 BRITAIN ST

LEXINGTON, SC 29072-8115 FACILITY #:803-359-5181

SALUDA, SC 29138-8972 FACILITY #:864-445-7901

ORANGEBURG, SC 29118-2307 FACILITY #:803-535-0250

GAFFNEY, SC 29341 FACILITY #:864-206-0006

SANTEE, SC 29142-8922 FACILITY #:803-854-2020

GILL KATHRYN PH#: 803-359-5181

LONG MARY J PH#: 864-445-7901

CALVERT RAYMOND D PH#: 803-535-0250

MOON AMY PH#: 864-206-0006

WILLIS TAMMY S PH#: 803-854-2020

NCF-0730 / 12/31/2018

CRC-0592 / 05/31/2018

CRC-0797 / 10/31/2018

CRC-1281 / 01/31/2019

CRC-1987 / 09/30/2018

Lexington / Corporation

Saluda / Corporation

Orangeburg / Limited Liability

Cherokee / Ltd. Liability

Orangeburg / Limited Liability

815 OLD CHEROKEE RD

1280 DENNY HWY

1687 LONGWOOD DR

101 PARK CT

118 BRITAIN ST

LEXINGTON, SC 29072-8115

SALUDA, SC 29138-8972

ORANGEBURG, SC 29118-2307

GAFFNEY, SC 29341

SANTEE, SC 29142-8922

LEXMED INC

LONG'S RESIDENTIAL CARE CENTER INC

LONGWOOD PLANTATION-FHE LLC

CARE RSL GAFFNEY OPCO LLC

CEDAR COMMUNITIES AT SANTEE LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

388

32

42

90

44

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

6

16

16

10

80

0

16

24

16

Page 25: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 25 of 43

MAGNOLIAS OF SUMMERVILLE

MANNING PLACE

MAPLES OF HONEA PATH

MARCHBANKS ASSISTED LIVING AND MEMORY CARE

MARTHA FRANKS BAPTIST RETIREMENT COMMUNITY

335 MIDLAND PKWY

10 COMPANION CT

224 WILDWOOD DR

2203 MARCHBANKS AVE

1 MARTHA FRANKS DR

SUMMERVILLE, SC 29485-8138 FACILITY #:843-821-4122

GREER, SC 29651-1288 FACILITY #:864-989-0707

HONEA PATH, SC 29654-1335 FACILITY #:864-369-2000

ANDERSON, SC 29621-2247 FACILITY #:864-231-7786

LAURENS, SC 29360-1799 FACILITY #:864-984-4541

REINHEIMER CINDY PH#: 843-821-4122

BOWERS BRYAN PH#: 864-989-0707

WILLIS MARK N PH#: 864-369-2000

MORRISON KENNETH S PH#: 864-231-7786

FRANKS POLLYANNA PH#: 864-984-4541

CRC-1414 / 05/31/2018

CRC-1407 / 11/30/2018

CRC-0819 / 05/31/2018

CRC-1413 / 05/31/2018

NCF-0435 / 03/31/2019

Dorchester / Ltd. Liability

Greenville /

Anderson / Corporation

Anderson / Ltd. Liability

Laurens / Non-Profit Corporation

335 MIDLAND PKWY

330 N WABASH AVE STE 3700

224 WILDWOOD DR

2203 MARCHBANKS AVE

1 MARTHA FRANKS DR

SUMMERVILLE, SC 29485-8138

CHICAGO, IL 60611-7605

HONEA PATH, SC 29654-1335

ANDERSON, SC 29621-2247

LAURENS, SC 29360-1799

CAROLINA RETIREMENT SERVICES OF SUMMERVILLE LLC

MANNING AID OPCO LLC

MAPLE MANOR INC

CAROLINA RETIREMENT SERVICES OF ANDERSON LLC

SOUTH CAROLINA BAPTIST MINISTRIES FOR THE AGING INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

60

44

74

60

88

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

5

1

30

10

20

0

0

0

23

20

Page 26: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 26 of 43

MORNINGSIDE OF ANDERSON

MORNINGSIDE OF GEORGETOWN

MORNINGSIDE OF HARTSVILLE

MORNINGSIDE OF LANCASTER

MYRTLE BEACH ESTATES

1304 MCLEES RD

2628 N FRASER ST

1901 W CAROLINA AVE

1004 HARDIN ST

3620 HAPPY WOODS CT

ANDERSON, SC 29621-3345 FACILITY #:864-964-9088

GEORGETOWN, SC 29440-6946 FACILITY #:843-520-0319

HARTSVILLE, SC 29550-4701 FACILITY #:843-857-0159

LANCASTER, SC 29720-1609 FACILITY #:803-285-8152

MYRTLE BEACH, SC 29588-2925 FACILITY #:843-293-8888

SPEER RICHARD W PH#: 864-964-9088

JOHNSON ALLISON PH#: 843-520-0319

LINGERFELT SHAY PH#: 843-857-0159

HEMPHILL TREVONDA PH#: 803-283-8152

CRAWFORD BRYAN PH#: 843-293-8888

CRC-1093 / 04/30/2019

CRC-1102 / 05/31/2018

CRC-1099 / 06/30/2018

CRC-1146 / 03/31/2019

CRC-1403 / 11/30/2018

Anderson / Limited Liability Limited Partnership

Georgetown / Limited Liability Limited Partnership

Darlington / Ltd. Liability

Lancaster / Limited Liability Limited Partnership

Horry / Corporation

400 CENTRE ST

400 CENTRE ST

400 CENTRE ST

400 CENTRE ST

3620 HAPPY WOODS CT

NEWTON, MA 02458-2094

NEWTON, MA 02458-2094

NEWTON, MA 02458-2094

NEWTON, MA 02458-2094

MYRTLE BEACH, SC 29588-2925

MORNINGSIDE OF ANDERSON LP

MORNINGSIDE OF SOUTH CAROLINA LP

MORNINGSIDE OF HARTSVILLE LLC

MORNINGSIDE OF SOUTH CAROLINA LP

CSL LEASECO INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

88

59

54

65

142

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

15

30

10

14

0

0

14

10

14

42

Page 27: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 27 of 43

MYRTLE BEACH MANOR RETIREMENT COMMUNITY

NHC HEALTHCARE ANDERSON

NHC HEALTHCARE BLUFFTON

NHC HEALTHCARE CLINTON

NHC HEALTHCARE LAURENS

9547 HWY 17 N

1501 E GBREENVILLE ST

3039 OKATIE HWY

304 JACOBS HWY

379 PINEHAVEN ST EXT

MYRTLE BEACH, SC 29572-0000 FACILITY #:843-449-5283

ANDERSON, SC 29621 FACILITY #:864-226-8356

BLUFFTON, SC 29909-5101 FACILITY #:843-705-8220

CLINTON, SC 29325-7279 FACILITY #:864-833-2550

LAURENS, SC 29360-2672 FACILITY #:864-984-6584

BEARD MICHAEL W PH#: 843-449-5283

MOORHOUSE BRADLEY W PH#: 864-226-8356

YOKLEY STEVEN T PH#: 843-705-8220

HOLDER CHARLES E PH#: 000-000-0000

SHEARER RICKIE L PH#: 864-984-6584

CRC-1253 / 01/31/2019

NCF-0801 / 06/30/2018

NCF-0958 / 01/31/2019

NCF-0804 / 06/30/2018

NCF-0326 / 06/30/2018

Horry / Corporation

Anderson / Ltd. Liability

Beaufort / Limited Liability

Laurens / Ltd. Liability

Laurens / Ltd. Liability

9547 HWY 17 N

PO BOX 1327

3039 OKATIE HWY

PO BOX 727

PO BOX 1259

MYRTLE BEACH, SC 29572-0000

ANDERSON, SC 29622-1327

BLUFFTON, SC 29909-5101

CLINTON, SC 29325-0727

LAURENS, SC 29360-1259

FS TENANT POOL I TRUST

NHC HEALTHCARE/ANDERSON LLC

NHC HEALTHCARE/BLUFFTON LLC

NHC HEALTHCARE/CLINTON LLC

NHC HEALTHCARE/LAURENS LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

111

290

120

131

176

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

20

70

0

0

0

30

0

40

0

0

Page 28: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 28 of 43

NHC HEALTHCARE MAULDIN

NHC HEALTHCARE PARKLANE

NORTH HAVEN RESIDENTIAL CARE HOME

NORTH POINTE ASSISTED LIVING

OAKBRIDGE TERRACE AT PARK POINTE VILLAGE

850 E BUTLER RD

7601 PARKLANE RD

4326 LESLIE ST

701 SIMPSON RD

3025 CHESBROUGH BLVD

GREENVILLE, SC 29607-5842 FACILITY #:864-675-6421

COLUMBIA, SC 29223-6122 FACILITY #:803-741-9090

NORTH CHARLESTON, SC 29418-5441 FACILITY #:843-767-2541

ANDERSON, SC 29621-3077 FACILITY #:864-226-5505

ROCK HILL, SC 29732-8078 FACILITY #:803-327-4723

DOBSON DEBORAH D PH#: 864-675-6421

ARGO MELISSA B PH#: 803-741-7233

LANGIT LEONORA D PH#: 843-767-2541

STOVALL SHARON PH#: 864-226-5505

DESMARATTES MARIE J PH#: 803-327-4723

NCF-0796 / 06/30/2018

NCF-0797 / 06/30/2018

CRC-0877 / 08/31/2018

CRC-1454 / 10/31/2018

CRC-1374 / 07/31/2018

Greenville / Ltd. Liability

Richland / Ltd. Liability

Charleston / Corporation

Anderson / Limited Liability

York / Non-Profit Corporation

PO BOX 600

7601 PARKLANE RD

4326 LESLIE ST

701 SIMPSON RD

3025 CHESBROUGH BLVD

MAULDIN, SC 29662-0600

COLUMBIA, SC 29223-6122

NORTH CHARLESTON, SC 29418-5441

ANDERSON, SC 29621-3077

ROCK HILL, SC 29732-8078

NHC HEALTHCARE/MAULDIN LLC

NHC HEALTHCARE/PARKLANE LLC

NORTH HAVEN RESIDENTIAL CARE HOME INC

CSL NORTH POINTE SC LLC

PARK POINTE VILLAGE INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

180

180

16

70

20

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

30

30

2

28

6

30

30

0

28

0

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May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 29 of 43

OAKLEAF VILLAGE AT THORNBLADE

OAKLEAF VILLAGE OF LEXINGTON

OAKVIEW PARK

OASIS RESIDENTIAL HOME

PACIFICA SENIOR LIVING SKYLYN

1560 THORNBLADE BLVD

800 N LAKE DR

110 HOOD RD

2317 PRINCE ST

1705 SKYLN DR

GREER, SC 29650-4520 FACILITY #:864-968-1277

LEXINGTON, SC 29072-2903 FACILITY #:803-808-3477

GREENVILLE, SC 29611 FACILITY #:864-412-8990

GEORGETOWN, SC 29440-2925 FACILITY #:843-527-4848

SPARTANBURG, SC 29307 FACILITY #:864-582-6838

PH#:

ELLIOTT ASHLEY PH#: 803-808-3477

WRIGHT MALEIKA N PH#: 864-412-8990

GRAHAM MAZIE E PH#: 843-527-4848

KENNEDY SHERRY S PH#: 864-582-6838

CRC-2021 / 09/30/2018

CRC-2014 / 09/30/2018

CRC-1566 / 10/31/2018

CRC-1219 / 08/31/2018

CRC-1950 / 12/31/2018

Greenville / Limited Liability

Lexington / Limited Liability

Anderson /

Georgetown / Corporation

Spartanburg / Limited Liability

1560 THORNBLADE BLVD

800 N LAKE DR

110 HOOD RD

2317 PRINCE ST

1775 HANCOCK ST STE 200

GREER, SC 29650-4520

LEXINGTON, SC 29072-2903

GREENVILLE, SC 29611

GEORGETOWN, SC 29440-2925

SAN DIEGO, CA 92110

GREENVILLE SENIOR HOUSING I OPCO LLC

LEXINGTON SENIOR HOUSING I OPCO LLC

OAKVIEW PARK ALF

OASIS RESIDENTIAL HOME INC

PACIFICA SKYLYN LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

100

100

90

22

169

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

20

25

17

6

20

24

24

30

0

20

Page 30: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 30 of 43

PAGELAND CARE FACILITY

PALMETTO RIDGE ASSISTED LIVING & MEMORY CARE

PALMETTO VILLAGE OF CHESTER

PALMETTOS OF BLUFFTON

PALMETTOS OF CHARLESTON

206 S GUM ST

840 MANOR RD

570 CENTER ST

3039 OKATIE HWY

1900 ASHLEY CROSSING DR

PAGELAND, SC 29728-2304 FACILITY #:843-672-5930

CHERAW, SC 29520-4035 FACILITY #:843-537-4197

CHESTER, SC 29706-1342 FACILITY #:803-581-7319

BLUFFTON, SC 29910 FACILITY #:843-707-9400

CHARLESTON, SC 29414-5751 FACILITY #:843-852-0505

FUNDERBURK DENNIS R PH#: 843-672-5930

SMITH REGINA PH#: 843-537-4197

WATTS GLORIA (SUSIE) F PH#: 803-581-7319

FLOYD STACY M PH#: 843-707-9400

MARTIN MEGAN W PH#: 843-852-0505

CRC-0999 / 04/30/2019

CRC-1393 / 03/31/2019

CRC-1399 / 06/30/2018

CRC-1648 / 03/31/2019

CRC-1263 / 07/31/2018

Chesterfield / Corporation

Chesterfield / Limited Liability

Chester / Ltd. Liability

Beaufort / Limited Liability Company (multiple member)

Charleston / Limited Liability

206 S GUM ST

PO BOX 278

PO BOX 1597

3035 OKATIE HWY

1900 ASHLEY CROSSING DR

PAGELAND, SC 29728-2304

CHERAW, SC 29520-0278

KING, NC 27021

BLUFFTON, SC 29909

CHARLESTON, SC 29414-5751

FUNDERBURK ASSOCIATES INC

PALMETTO RIDGE ASSISTED LIVING AND MEMORY CARE LLC

BHM OF CHESTER LLC

PALMETTOS OF BLUFFTON LLC

NHC PLACE-CHARLESTON LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

58

106

100

88

60

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

8

15

8

11

15

25

26

0

20

15

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 31 of 43

PALMETTOS OF GARDEN CITY

PALMETTOS OF MAULDIN

PALMETTOS OF PARKLANE

PEACHTREE CENTRE COMMUNITY RESIDENTIAL CARE FACILITY

PEARL AT FIVE FORKS

9415 HWY 17 BYPASS

810 E BUTLER RD

7811 PARKLANE RD

1434 N LIMESTONE ST

15 FIVE FORKS RD

MURRELLS INLET, SC 29576 FACILITY #:843-668-2500

GREENVILLE, SC 29607-5842 FACILITY #:864-627-0803

COLUMBIA, SC 29223-5620 FACILITY #:803-741-7233

GAFFNEY, SC 29340-4798 FACILITY #:864-487-2717

SIMPSONVILLE, SC 29681 FACILITY #:864-568-3833

CRONIN TONI PH#: 843-668-2500

DAVIS KATHRYN H PH#: 864-627-0803

DAVILA KIMBERLY P PH#: 803-741-7233

GENTRY KATRINA PH#: 864-487-2717

PH#:

CRC-1649 / 06/30/2018

CRC-1503 / 03/31/2019

CRC-1513 / 04/30/2019

CRC-1904 / 12/31/2018

CRC-2003 / 01/31/2019

Horry / Limited Liability Company (multiple member)

Greenville / Ltd. Liability

Richland / Limited Liability

Cherokee / County

Greenville / Limited Liability

PO BOX 1398

PO BOX 749

7811 PARKLANE RD

1434 N LIMESTONE ST

MURFREESBORO, TN 37133-1398

MAULDIN, SC 29662-0749

COLUMBIA, SC 29223-5620

GAFFNEY, SC 29340-4798

PALMETTOS OF GARDEN CITY LLC

NHC HEALTHCARE/MAULDIN LLC

PALMETTOS OF PARKLANE LLC

PEACHTREE OPERATING GROUP LLC

PSL SIMPSONVILLEE SUBTENANT LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

90

60

85

28

50

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

15

24

0

49

20

18

18

0

50

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Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 32 of 43

PEE DEE GARDENS

PENDLETON MANOR

PEPPER HILL NURSING & REHAB CENTER

PINEWOOD PLACE

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-COLUMBIA

3117 W PALMETTO ST

414 SUMMIT DR

3525 AUGUSTUS RD

101 CENTENNIAL BLVD

700 DAVEGA DR

FLORENCE, SC 29501 FACILITY #:843-667-6699

GREENVILLE, SC 29609-4821 FACILITY #:864-271-7562

AIKEN, SC 29801-2701 FACILITY #:803-642-8376

GOOSE CREEK, SC 29445-7079 FACILITY #:843-569-2520

LEXINGTON, SC 29073-9698 FACILITY #:803-796-8700

COOKE-EVANS TONI E PH#: 843-667-6699

BLAIR SUSAN S PH#: 864-271-7562

JONES PRESTON S PH#: 803-642-8376

GREENWOOD RAE-LYNN PH#: 843-569-2520

BASILE JASON PH#: 803-796-8700

CRC-1391 / 05/31/2018

CRC-1455 / 08/31/2018

NCF-0879 / 11/30/2018

CRC-1406 / 11/30/2018

CRC-0387 / 06/30/2018

Florence /

Greenville / Ltd. Liability

Aiken / Limited Liability

Berkeley /

Lexington / Non-Profit Corporation

3117 W PALMETTO ST

414 SUMMIT DR

PO BOX 3188

330 N WABASH AVE STE 3700

700 DAVEGA DR

FLORENCE, SC 29501

GREENVILLE, SC 29609-4821

AIKEN, SC 29802-3188

CHICAGO, IL 60611-7605

LEXINGTON, SC 29073-9698

DEPAUL ADULT CARE COMMUNITIES INC

GREENVILLE RETIREMENT PROPERTIES LLC

PEPPER HILL NURSING & REHAB CENTER LLC

PINEWOOD AID OPCO LLC

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

80

65

132

44

91

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

21

24

0

4

20

22

30

0

0

20

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May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 33 of 43

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-COLUMBIA

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-FLORENCE

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-FOOTHILLS

PRESTON HEALTH CENTER

PRUITTHEALTH-AIKEN

700 DAVEGA DR

2350 W LUCAS ST

205 BUD NALLEY DR

87 BIRDSONG WAY

830 LAURENS ST

LEXINGTON, SC 29073-9698 FACILITY #:803-796-8700

FLORENCE, SC 29501-1201 FACILITY #:843-665-2222

EASLEY, SC 29642 FACILITY #:864-859-3367

HILTON HEAD ISLAND, SC 29926-1365 FACILITY #:843-689-7000

AIKEN, SC 29801-0475 FACILITY #:803-649-6264

BASILE JASON PH#: 803-796-8700

LILLY ORPHA LORETTA PH#: 843-665-2222

NICHOLS KAREN H PH#: 864-859-3367

FUNK ADAM PH#: 843-689-7077

JARVIS MICHAEL PH#: 803-649-6264

NCF-0545 / 12/31/2018

CRC-0242 / 09/30/2018

CRC-1030 / 07/31/2018

NCF-0576 / 04/30/2018 (Renewal Pending)

NCF-0942 / 06/30/2018

Lexington / Non-Profit Corporation

Florence /

Pickens / Non-Profit Corporation

Beaufort / Limited Liability Limited Partnership

Aiken / Limited Liability

700 DAVEGA DR

2350 W LUCAS ST

205 BUD NALLEY DR

87 BIRDSONG WAY

830 LAURENS ST

LEXINGTON, SC 29073-9698

FLORENCE, SC 29501-1201

EASLEY, SC 29642

HILTON HEAD ISLAND, SC 29926-1365

AIKEN, SC 29801-0475

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

CYPRESS OF HILTON HEAD ISLAND ASSOCIATES LP

PRUITTHEALTH-AIKEN LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

44

47

52

77

176

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

6

20

0

44

20

13

20

11

44

Page 34: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 34 of 43

QUILLEN MANOR

REFLECTIONS AT CAROLINA FOREST

RESIDENCES AT PARK PLACE

RIVER OAKS

ROCKY RIVER BAPTIST ASSOCIATION RESIDENTIAL CARE HOME

709 QUILLEN AVE

219 MIDDLEBURG DR

115 GILLESPIE RD

1251 LADYS ISLAND DR

250 UNION HIGH DR

FOUNTAIN INN, SC 29644-9444 FACILITY #:864-862-3252

MYRTLE BEACH, SC 29579-3409 FACILITY #:843-903-0700

SENECA, SC 29678-1126 FACILITY #:864-882-0783

PORT ROYAL, SC 29935-1106 FACILITY #:843-521-2298

BELTON, SC 29627-2445 FACILITY #:864-338-1410

FREEMAN LEIGHA M PH#: 864-862-3252

CLARDY JR WALLACE D PH#: 843-903-0700

HICKS KYLE L PH#: 864-882-0783

BECK MICHELLE A PH#: 843-521-2298

TOUCHTON JORDANA M PH#: 864-338-1410

CRC-1321 / 06/30/2018

CRC-1456 / 11/30/2018

CRC-1493 / 08/31/2018

CRC-0733 / 01/31/2019

CRC-1270 / 04/30/2018 (Renewal Pending)

Greenville / Limited Liability

Horry / Corporation

Oconee / Corporation

Beaufort /

Anderson / Non-Profit Corporation

PO BOX 805

219 MIDDLEBURG DR

PO BOX 609

1251 LADYS ISLAND DR

250 UNION HIGH DR

FOUNTAIN INN, SC 29644-0805

MYRTLE BEACH, SC 29579-3409

LEXINGTON, SC 29071-0609

PORT ROYAL, SC 29935-1106

BELTON, SC 29627-2445

QUILLEN MANOR LLC

REFLECTIONS AT CAROLINA FOREST INC

AMERICAN SENIOR LIVING COMMUNITIES INC

CARE RSL PORT ROYAL OPCO LLC

ROCKY RIVER BAPTIST ASSOCIATION

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

78

42

100

62

28

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

12

2

13

5

2

12

0

18

0

0

Page 35: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 35 of 43

ROLLING GREEN VILLAGE ASSISTED LIVING FACILITY

ROLLING GREEN VILLAGE HEALTH CARE FACILITY

ROSECREST COMMUNITY RESIDENTIAL CARE

ROYAL OAKS

SAVANNAH HALL ASSISTED LIVING

1 HOKE SMITH BLVD OFC

1 HOKE SMITH BLVD

200 FORTRESS DR

950 TRAVELERS BLVD

1010 LAKE HUNTER CIR

GREENVILLE, SC 29615-5399 FACILITY #:864-987-9800

GREENVILLE, SC 29615-5308 FACILITY #:864-987-9800

INMAN, SC 29349-9160 FACILITY #:864-599-8600

SUMMERVILLE, SC 29485-8213 FACILITY #:843-832-8481

MOUNT PLEASANT, SC 29464-5417 FACILITY #:843-388-2030

TOERNER RYAN J PH#: 864-987-9800

TOERNER RYAN PH#: 864-987-9800

YETTER MELISSA PH#: 864-599-8600

KOESTER KELLY H PH#: 843-832-8481

WOODWARD GREGORY M PH#: 843-388-2030

CRC-0573 / 03/31/2019

NCF-0456 / 10/31/2018

CRC-1208 / 07/31/2018

CRC-0859 / 01/31/2019

CRC-1431 / 06/30/2018

Greenville / Non-Profit Corporation

Greenville / Non-Profit Corporation

Spartanburg / Non-Profit Corporation

Dorchester /

Charleston /

1 HOKE SMITH BLVD OFC

1 HOKE SMITH BLVD

200 FORTRESS DR

950 TRAVELERS BLVD

400 CENTRE ST

GREENVILLE, SC 29615-5399

GREENVILLE, SC 29615-5308

INMAN, SC 29349-9160

SUMMERVILLE, SC 29485-8213

NEWTON, MA 02458-2094

ROLLING GREEN VILLAGE

ROLLING GREEN VILLAGE

LUTHERAN HOMES OF SOUTH CAROLINA INC

CARE RSL SUMMERVILLE OPCO LLC

SNH SE SG TENANT LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

52

74

45

53

16

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

22

0

11

22

16

22

0

11

24

16

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May 1, 2018

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Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 36 of 43

SAVANNAH PLACE

SC EPISCOPAL HOME AT STILL HOPES (CRCF)

SHADOW OAKS ASSISTED LIVING COMMUNITY

SHEPHERD'S CARE CENTER

SKYLYN NURSING AND REHABILITATION CENTER

1501 SECESSIONVILLE RD

1 STILL HOPES DR

108 GREGG AVE

2100 N PLEASANTBURG DR

1705 SKYLYN DR OFC

CHARLESTON, SC 29412-8236 FACILITY #:843-762-1396

WEST COLUMBIA, SC 29169-7164 FACILITY #:803-796-6490

AIKEN, SC 29801-6816 FACILITY #:803-643-0300

GREENVILLE, SC 29609-3156 FACILITY #:864-322-6212

SPARTANBURG, SC 29307-1090 FACILITY #:864-582-2833

MIKELL TYLER G PH#: 843-762-1396

ROBERTSON NIKKI W PH#: 803-796-6490

WILLIAMS SANDRA G PH#: 803-643-0300

THOMPSON ERIC M PH#: 864-322-6212

ELEAZER KARL A PH#: 864-582-2833

CRC-1410 / 11/30/2018

CRC-0144 / 07/31/2018

CRC-1425 / 10/31/2018

CRC-1326 / 10/31/2018

NCF-0995 / 03/31/2018 (Renewal Pending)

Charleston /

Lexington / Corporation

Aiken / Ltd. Liability

Greenville / Ltd. Liability

Spartanburg / Limited Liability

330 N WABASH AVE STE 3700

PO BOX 2959

108 GREGG AVE

2100 N PLEASANTBURG DR

PO BOX 9268

CHICAGO, IL 60611-7605

WEST COLUMBIA, SC 29171-2959

AIKEN, SC 29801-6816

GREENVILLE, SC 29609-3156

HICKORY, NC 28603-9268

SAVANNAH AID OPCO LLC

SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES INC

SHADOW OAKS ASSISTED LIVING COMMUNITY LLC

SHEPHERD'S CARE CENTER LLC

MAXIMUS SPARTANBURG LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

44

24

56

90

44

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

2

8

10

9

0

0

24

12

19

0

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May 1, 2018

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Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 37 of 43

SOMERBY OF MOUNT PLEASANT

SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPE

SPRING PARK

SPRINGFIELD PLACE RESIDENTIAL CARE

SPRINGHILL ASSISTED LIVING

3100 TRADITION CIR

1 STILL HOPES DR

925 N MAIN ST

2006 SPRINGFIELD CIR

514 S GUM ST

MOUNT PLEASANT, SC 29466-7153 FACILITY #:843-849-3096

WEST COLUMBIA, SC 29169-7164 FACILITY #:803-796-6490

TRAVELERS REST, SC 29690-1553 FACILITY #:864-610-2435

NEWBERRY, SC 29108-3084 FACILITY #:803-405-1585

PAGELAND, SC 29728-9143 FACILITY #:843-675-2500

THARP CHRIS PH#: 843-849-3096

ROBERTSON NIKKI W PH#: 803-796-6490

LEE-POTTER KEARA PH#: 864-610-2435

KESLER-COUNTS ABBY PH#: 803-405-1585

CHIPMAN MARY B PH#: 843-675-2500

CRC-1481 / 09/30/2018

NCF-0392 / 12/31/2018

CRC-1539 / 12/31/2018

CRC-1250 / 02/28/2019

CRC-1171 / 07/31/2018

Charleston / Ltd. Liability

Lexington / Corporation

Greenville /

Newberry / Limited Liability

Chesterfield / Corporation

1200 CORPORATE DR STE 225

PO BOX 2959

925 N MAIN ST

2006 SPRINGFIELD CIR

514 S GUM ST

BIRMINGHAM, AL 35242-5421

WEST COLUMBIA, SC 29171-2959

TRAVELERS REST, SC 29690-1553

NEWBERRY, SC 29108-3084

PAGELAND, SC 29728-9143

DOMINION SENIOR LIVING OF MT PLEASANT LLC

SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES INC

SPRING PARK ALF LLC

NEWBERRY OPERATOR LLC

HOSPICE OF CHESTERFIELD COUNTY INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

118

62

80

50

32

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

35

0

24

2

3

38

0

16

0

0

Page 38: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 38 of 43

SPRINGS AT SIMPSONVILLE

SUMMIT HILLS ASSISTED LIVING COMMUNITY

SUMMIT PLACE OF ANDERSON

SUMMIT PLACE OF BEAUFORT

SUMMIT PLACE OF NORTH MYRTLE BEACH

214 E CURTIS ST

100 SUMMIT HILLS DR

107 PERPETUAL SQ

1119 PICK POCKET PLANTATION DR

491 HWY 17

SIMPSONVILLE, SC 29681-2622 FACILITY #:864-962-8570

SPARTANBURG, SC 29307-1532 FACILITY #:864-591-2222

ANDERSON, SC 29621-1713 FACILITY #:864-222-9880

BEAUFORT, SC 29902-3771 FACILITY #:843-770-0105

LITTLE RIVER, SC 29566-8082 FACILITY #:843-399-5662

DEWITT JAMES A PH#: 864-962-8570

FARGIS REGINA PH#: 864-591-2222

COOLEY LARINDA PH#: 864-222-9880

HOYLES CRAIG PH#: 843-770-0105

JACKSON THOMAS L PH#: 843-399-5662

CRC-1198 / 05/31/2018

CRC-1113 / 09/30/2018

CRC-1151 / 10/31/2018

CRC-1375 / 06/30/2018

CRC-1360 / 06/30/2018

Greenville / Ltd. Liability

Spartanburg / Ltd. Liability

Anderson / Limited Liability

Beaufort / Corporation

Horry / Corporation

214 E CURTIS ST

100 SUMMIT HILLS DR

107 PERPETUAL SQ

400 CENTRE ST

400 CENTRE ST

SIMPSONVILLE, SC 29681-2622

SPARTANBURG, SC 29307-1532

ANDERSON, SC 29621-1713

NEWTON, MA 02458-2094

NEWTON, MA 02458-2094

CURTIS GROUP LLC

SUMMIT HILLS LLC

CSL SUMMIT PLACE SC LLC

SNH SE TENANT TRS INC

SNH SE N MYRTLE BEACH TENANT LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

89

79

89

87

80

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

No Facility Email on Record

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

16

23

28

44

23

16

13

32

44

24

Page 39: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 39 of 43

SUMTER EAST HEALTH AND REHABILITATION CENTER

SWEETGRASS COURT SENIOR LIVING COMMUNITY

THRIVE ASSISTED LIVING & MEMORY CARE

THRIVE IN PRINCE CREEK

TWILITE MANOR ADULT RESIDENTIAL CARE

880 CAROLINA AVE

1010 ANNA KNAPP BLVD

715 S BUNCOMBE RD

699 PRINCE CREEK PKWY

2306 FORREST ST

SUMTER, SC 29150-2815 FACILITY #:803-775-5394

MOUNT PLEASANT, SC 29464-5400 FACILITY #:843-971-7756

GREER, SC 29650-2208 FACILITY #:864-469-0409

MURRELLS INLET, SC 29576 FACILITY #:843-353-1525

CAYCE, SC 29033-2124 FACILITY #:803-794-7561

GINN KEVIN PH#: 803-775-5394

DENSON TRA'ASHIA PH#: 843-971-7756

COOK JR TIMOTHY E PH#: 864-469-0409

RICHARDSON JACQUE W PH#: 843-353-1525

GOODWIN ROLANDA L PH#: 803-794-7561

NCF-0919 / 09/30/2018

CRC-1428 / 12/31/2018

CRC-1894 / 01/31/2019

CRC-1939 / 11/30/2018

CRC-1210 / 05/31/2018

Sumter / Ltd. Liability

Charleston /

Greenville /

Horry / Limited Liability

Lexington /

880 CAROLINA AVE

400 CENTRE ST, FIVE STAR QUALITY CARE-OBX OPERATOR LLC

215 S BUNCOMBE RD

699 PRINCE CREEK PKWY

2306 FORRST ST

SUMTER, SC 29150-2815

NEWTON, MA 02458-2094

GREER, SC 29650

MURRELLS INLET, SC 29576

CAYCE, SC 29033

SSC SUMTER EAST OPERATING COMPANY LLC

FIVE STAR QUALITY CARE-OBX OPERATOR LLC

PULLIAM/THRIVE GREER LLC

THRIVE TENANT LTC LLC

SEASHAR LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

176

38

110

110

28

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

No Facility Email on Record

[email protected]

[email protected]

JACQUE.RICHARDSON@THRIVEATPRINCECREEK

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

JACQUE.RICHARDSON@THRIVEATPRINCECREEK.

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

38

17

25

3

0

38

46

25

0

Page 40: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 40 of 43

TYLER RESTMORE HOME #2

VANWYEVER RESIDENTIAL CARE FACILITY

VETERANS VICTORY HOUSE

WALTERS BROTHERS RESIDENTIAL CARE FACILITY INC

WATERFORD AT DILLION POINTE ASSISTED LIVING & MEMORY CARE

195 SELLERS AVE

2009 COSGROVE AVE

2461 SIDNEYS RD

110 GEDDINGS RD

104 DILLON DR

ORANGEBURG, SC 29115-6724 FACILITY #:803-531-2074

NORTH CHARLESTON, SC 29405-5702 FACILITY #:843-744-6065

WALTERBORO, SC 29488-6783 FACILITY #:843-538-3000

SUMTER, SC 29150-8812 FACILITY #:803-506-2743

SPARTANBURG, SC 29307-1018 FACILITY #:864-948-9300

ANTLEY MICHELLE L PH#: 803-531-2074

PETTIS ETHEL S PH#: 843-744-6065

FERGUSON SANDRA L PH#: 843-538-3000

WALTERS SR JOHNNIE L PH#: 803-506-2743

COLEMAN ALLYE PH#: 864-948-9300

CRC-0889 / 07/31/2018

CRC-0638 / 09/30/2018

NCF-0921 / 10/31/2018

CRC-1080 / 04/30/2019

CRC-0893 / 06/30/2018

Orangeburg /

Charleston / Sole Proprietorship

Colleton / State

Sumter / Sole Proprietorship

Spartanburg /

233 PERRYCLEAR ST

2009 COSGROVE AVE

2461 SIDNEYS RD

3300 OLD MANNING RD

104 DILLON DR

ORANGEBURG, SC 29115-4513

NORTH CHARLESTON, SC 29405-5702

WALTERBORO, SC 29488-6783

SUMTER, SC 29150-9701

SPARTANBURG, SC 29307-1018

TYLER RESTMORE HOME LLC

AYESHA T WASHINGTON ESQUIRE AS SPECIAL ADMINISTRATOR OF THEESTATE RHODELLE W FULTON

SC DEPARTMENT OF MENTAL HEALTH

JOHNNIE L WALTERS

CSL DILLION POINTE SC LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

9

10

220

20

55

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

1

0

0

6

27

0

0

52

0

21

Page 41: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 41 of 43

WATERSTONE ON AUGUSTA SENIOR LIVING

WELLMORE OF LEXINGTON

WELLMORE OF TEGA CAY

WESLEY COMMONS ASSISTED LIVING FACILITY & SPECIAL CARE HOUSE

WESLEYAN SUITES

1004 AUGUSTA ST

200 WELLMORE DR

111 WELLMORE DR

1110 MARSHALL RD

2100 TWIN CHURCH RD

GREENVILLE, SC 29605-3906 FACILITY #:864-605-7236

LEXINGTON, SC 29072 FACILITY #:803-520-1200

TEGA CAY, SC 29708-0039 FACILITY #:803-835-7000

GREENWOOD, SC 29646-4299 FACILITY #:864-227-7480

FLORENCE, SC 29501-8200 FACILITY #:843-664-0700

BURTON EDWARD G PH#: 864-605-7236

TREMBLE WILLIAM M PH#: 803-520-1200

DUNN DAVID M PH#: 803-835-7000

DAVIS DORIS E PH#: 864-227-7480

TABOR TERESSA L PH#: 843-664-0700

CRC-1945 / 03/31/2019

CRC-1557 / 06/30/2018

CRC-1935 / 08/31/2018

CRC-1218 / 08/31/2018

CRC-0662 / 12/31/2018

Greenville /

Lexington /

York /

Greenwood / Non-Profit Corporation

Florence / Non-Profit Corporation

1004 AUGUSTA ST

200 WELLMORE DR

1110 MARSHALL RD

2100 TWIN CHURCH RD

GREENVILLE, SC 29605-3906

LEXINGTON, SC 29072

GREENWOOD, SC 29646-4299

FLORENCE, SC 29501-8200

CHP GREENVILLE SC TENANT CORP

WELLMORE OF LEXINGTON LLC

WELLMORE OF TEGA CAY LLC

WESLEY COMMONS

UNITED METHODIST MANOR OF THE PEE DEE

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

126

174

150

70

95

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

No Facility Email on Record

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

17

0

23

11

31

36

60

30

14

31

Page 42: Department of Health Licensing March 6, 2018 … That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties

May 1, 2018

hlalzrpt.rdf

May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 42 of 43

WHITE OAK AT NORTH GROVE

WHITE OAK ESTATES

WHITE OAK ESTATES ASSISTED LIVING

WILDEWOOD DOWNS ASSISTED LIVING COMMUNITY

WILLOW BROOK COURT AT PARK POINTE VILLAGE

290 N GROVE MEDICAL PARK DR

400 WEBBER RD

400 WEBBER RD

731 POLO RD

2993 VAN VALIN DR

SPARTANBURG, SC 29303-4222 FACILITY #:864-582-7503

SPARTANBURG, SC 29307-2400 FACILITY #:864-579-7004

SPARTANBURG, SC 29307-2400 FACILITY #:864-579-7004

COLUMBIA, SC 29223-4462 FACILITY #:803-788-5115

ROCK HILL, SC 29732-8079 FACILITY #:803-980-8621

NELSON ANDREW R PH#: 864-585-0241

CRISP SONIA A PH#: 864-579-7004

FOWLER JENNIFER M PH#: 864-579-7004

HALL-ROBINSON IDA PH#: 803-788-5115

DESMARATTES MARIE J PH#: 803-327-4723

NCF-0971 / 05/31/2018

NCF-0888 / 12/31/2018

CRC-1334 / 09/30/2018

CRC-1271 / 03/31/2019

NCF-0916 / 07/31/2018

Spartanburg / Corporation

Spartanburg / Corporation

Spartanburg / Corporation

Richland / Ltd. Liability

York / Non-Profit Corporation

290 N GROVE MEDICAL PARK DR

400 WEBBER RD

400 WEBBER RD

731 POLO RD

2993 VAN VALIN DR

SPARTANBURG, SC 29303-4222

SPARTANBURG, SC 29307-2400

SPARTANBURG, SC 29307-2400

COLUMBIA, SC 29223-4462

ROCK HILL, SC 29732-8079

WHITE OAK AT NORTH GROVE INC

WHITE OAK ESTATES INC

WHITE OAK ESTATES ASSISTED LIVING INC

WILDEWOOD DOWNS RETIREMENT LLC

PARK POINTE VILLAGE INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

N

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

132

88

45

57

40

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

22

0

0

8

0

22

0

0

8

0

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May 1, 2018

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May 1, 2018

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 43 of 43

WILLOWS OF EASLEY

WINDSOR HOUSE WEST

WOOD BRIDGE SENIOR LIVING

105 WILLOW PL

850 JOHN B WHITE SR BLVD

2902 E MAIN ST

EASLEY, SC 29640-1385 FACILITY #:864-855-9800

SPARTANBURG, SC 29306-4034 FACILITY #:864-576-8910

SPARTANBURG, SC 29307-1252 FACILITY #:864-579-0086

SPEARMAN LAURA G PH#: 864-855-9800

FLANAGAN JOSEPHINE PH#: 864-576-8910

BOUDREAU GAIL PH#: 864-579-0086

CRC-2015 / 03/31/2019

CRC-1369 / 11/30/2018

CRC-1991 / 10/31/2018

Pickens / Limited Liability

Spartanburg / Ltd. Liability

Spartanburg / Limited Liability

105 WILLOW PL

850 JOHN B WHITE SR BLVD

PO BOX 6384

EASLEY, SC 29640-1385

SPARTANBURG, SC 29306-4034

SPARTANBURG, SC 29304-6384

CPF SENIOR LIVING - WILLOWS LLC

WHW ASSOCIATES LLC

CR WOODBRIDGE LLC

Total Number of Facilities: 213

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

50

108

73

Total Number of Facilities with

Alzheimer Care: 213

Total Number of Facilities with

Alzheimer Units: 129

Total Number of Licensed Beds in Facilities (Alzheimer + Non-Alzheimer): 15,955

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

7

42

0

0

45

0

Total Number of Alzheimer Residents: 3,559

Total Number of Alzheimer Unit Beds: 3,632