Charleston Senior AdvisorJames Island sits between the Charleston peninsula, Folly Beach and Johns Island, split between the town of James Island, the City of Charleston and unincorporated county land, with Folly Road and Maybank Highway as its spines. Most addresses share the 29412 ZIP code whatever the jurisdiction.
Licensed care here centers on a long-established continuing care retirement campus with assisted living, a memory care wing and a nursing home, plus a newer assisted living community and several small county disabilities board residences. Beyond that, James Island families look to West Ashley and the peninsula, each about 15 minutes away when the James Island Connector is clear.
How much licensed senior care is in James Island, Charleston?
DPH's licensing data shows 3 senior-serving assisted living facilities (302 beds) and 1 nursing home (100 beds) in Charleston's James Island area, ZIP codes 29412.
| Found in James Island | Not found in James Island | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 3, Nursing homes: 1, Home health agencies: 1, In-home care providers: 3 | — |
| Missing locally | — | Adult day care, Hospice programs, Hospice houses |
| Alzheimer's special care units | 3 buildings | — |
Which assisted living buildings are licensed in James Island?
DPH's current data lists 3 senior-serving CRCFs in James Island, 3 flagged for an Alzheimer's special care unit and 0 with 16 or fewer beds; Indigo Hall is the largest at 179 licensed beds.
| Facility | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 | License status |
|---|---|---|---|---|
| Indigo Hall 509 Standard Way, 29412 | 179 | Unit + care | 1 | Licensed through 11/30/2026 |
| Bishop Gadsden Episcopal Retirement Community 1 Bishop Gadsden Way, 29412 | 91 | Unit + care | 0 | Licensed through 12/31/2026 |
| Bishop Gadsden Gadsden Glen Center for Health and Rehab- Arcadia 8000 Noble Oak Way, 29412 | 32 | Unit + care | 0 | Licensed through 08/31/2027 |
Which nursing homes are in James Island, and how does CMS rate them?
James Island has 1 licensed nursing home with 100 licensed beds between them; 1 of the 1 that CMS rates hold four or five stars overall.
| Facility | CMS overall rating | Licensed beds | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Bishop Gadsden-Gadsden Glen Center for Health and Rehab 8000 Noble Oak Way, 29412 | 5 of 5 | 100 | August 5, 2026 | 5 |
Are home health, hospice or adult day providers based in James Island?
Yes: DPH's data shows 1 home health agency, 0 hospice programs and houses and 0 adult day centers with James Island addresses, though agencies typically serve far beyond their office.
- Phc Home Health — home health agency, license HHA-0084
How many in-home care agencies have an office in James Island?
3 licensed in-home care providers list a James Island office on DPH's data; these are the agencies that send aides for bathing, dressing, meals and companionship.
All of them are in the in-home care roster, which can be filtered by city. A DPH license means the agency meets the state's standards for screening and supervising aides. Ask each about minimum shift length and what happens when an aide calls out.
Have any James Island facilities faced state enforcement?
Yes: DPH's monthly enforcement reports for January 2025 to September 2026 name 1 licensed facility in James Island.
- Indigo Hall: 1 order, most recently in the February 2026 report ($14,500 penalty)
Each facility page summarizes the order. Ask what changed afterward; an old order is not proof of a current problem.
Which hospitals are closest to James Island?
From the middle of the area, the nearest general hospitals on DPH's roster are Roper Hospital (about 4.9 miles) and MUSC Medical Center (about 5.0 miles).
Bon Secours St. Francis Xavier Hospital is about 8.5 miles away. Straight-line distances ignore the rivers and bridges that shape real Lowcountry drives.
