Blake at Carnes Crossroads

How is Blake at Carnes Crossroads licensed in South Carolina?

The state record for Blake at Carnes Crossroads is license CRC-2226: 114 beds, expiring September 30, 2027. Measured against the 48-bed midpoint of the Lowcountry's senior CRCFs, it is bigger than average.

Licenses run for a single year, and this one's term opened on October 1, 2026. The license ties one licensee to one address and caps the number of residents, so a new owner or a new building means a fresh license number.

License numbers are issued in sequence. Ordered from lowest to highest, CRC-2226 is number 38 of the 56 senior CRCF licenses in the tri-county area; that hints at how long this license line has existed, not how old the building is.

Can Blake at Carnes Crossroads accept a resident with dementia who may wander?

Yes, according to DPH: Blake at Carnes Crossroads is flagged for an Alzheimer's special care unit or program, the state's term for a secure area or program for people with probable Alzheimer's or a related dementia that restricts their movement outside it (Regulation 60-84, Section 101.F).

There is no special dementia staffing ratio in South Carolina. The whole building works to the CRCF floor of one staff member for every eight residents at peak times and one for every 30 off-peak, so ask how many people are posted inside the secured area overnight.

Background: South Carolina's rules for Alzheimer's units.

Has Blake at Carnes Crossroads paid a state penalty?

Yes. Blake at Carnes Crossroads is named in 1 order in DPH's monthly Healthcare Quality enforcement reports covering January 2025 to September 2026; the latest is in the February 2026 report and carries a $8,000 penalty.

• February 2026 DPH report: Consent Order; signed February 9, 2026; penalty of $8,000; following DPH visits on December 17, 2024, July 11, 2025

In a consent order the operator accepts the penalty and the corrective steps instead of contesting them at a hearing. Read the full text in the report PDF on DPH's enforcement page, then ask the administrator what was fixed and how it is being checked.

Are Blake at Carnes Crossroads's DPH inspection results public?

Put a written request to DPH Healthcare Quality. South Carolina keeps CRCF inspection reports offline, but Section 202.E of Regulation 60-84 opens inspection and investigation reports, and the facility's response, to the public on written request, with personal names removed.

Because there is no published schedule, only Blake at Carnes Crossroads can tell you when DPH last came. Any report with citations should have a plan of correction signed by the administrator attached; read the two together.

Where would Blake at Carnes Crossroads residents go in a hurricane evacuation?

Ask to see it: every South Carolina CRCF must keep a written emergency and disaster evacuation plan, made with its county emergency management agency, that names where residents will be sheltered, how they will be moved and who will care for them, and residents or their responsible party may inspect it (Regulation 60-84, Section 1401).

Berkeley County is not one of the six coastal counties named in Section 1401.B.1.c of Regulation 60-84, so the out-of-region sheltering requirement does not apply by rule; the written evacuation plan, sheltering agreement and transport plan still do. Ask which vehicles are contracted, how medications travel with residents, and how families are told where their relative went. See how hurricane rules apply to Lowcountry facilities.

What other assisted living is near Blake at Carnes Crossroads?

Pinewood Square in Goose Creek is the nearest other senior-serving CRCF, roughly 3.5 miles off as the crow flies, licensed for 44 beds and not flagged for an Alzheimer's special care unit.

Which hospitals are closest to Blake at Carnes Crossroads?

Blake at Carnes Crossroads is in Summerville in Berkeley County, and Roper St. Francis Berkeley Hospital is the closest general hospital on DPH's roster, roughly 0.6 miles off as the crow flies.

After that comes HCA Healthcare Trident Hospital, about 6.0 miles away. These are map distances; bridges and traffic on I-26, I-526 and the Ravenel Bridge decide the real drive.

Should nursing care become necessary, the closest CMS-certified homes are Presbyterian Communities of South Carolina-Summerville (4.4 mi, CMS 5 of 5) and Life Care Center of Charleston (5.9 mi, CMS 3 of 5).

What should a family ask Blake at Carnes Crossroads before signing?

The public data sets the agenda: ask what prompted the order in DPH's February 2026 report and how the fix is being monitored.

• Ask for the most recent DPH inspection or complaint report and the written response to it.
• Ask for a sample week of the staffing schedule and compare it with the floor for 114 beds: 15 at peak, 4 off-peak.
• Request the written Alzheimer's special care disclosure and the number of beds inside the secured unit.
• Ask whether Blake at Carnes Crossroads accepts residents on Optional State Supplementation (OSS) or Community Choices Residential Personal Care if savings run out.
• Take the admission agreement home first; the regulation requires it to list every charge and give 30 days' notice of increases.