Charleston Senior AdvisorMarsh at North Charleston, at 4550 Great Oak Dr in North Charleston (Charleston County), holds S.C. Department of Public Health community residential care facility license CRC-2421 for 70 beds, valid through November 30, 2027; the state's data shows no Alzheimer's special care unit. In South Carolina a CRCF license is the assisted living license.
What does the state license record say about Marsh at North Charleston?
The state record for Marsh at North Charleston is license CRC-2421: 70 beds, expiring November 30, 2027. Measured against the 48-bed midpoint of the Lowcountry's senior CRCFs, it is bigger than average.
| Field | From DPH's record |
|---|---|
| DPH license number | CRC-2421 |
| License term on file | December 1, 2026 through November 30, 2027 |
| Beds on the license | 70 |
| Alzheimer's special care unit flag | No |
| Alzheimer's care flag | No |
| Licensee of record | Fellowship North Charleston LLC |
| Business form reported to DPH | Limited Liability |
| Administrator named on the license | Misty A. Blalock |
| Orders in DPH enforcement reports, January 2025 to September 2026 | 0 |
| Phone listed with DPH | (843) 974-8559 |
A CRCF license in South Carolina lasts one year. This term started December 1, 2026. Operators pay DPH $10 for each licensed bed (never less than $75) under Section 103.J of Regulation 60-84, which is why the bed figure is a trustworthy size measure.
License numbers are issued in sequence. Ordered from lowest to highest, CRC-2421 is number 51 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.
What happens at Marsh at North Charleston if a resident develops dementia?
No secured unit is recorded: DPH's data lists no Alzheimer's special care unit at Marsh at North Charleston, so someone who begins exit-seeking would normally need a building with one.
Forgetfulness by itself does not bar a resident from an open building; what matters is whether the person is a danger to self or others and whether staff can meet their needs. The closest senior CRCFs flagged for a special care unit are Colonnade at West Ashley (4.2 mi), Palmettos of Charleston (4.3 mi), Harmony at West Ashley (4.5 mi).
Has Marsh at North Charleston paid a state penalty?
Not in the period we checked: Marsh at North Charleston is absent from every DPH Healthcare Quality enforcement report published for January 2025 to September 2026.
Keep that in proportion. Orders are kept for serious or repeated failures; routine citations are closed out with a plan of correction and never reach the monthly list, so the inspection report is still worth reading.
Where can families read inspection reports for Marsh at North Charleston?
They are public, though not posted online: under Section 202.E of Regulation 60-84, DPH releases Marsh at North Charleston's inspection and complaint-investigation reports and the plan of correction to anyone who asks in writing.
Some DPH visits are complaint investigations, and those reports are public on the same terms. When you ask for the latest report, ask what prompted it.
How does Marsh at North Charleston prepare for a Lowcountry hurricane?
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).
Because the building is in Charleston County, Regulation 60-84 (Section 1401.B.1.c) requires its hurricane plan to name at least one sheltering facility outside the six coastal counties of Beaufort, Charleston, Colleton, Horry, Jasper and Georgetown. Ask how the facility handled the last evacuation order and what it would do if the sheltering facility were full. See how hurricane rules apply to Lowcountry facilities.
What other assisted living is near Marsh at North Charleston?
North Haven Residential Care Home in North Charleston is the nearest other senior-serving CRCF, roughly 0.8 miles off as the crow flies, licensed for 16 beds and not flagged for an Alzheimer's special care unit.
| Facility | Miles away | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 |
|---|---|---|---|---|
| North Haven Residential Care Home 4326 Leslie St, 29418 | 0.8 | 16 | Care only | 0 |
| Midland Park Residential Home Care 2712 Midland Park Rd, 29406 | 3.4 | 52 | No | 0 |
| Bell's Professional Residential Home Care 1910 Dalton St, 29406 | 3.4 | 20 | No | 0 |
| Maria's Priority Care Residential Home II-B 4583 Durant Ave, 29405 | 4.1 | 7 | No | 0 |
| Maria's Priority Care Residential Home II-F 4583 Durant Ave Ste F, 29405 | 4.1 | 5 | No | 0 |
What medical care is near Marsh at North Charleston in North Charleston?
Marsh at North Charleston is in North Charleston in Charleston County, and Bon Secours St. Francis Xavier Hospital is the closest general hospital on DPH's roster, roughly 4.7 miles off as the crow flies.
After that comes HCA Healthcare Trident Hospital, about 7.1 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 NHC Healthcare Charleston (4.3 mi, CMS 4 of 5) and The Reserve Healthcare and Rehabilitation (5.2 mi, CMS 5 of 5).
What should a family ask Marsh at North Charleston before signing?
Use the state record to plan the visit: ask for the most recent DPH inspection or complaint report and the written response to it.
- With 70 beds, the regulation's minimum is 9 staff at peak times and 3 off-peak; ask what Marsh at North Charleston actually schedules.
- Ask what happens to a resident whose private funds are spent, and whether OSS residents are accepted.
- Ask which charges rise with care needs, and check the agreement's 30-day notice clause for fee changes.
