Johns Island, Kiawah, Seabrook and the Hollywood and Ravenel area west of the Stono River are the rural and resort edge of Charleston County, connected to the city by Maybank Highway, River Road and U.S. 17 South. Kiawah Island had about 9,837 residents counted with Hollywood and the other incorporated towns in 2025 Census estimates; most of Johns Island itself is unincorporated or inside Charleston city limits.
Licensed care here is thin and spread out: a small number of residential CRCFs, an assisted living building tied to a Kiawah life plan community, a nursing home on Johns Island and an adult day center. Island families frequently weigh staying close against West Ashley's larger choice, and should ask any island building about hurricane evacuation timing.
How much licensed senior care is in Johns Island, Kiawah & Hollywood, South Carolina?
Johns Island, Kiawah & Hollywood is a mostly rural and resort part of Charleston County, and the S.C. Department of Public Health lists 3 senior-serving assisted living facilities and 1 nursing home with Johns Island addresses.
| Found in Johns Island, Kiawah & Hollywood | Not found in Johns Island, Kiawah & Hollywood | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 3, Nursing homes: 1, Adult day care: 1, In-home care providers: 2 | — |
| Missing locally | — | Home health agencies, Hospice programs, Hospice houses |
| Alzheimer's special care units | — | No flagged unit in Johns Island, Kiawah & Hollywood |
Which assisted living buildings are licensed in Johns Island, Kiawah & Hollywood?
DPH's current data lists 3 senior-serving CRCFs in Johns Island, Kiawah & Hollywood, 0 flagged for an Alzheimer's special care unit and 1 with 16 or fewer beds; Seafields by Bishop Gadsden is the largest at 28 licensed beds.
| Facility | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 | License status |
|---|---|---|---|---|
| Seafields by Bishop Gadsden 200 Farm Lake View, 29455 | 28 | No | 0 | Licensed through 09/30/2027 |
| Dayspring of Johns Island 3455 Bohicket Rd, 29455 | 24 | Care only | 0 | Licensed through 03/31/2027 |
| Dayspring Assisted Living 5146 Towles Rd, 29449 | 16 | Care only | 0 | Licensed through 03/31/2027 |
Which nursing homes are in Johns Island, Kiawah & Hollywood, and how does CMS rate them?
Johns Island, Kiawah & Hollywood has 1 licensed nursing home with 132 licensed beds between them; 0 of the 1 that CMS rates hold four or five stars overall.
| Facility | CMS overall rating | Licensed beds | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Johns Island Post Acute 3647 Maybank Hwy, 29455 | 1 of 5 | 132 | February 25, 2026 | 16 |
Are home health, hospice or adult day providers based in Johns Island, Kiawah & Hollywood?
Yes: DPH's data shows 0 home health agencies, 0 hospice programs and houses and 1 adult day center with Johns Island, Kiawah & Hollywood addresses, though agencies typically serve far beyond their office.
- Sea Island Adult Day Center — adult day care facility, license ADC-0286, up to 31 participants
How many in-home care agencies have an office in Johns Island, Kiawah & Hollywood?
2 licensed in-home care providers list a Johns Island, Kiawah & Hollywood 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.
Which hospitals are closest to Johns Island, Kiawah & Hollywood?
From the middle of the area, the nearest general hospitals on DPH's roster are Bon Secours St. Francis Xavier Hospital (about 8.3 miles) and Roper Hospital (about 11.2 miles).
MUSC Medical Center is about 11.4 miles away. Straight-line distances ignore the rivers and bridges that shape real Lowcountry drives.
Who helps older adults and caregivers in Johns Island, Kiawah & Hollywood?
Older adults and caregivers in Charleston County are served by the Trident Area Agency on Aging on Remount Road in North Charleston (843-554-2275, toll-free 1-800-894-0415), the regional Aging and Disability Resource Center, which also houses the long-term care ombudsman and SHIP Medicare counseling.
Licensing complaints go to DPH Healthcare Quality at 1-800-922-6735; suspected abuse or self-neglect of an adult living at home goes to DSS Adult Protective Services at 1-888-227-3487. BoldAge PACE serves the whole tri-county area from North Charleston.