If a Resident Is in Danger Today
Before anything else: if your parent or grandparent is in immediate danger, call 911, whatever the hour. Then tell the administrator or director of nursing in person, and send an email afterward so there's a written record. Ask that a doctor see your loved one, or take them to the ER yourself if you need to.
Where to Report
Complaints about licensed nursing facilities can go to the South Carolina Department of Public Health, and concerns about residents' rights and care can go to the Long Term Care Ombudsman Program. Suspected crimes can be reported to law enforcement, such as the sheriff's office or the local police department. You don't have to rely only on the facility's own complaint process.1
- Long Term Care Ombudsman: 1-800-868-9095
- South Carolina Department of Public Health (health facility complaints): 1-800-922-6735
- SLED Vulnerable Adults Investigations Unit (abuse in long-term care facilities): 1-866-200-6066
- Adult Protective Services, DSS (adults living in the community, not in a facility): 1-888-227-34871
Suspicion is enough to make a report. South Carolina law sets reporting duties for suspected abuse, neglect and exploitation of vulnerable adults, and anyone may make a report.5 Don't wait for the facility to finish looking into itself.
What to Do If You Suspect Neglect in a Charleston Nursing Home
Whether your loved one lives in a facility in West Ashley, Mount Pleasant, North Charleston or Summerville, the record you keep matters once they're safe.
Drop by at different times: breakfast, a Tuesday evening, a Sunday afternoon. Write down who's working and what you notice. Take dated photos of bruises, bedsores, wet sheets and anything unsafe in the room. A notebook in the car can track weight, mood, eating, hygiene and every talk with staff.
Hold on to everything signed at admission. Broken glasses, a cracked hearing aid or torn clothing can go in a zip bag. If you're asked to sign something and aren't sure about it, many families get a lawyer's view first.
Want someone to look at your situation?
Talk with our team about what happened and ask the questions on your mind.
Negligence, Malpractice or Both
Nursing home cases may involve ordinary negligence, medical malpractice, or both. When professional medical care is involved, special pre-suit steps may apply, including a Notice of Intent to File Suit, an expert affidavit and mediation.7 Which rules apply depends on the conduct alleged, not simply on the fact that it happened in a nursing home.6
Time Limits
Most personal injury claims in South Carolina must be filed within three years, and a nursing home case may also run into separate malpractice deadlines.24 The deadline is for a lawsuit, and an insurance claim does not stop it.3
If the claim is about medical care, a discovery rule, an outer time limit and pre-suit steps may come into play.48 Claims against a state or local government facility generally have two years, or three with a qualifying verified claim.910
A report to regulators doesn't file a lawsuit or extend the time to sue.11 Since several rules can apply to one incident, get advice soon. Our South Carolina long-term care neglect page has more.
Talk With Us About What Happened
You trusted a facility with your mother, father or grandparent, and now that trust is shaken. Bring your notes and your worries, and we'll go through them together with your loved one's safety at the front.
Our office is on King Street in downtown Charleston. See also medical malpractice in Charleston and wrongful death in Charleston.
Call and tell us what you've seen and what the facility has said.
South Carolina Law on This
- In South Carolina, complaints about licensed nursing facilities can be made to the South Carolina Department of Public Health (1-800-922-6735), and concerns about residents' rights, care and treatment can be taken to the Long Term Care Ombudsman Program (1-800-868-9095). Suspected abuse in long-term care facilities can also be reported to SLED's Vulnerable Adults Investigations Unit (1-866-200-6066). Abuse of adults living in the community generally goes to Adult Protective Services at the Department of Social Services (1-888-227-3487). Suspected crimes can be reported to law enforcement. Families do not have to rely only on a facility's internal complaint process.1
- Most personal injury claims in South Carolina must be filed within three years.2
- South Carolina's statute of limitations generally sets the deadline for filing a lawsuit in court. Simply opening a claim with an insurance company or negotiating with an insurance adjuster does not stop the statute of limitations from running.3
- Medical malpractice claims in South Carolina generally must be filed within three years of the treatment, or of when the injury was or should have been discovered, but no later than six years after the treatment, with limited exceptions.4
- Under South Carolina's Omnibus Adult Protection Act, nursing home staff, health care workers, caregivers, including family members who provide care, and others must report suspected abuse, neglect or exploitation of a vulnerable adult. Anyone else may report it. Facility residents count as vulnerable adults.5
- Nursing home cases may involve ordinary negligence, medical malpractice, or both. Claims involving professional medical care may require special pre-suit procedures, including a Notice of Intent to File Suit, an expert affidavit, and mediation. Which rules apply depends on the conduct alleged, not simply on the fact that the injury occurred in a nursing home.6
- South Carolina's medical malpractice statutes list nursing homes among the health care institutions they cover, so some nursing home negligence claims may need to follow the pre-suit notice and expert affidavit steps.7
- Before filing a medical malpractice lawsuit in South Carolina, the injured person generally must file a notice of intent to sue along with an expert's affidavit, and the parties must then try mediation.8
- Lawsuits under the South Carolina Tort Claims Act generally must be filed within two years after the loss was or should have been discovered. A three-year deadline may apply if a qualifying verified claim was first filed under the Act.9
- Claims against a South Carolina state or local government agency have their own filing deadline, which can be shorter, and there could be caps on damages under the South Carolina Tort Claims Act, depending on the facts of the case.10
- Reporting abuse to regulators does not itself file a civil lawsuit or automatically extend the time to sue.11
- A nursing home resident who retains decision-making capacity generally has the right to participate in decisions about their own care and living arrangements. A family member does not automatically have legal authority to move the resident; someone with legal decision-making authority may need to coordinate a transfer.12
- In South Carolina, a wrongful death lawsuit is brought by the personal representative of the deceased person's estate on behalf of family members designated by law. The beneficiaries are the surviving spouse and children, or, if there are none, the deceased person's parents. If none of those relatives survive, other legal heirs may benefit from the claim.13
- Under South Carolina law, wrongful death lawsuits generally must be filed within three years of the person's death. However, different rules may apply when a death involves medical malpractice, a government agency, or other circumstances governed by special laws. A related survival claim may also have a different filing deadline.14
Frequently Asked Questions
If I report it, have I started a lawsuit?
No. Reporting abuse to regulators does not itself file a civil lawsuit or automatically extend the time to sue.11 Think of the report as a safety step for the resident. If a claim is on your mind, talk with a lawyer at the same time.
Can I just move Mom to a different facility?
Her safety comes first, and so do her wishes. A resident who retains decision-making capacity generally has the right to take part in decisions about her own care and living arrangements, and a family member does not automatically have authority to move her.12 Get copies of her records, photograph any injuries and make sure her medications carry over.
Dad died after a nursing home stay. What can our family do?
Can we meet at your office?
Yes. Our office is on King Street downtown, and brothers, sisters and other family are welcome to join. You can also start by phone.
Sources
- SC DPH: File a health facility complaint; SC Department on Aging: Long Term Care Ombudsman Program
- S.C. Code § 15-3-530
- S.C. Code §§ 15-3-20 and 15-3-530
- S.C. Code § 15-3-545
- S.C. Code §§ 43-35-10 and 43-35-25
- S.C. Code §§ 15-79-110, 15-79-125 and 15-36-100
- S.C. Code §§ 15-79-110(2), 15-79-110(6) and 15-79-125
- S.C. Code §§ 15-79-125 and 15-36-100
- S.C. Code §§ 15-78-80 and 15-78-110
- S.C. Code §§ 15-78-110 and 15-78-120
- Sean Hall, Nov 5, 2026 page review; see S.C. Code § 15-3-530
- S.C. Code Title 62, Article 5 and §§ 62-8-101 et seq. (guardianship, conservatorship and decision-making authority)
- S.C. Code §§ 15-51-10 and 15-51-20
- S.C. Code §§ 15-3-530(6) and 15-3-545
This page is general information about South Carolina law, not legal advice for your situation. Every case depends on its own facts.