Trident Medical Center has submitted a Certificate of Need to the South Carolina Department of Health and Environmental Control to build a $277 million hospital on Johns Island. The application is for a 50-bed acute care hospital between Maybank Highway and Cane Slash Road, across from the Live Oak Square development.

Projections for Johns Island Hospital show that within the first three years it will create nearly 300 jobs, contribute $10 million in non-income taxes to support the community and pay $70 million in salaries, wages and benefits, the organization said in a release.

“We are excited to continue making medical care more accessible to residents in our historically underserved communities,” Trident Health President and CEO Christina Oh said in the news release. “Currently on Johns Island and neighboring communities, it can take residents 30 to 45 minutes to drive to their nearest hospital, and often longer in heavy traffic and inclement weather. Our goal is to increase access to timely, high quality and affordable health care services.”

Trident Medical Center’s chief of the medical staff and medical director of emergency services, Dr. Scott Hayes, said he sees firsthand the results of delayed care.

“For residents who live far from emergency medical care and who may be experiencing a medical emergency like a heart attack or a stroke, minutes can mean the difference between life and death,” he said in the news release. “Access to care close to home is critical, especially in areas like Johns Island and the surrounding communities, that have frequent traffic delays.”

Trident Health surgeon Dr. Thomas Litton, who lived on Johns Island for 20 years and recently moved from there largely due to increasing traffic congestion and limited access routes off the island, said, “The rapid population growth and development of Johns Island, as well as its role as the sole gateway to Kiawah, Seabrook and Wadmalaw Islands, has created a strong need for a full-service hospital in the area. Residents on those islands have never had a full-service hospital. Trident’s hospital on Johns Island and their freestanding ER on James Island will greatly improve residents’ access to much-needed medical care.”

Johns Island Hospital will be located seven miles from James Island Emergency, Trident’s new freestanding ER at 945 Folly Road, Charleston, that will open in the next few weeks.

Plans call for Johns Island Hospital to have 50 beds with space to expand to 150 beds, 40 medical/surgical/stepdown beds, 10 ICU beds, 20 ER rooms, four operating rooms, two endoscopy suites and a cardiac catheterization lab. The hospital also would have two CT scanners, an MRI, two diagnostic radiology suites and a fluoroscopy room.

In addition to the hospital, services would include medical offices for primary care and specialists as well as outpatient imaging and support such as breast imaging, rehabilitation and other outpatient therapy services.

“From our first discussions about building a hospital on Johns Island, we have been committed to creating a thoughtful plan that preserves the natural beauty of Johns Island,” Oh said in the release. “We will honor the strong Gullah Geechee cultures of the community; we will partner with the areas’ community and businesses; and will promote the important and unique contributions of Johns Island’s agricultural community.”

The proposed Johns Island Hospital is in addition to nearly $140M in capital investments currently underway at Trident Health’s hospitals, Trident Medical Center and Summerville

A new development is coming to a neighborhood right off of Maybank Highway has some neighbors talking.

JOHNS ISLAND, S.C. (WCSC) - A new development is coming to a neighborhood right off of Maybank Highway has some neighbors talking.

As you hit Timberline Drive and Maybank Highway, it takes you directly into the new neighborhood, Maybank Village. The new development is hard to miss as it sits at the front of the community.

The groundwork for a new Spinx gas station has just begun. The project has been in the works since 2021, and members of the neighborhood say they’re not happy with the development. There is only one way into the upcoming gas station, and it requires drivers to enter the neighborhood first, then turn right to get into the station.

Residents say they don’t understand why Maybank Highway needs another gas station with several stretching across the highway already.

“Why? We don’t need a gas station here. If you go a mile down Maybank that way, there’s two gas stations. If you go down Maybank that way two miles, there’s two more gas stations. So why do you need a gas station here in the middle of Maybank that’s going to cause horrendous traffic jams,” Treasurer for the Homeowners Association Bill Antonucci said.

There are serious concerns about the bright lights and noise that might come along with the Spinx Station as well.

“This gas station is coming so close to our residential properties. These people in this house right here are going to have gas pumps and gas tanks right in their backyard. The people that are building this site, people in the city council, and the people in the zoning departments don’t seem to care. We’ve had people write to them and nobody seems to care. Nobody is responding,” Antonucci said.

Despite the frustration from members of the community, the City of Charleston is allowed to do this based on zoning regulations.

“The business in question is being built under the site’s base zoning, which is a property right protected by state law,” a city spokesperson said in a statement. “That’s why the city strongly supports a comprehensive, all-of-the-above traffic-relief strategy for Johns Island, including the widening of Maybank Highway, the construction of both the northern and southern pitchforks and the completion of I-526. The city will continue to work closely with our state and county partners until Johns Island residents see real traffic relief as a result of these and other critical roadroads projects.”

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JOHNS ISLAND, S.C. (WCIV) — It started as an island paradise, but residents at a Johns Island apartment complex say their home now resembles the woods.

The residents of Sea Island Apartments, which houses about 48 people off Maybank Highway, are speaking out against what they describe as "deplorable" conditions.

Read more: One80 Place launches eviction prevention line to support Charleston renters

"We have seen grass grow almost knee and chest high," said Farley, a disabled military veteran who has been living in the complex for six years. "You see fallen trees in the area, people not receiving maintenance, and overloaded trash bin."

In addition to the overgrown vegetation, the residents are concerned about random visits from wildlife. They say it seems management has slacked off and there's been little to no communication.

"You're forced to pay rent on time, but still, your issues are going unaddressed," Farley said. "We'll reach out to management and they haven't meet with us. Every time, they change management or owners. Nobody has contact to it."

It started as an island paradise, but residents at a Johns Island apartment complex say their home now resembles the woods. (WCIV)

There is also only one trashcan in the entire community and a small number of parking spaces.

"You have disabled people having to walk all the way down to one trash bin," Farley said. "There are not enough handicap parking spots. (Management) told us we'd have to park on the side of the road if there are no parking spaces."

"It's time we be up to date, as we were before," said Charlotte Turner, who has been living in the complex for 10 years. "Management needs to show a serious concern about resident complaints, at least be willing to meet or communicate."

Read more: Mayor Tecklenburg to host ribbon cutting for six new affordable housing properties in Charleston

A councilman was reached for comment on this area, but he was unable to conduct an interview due to prior commitments. A representative from the Charleston Development Group was also reached for comment.

There are several powerful reasons why Seabrook Island Town Council should reject a proposed annexation that would pave the way for a new boat dock, private clubhouse, boathouse, pool house and 10 rental cottages near the town’s northern limits.

The additional boat and car traffic would create more congestion on Betsy Kerrison Parkway in particular and Johns Island in general, as well as more pollution to the otherwise pristine Bohicket Creek. But the biggest reason Town Council should reject the 18-acre annexation is the dangerous precedent it would set, a precedent that would erode the rural character of southern Johns Island.

Decades ago, local governments, led by the city of Charleston and Charleston County, agreed on an urban growth boundary across Johns Island and other areas. The big idea was to ensure their zoning and other policies were synchronized to allow suburban development to continue to spread, but only up to a point, beyond which the existing rural nature would be preserved. The boundary has generally worked well, but as with so much other conservation work, it needs to be embraced and reaffirmed by each new generation.

Seabrook Island’s potential move would mark one of the first and most dramatic annexations by a municipality into the rural portion of the island; if it succeeds, it almost assuredly wouldn’t be the last, and it could hasten the unraveling of the boundary line — and increase development pressures on the shrinking amount of land on the rural side of the boundary.

Robby Maynor of the Coastal Conservation League agrees that annexing and rezoning this property on the rural side of the urban growth boundary would set a disastrous precedent on the county’s Sea Islands and could lead to annexation battles such as those that are playing out along the most rural stretches of the upper Ashley River, whose rural historic district remains in jeopardy from encroaching homes, stores and the traffic they bring. Approving the marina project would be “like kicking an anthill and hoping you don’t get bit,” he says.

The case that the property’s owner and other supporters have made for the annexation is that it would give Seabrook Island future control of the site and limit future development there, according to reporter Warren Wise. But the proposal appears to us as designed to facilitate development, not to curb it. Annexing the site, which is next to Bohicket Marina, would allow it to tie into the town’s sewer system.

Unfortunately, Seabrook Island’s Planning Commission has recommended annexing the site and rezoning it for a mixed-used development. We urge Town Council members to reject that move when they consider the matter Aug. 22.

As Mr. Wise noted, the project is a scaled-down version of a 30-year-old Andell Harbor project that state environmental regulators rightly and mercifully rejected. While this is smaller, with only about 4 acres of development near the creek and the rest set aside for open space, it still would represent an unwelcome and disturbing encroachment into the rural area between the barrier islands of Kiawah and Seabrook and the suburban growth from the city of Charleston.

Last year, we urged elected officials, neighborhood leaders and planners with Charleston County and the two beach towns to come up with a mutually agreed-upon overlay for their shared area at the southern tip of Johns Island. That overlay should guide future development toward the kinds of uses — and the sizes and scale — residents of all three jurisdictions would most like to see, and help address growing real estate pressures in a way residents prefer. We repeat the call for regional cooperation, and Seabrook Island’s rejection of this annexation would be an important first step.

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South Carolina has 35 barrier islands (also called sea islands), more than any other state except Florida. Barrier islands run parallel to the Atlantic and Gulf Coasts and shield the mainland from the brunt of sea storms. The islands are home to wide sandy beaches, sea grass beds, vegetated uplands, and Lowcountry marshes.

What Is the Largest Island in South Carolina?

At 84 square miles in area, Johns Island is the largest island in South Carolina. Located in Charleston County, it’s the fourth largest island on the East Coast. Situated between the city of Charleston and the barrier island beaches that border the Atlantic Coast, a portion of the island is located within the city limits of Charleston.

Technically an island, yet not bordered by the open sea, the Stono and Kiawah Rivers are what separates Johns Island from its border islands and the mainland.

What Is the History of Johns Island?

Colonialists arrived on Johns Island from English settlements in the Caribbean and named it after Saint John Parish in Barbados. However, Native American tribes, including the Stono, Bohicket, and Kiawah Indians, were already living on the island.

The settlers brought the crop, indigo, from Barbados and cultivated it in the Lowcountry of Johns Island. By the mid-1700s, indigo became the main export for the island. A popular bright blue dye, indigo grown on Johns Island was commonly sold to England. During the height of indigo production, the Stono Rebellion occurred. The settlers relied on slaves to grow and produce their crops. In 1739, a group of slaves on Johns Island rebelled and attempted to escape to Florida, which was under the rule of the Spanish at the time.

However, the uprising was unsuccessful and plantation owners captured the slaves before they could reach freedom. During the Revolutionary War, the British market for indigo was disrupted, and England began to turn to India for its indigo supply. By the 1800s, indigo was no longer listed as a crop for Johns Island.

Johns Island has been the site of several important historical events. Occupied by British troops during the Revolutionary War, Johns Island also endured the Battle of Bloody Bridge during the Civil War. Today, visitors can view the historical site marking the Civil War battle at the Burdens Causeway.

Currently, Johns Island has a population of 21,500 and growing. The nearness of downtown Charleston, the beautiful scenery of the Lowcountry, and the nearby sandy beaches of the barrier islands make Johns Island a popular spot for new development.

What Do People Do at Johns Island?

Today, Johns Island is known for local farmers’ markets, historical parks, and towering oak trees dripping with Spanish moss. Although new developments are cropping up on the island, about 75% of the island remains rural with agricultural and horse farms, large acreage estates, and waterfront communities. Just a few miles south is the resort community of Kiawah Island.

One of the main attractions on Johns Island is the Angel Oak, a live oak tree that is thought to be the largest living oak tree east of the Mississippi River. Estimated to be around 400 years old, it’s the oldest tree in South Carolina. The massive tree is 65 feet tall and 25.5 feet around. Further, it provides shade to a staggering 17,000 square foot area. Surrounding the tree is a small park with a visitor’s center and a gift shop.

Another popular activity on the island is shopping at the Freshfields Village, an open-air shopping center with over 30 shops, numerous restaurants, and a boutique hotel.

The Goatery at Kiawah River is a small artisan goat dairy farm specializing in goat cheese and soaps. The farm offers private tours, classes for children, and goat yoga. The farm also doubles as a goat sanctuary, offering many goats a forever home.

Where Is Johns Island on a Map?

Johns Island is in between Charleston and the barrier islands. It’s surrounded by Kiawah, Seabrook, Wadmalaw, Edisto, James, and Folly Islands. The Stono and Kiawah Rivers separate Johns Island from the mainland and the barrier islands.

What Animals Live on Johns Island?

Johns Island is teeming with wildlife. Although there are many homes, shops, and restaurants on the island, much of the land remains undeveloped, providing habitat for numerous species. On the island, it’s common to see deer, raccoons, coyotes, bobcats, otters, wild hogs, and even alligators.

The rivers and marshes on the island are abundant with oysters, trout, black sea bass, bluefish, and bottlenose dolphins. Birds found in the area include many species such as osprey, bald eagles, wild turkeys, and egrets.

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About the Author

Jennifer Geer is a writer at A-Z Animals where her primary focus is on animals, news topics, travel, and weather. Jennifer holds a Master's Degree from the University of Tulsa, and she has been researching and writing about news topics and animals for over four years. A resident of Illinois, Jennifer enjoys hiking, gardening, and caring for her three pugs.

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