Other senior care options in South Carolina:

Page 10 of Best Assisted Living in South Carolina

Why trust this guide? Our editorial team analyzed 233 assisted living communities in SC using SC Dept. of Public Health (DPH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in SC
Reviewed by
Last updated
Jul 2026
We analyzed
233 homes
Other senior care options in South Carolina:
Avg Monthly Cost: $5,521The average monthly cost across facilities in South Carolina. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 32/ 100The average Walk Score across facilities in South Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 90The average licensed bed capacity across facilities in South Carolina. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around South Carolina

Info below is compiled from the SC Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

TidePointe, a Vi Community
AL
IL
NH
RC
SNF
Hilton Head Island
25
Facility 25
SC AVG 90
Rank #296 / 307
No
6
Facility 6
SC AVG 32
Rank #205 / 230
1 Bed / 2 Bed / CottageA
Still Hopes Episcopal Retirement Community
AL
IL
MC
NH
SNF
West Columbia (Still Hopes Drive)
22
Facility 22
SC AVG 90
Rank #301 / 307
Yes
63
Facility 63
SC AVG 32
Rank #14 / 230
-A+
The Village at Summerville
AL
IL
MC
NH
RC
SNF
Summerville (Palmetto Park)
48
Facility 48
SC AVG 90
Rank #266 / 307
No
45
Facility 45
SC AVG 32
Rank #58 / 230
1 Bed / 2 Bed / 3 Bed-
Linville Court at The Cascades Verdae
AL
IL
MC
NH
SNF
Greenville (Cascades Verdae)
44
Facility 44
SC AVG 90
Rank #271 / 307
Yes
8
Facility 8
SC AVG 32
Rank #196 / 230
1 bed-
Waterstone on Augusta
AL
MC
Greenville (Greater Sullivan)
126
Facility 126
SC AVG 90
Rank #55 / 307
Yes
75
Facility 75
SC AVG 32
Rank #3 / 230
1 bed / 2 bed-
Wildewood Downs Retirement Community
AL
IL
MC
NH
SNF
Columbia (Williamsburg East)
57
Facility 57
SC AVG 90
Rank #228 / 307
Yes
33
Facility 33
SC AVG 32
Rank #117 / 230
1 Bed / 2 Bed / 3 Bed-
Rolling Green Village Assisted Living Facility
AL
IL
MC
NH
SNF
Greenville
52
Facility 52
SC AVG 90
Rank #241 / 307
Yes--A+
Lakes at Litchfield Assisted Living
AL
IL
MC
NH
SNF
Pawleys Island
79
Facility 79
SC AVG 90
Rank #172 / 307
Yes--A+
Kempton of Charleston
AL
MC
NH
SNF
Charleston
89
Facility 89
SC AVG 90
Rank #142 / 307
No---
Cascades Verdae
AL
IL
MC
NH
SNF
Greenville (Cascades Verdae)
92
Facility 92
SC AVG 90
Rank #127 / 307
Yes
9
Facility 9
SC AVG 32
Rank #193 / 230
1 bed / 2 bed / 3 bedA
Park Pointe Village
AL
HOS
IL
MC
NH
PC
SNF
Rock Hill
20
Facility 20
SC AVG 90
Rank #302 / 307
Yes
7
Facility 7
SC AVG 32
Rank #201 / 230
Studio / 1 Bed / 2 BedA+
Oaks at Charleston
AL
MC
RC
Charleston (West Ashley)
123
Facility 123
SC AVG 90
Rank #59 / 307
Yes
53
Facility 53
SC AVG 32
Rank #35 / 230
Studio / 1 Bed / 2 Bed-
Rosecrest Community Residential Care
AL
IL
MC
NH
SNF
Inman
45
Facility 45
SC AVG 90
Rank #270 / 307
No---
Bishop Gadsden Episcopal Retirement Community
AL
IL
MC
NH
SNF
Charleston
123
Facility 123
SC AVG 90
Rank #59 / 307
No---
Sprenger Healthcare of Bluffton
AL
IL
MC
NH
RC
SNF
Okatie
60
Facility 60
SC AVG 90
Rank #208 / 307
No---
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Overview of Oaks at Seneca

Oaks at Seneca is a vibrant senior living community that prioritizes personal care, dignity, and independence. Nestled in the charming town of Seneca, South Carolina, this community offers residents a truly empowered lifestyle. Residents can expect a warm, family-like atmosphere, with opportunities to forge meaningful connections with peers, staff, and the local community. The community’s dedicated care partners provide personalized support, ensuring residents’ needs are met with empathy and trust.

Dining is a highlight, with a restaurant-style experience featuring delicious, nutritious meals prepared by expert chefs and dietitians. Residents can enjoy these meals on their own schedule, fostering a sense of freedom and flexibility. Thoughtfully designed apartment suites and secure neighborhoods create a comfortable, convenient, and safe living environment. At Oaks at Seneca, seniors can truly thrive and embrace the next chapter of their lives

Contact Oaks at Seneca

TerraBella Rock Hill

1785 Lexington Commons Dr, Rock Hill, SC 29732
Overview of TerraBella Rock Hill

Experience a warm and welcoming senior living experience at TerraBella Rock Hill (Formerly Carolina Gardens of Rock Hill), a lively senior living community offering assisted living, memory care, and respite care in the peaceful neighborhood of Rock Hill, SC. At TerraBella Rock Hill, residents relish in service-rich senior lifestyle programs and a jam-packed calendar of activities complemented with personalized care provided by a team of highly skilled professionals.

The community features thoughtfully designed apartments ranging from Suites to one-bedroom and two-bedroom apartments that offer residents privacy and personal space for treasured items they would want in their residences. Additionally, the community has lovely outdoor areas where residents can freely socialize, relax, and bask in the sunshine and fresh air. TerraBella Rock Hill also allows residents to bring their furry friends and provides wifi to ensure residents remain connected with their families and friends despite the distance.

Contact TerraBella Rock Hill

Overview of The Palmettos of Charleston

Serving seniors in Charleston’s West Ashley neighborhood, The Palmettos of Charleston offers assisted living and memory care. It is about 6. 5 miles from downtown Charleston. Operated by NHC Place-Charleston LLC, it is affiliated with NHC Healthcare. The profile also notes that a physician founded the community. Kalyn Huether serves as administrator.

The 60-bed community has a smaller and more personal scale than some larger local options. Care includes a dedicated Alzheimer’s unit for residents living with memory loss. Broader assisted living services are also available. Residents are reviewed case by case, so care plans can reflect personal needs and choices. The community also values open communication among staff, residents, and families.

Each apartment has individually controlled heating and cooling. Housekeeping and laundry service help with daily upkeep. Shared amenities include an on-site salon, a library and resource center, and a hobby center. Residents can also use a theater with a DVD player. Optical care and transportation services are available on-site.

Safety features include fire alarm and sprinkler systems throughout the building. The Palmettos welcomes pets, which may help residents feel more at home. Residents can also bring their own furniture and personal belongings to make their living space feel familiar.

The surrounding neighborhood has a Walk Score of 52. Some errands are within walking distance, but other trips require driving. Families comparing memory care with regular assisted living should ask how staff move residents between care levels when needs change.

Contact The Palmettos of Charleston

Overview of Silver Bluff Grove Senior Living

Set in the vibrant neighborhood of Silver Bluff Road, Aiken, SC, Silver Bluff Grove Senior Living is an esteemed senior living community offering assisted living, companion living, memory care, and respite care. Live your golden years without worries within the cozy and well-designed residences of the community in variations of studio, one-bedroom, and two-bedroom floor plans. With a compassionate and highly skilled team delivering top-notch care and assistance, seniors keep their peace of mind and live their lives to the fullest.

Meet people with the same interests and cherish unforgettable moments through engaging activities and exciting events. Have the finest dining experience with delightful and healthy meals that satisfy dietary needs and tastes. With its welcoming common areas and friendly environment, Silver Bluff Grove Senior Living is great for seniors seeking solace in their golden years.

Contact Silver Bluff Grove Senior Living

Overview of Rice Estate Rehabilitation and Healthcare

Rice Estate Rehabilitation and Healthcare is an 80-bed continuing care retirement community at 100 Finley Rd in Columbia, South Carolina, operated by Lutheran Homes of South Carolina Inc, a nonprofit organization. The community offers independent living, assisted living, memory support, rehabilitation, and long-term nursing care in Richland County. Staffing is a clear strength. Nurse aide staffing averages 3 hours and 10 minutes per resident per day, 43% above the South Carolina average. Weekend total nursing hours average 4 hours and 24 minutes daily, 31% above the state norm. That level of direct-care coverage continues throughout the week. On quality outcomes, long-stay residents perform significantly above the South Carolina average on CMS quality measures. Short-stay residents are rehospitalized at a rate of 21.5%, roughly 13% better than the state average of 24.7%. The campus includes Courtyard Gardens, a fitness room, a private dining room adjacent to the Magnolia Dining Room, and access to protected wetlands and walking areas, a setting that distinguishes the property from typical urban nursing facilities. The facility also provides memory support and respite care services. Rice Estate serves residents seeking a nonprofit, continuum-of-care community in Columbia, with particular depth in post-acute rehabilitation and memory support.

Contact Rice Estate Rehabilitation and Healthcare

Overview of Pee Dee Gardens

Operated by Florence Opco LLC, Pee Dee Gardens is a single-story senior living community in Florence, South Carolina. It offers assisted living, memory care, and respite care. Toni E. Cooke-Evans serves as the administrator. The multiple care options in one community allow residents to transition between services as their needs change. These also give family caregivers access to short-term respite care when needed.

The 80-bed community has a single-story layout, which can be more convenient for residents with mobility or memory care needs. The memory care program includes specialized staff training, ensuring residents living with dementia and other forms of memory loss receive support from caregivers who have completed that preparation.

Residents can participate in recreational activities and wellness programs as part of daily life. Transportation services help residents reach appointments and outings without relying entirely on family members. Housekeeping is included as a standard service. Pets are welcome in the community.

The area has a Walk Score of 42, which is somewhat walkable. A few nearby services can be reached on foot, but most trips require a car. Families considering Pee Dee Gardens should ask how the memory care training program and respite care services work as part of the community’s daily routine.

Contact Pee Dee Gardens

Overview of Barclay House of Aiken

Barclay House of Aiken is an award-winning facility that provides genuine care for assisted living and specialized memory care services in Augusta, Georgia. They also offer an adult day program that provides opportunities for seniors to enjoy their day with various activities. The community is designed to be bright and beautiful, a place that residents can truly call home. With 24-hour access to staff and personal emergency response systems, they promote independence while ensuring the safety of their residents.

Their memory care includes free access to a beautiful outdoor area that provides residents with the freedom to escape the clinical care setting. They offer a unique neighborhood and lifestyle that fosters fitness, relaxation, and new experiences. Additionally, they provide spiritual services and volunteer programs, as well as daily fitness options and unique events that encourage socialization and entertainment. The varied events cater to different interests and allow residents to go on regular shopping trips, dining out, and visit local places without worrying about traffic and parking.

Contact Barclay House of Aiken

Spring Oak Conway

2310 Us-378, Conway, SC 29527
Overview of Spring Oak Conway

Spring Oak Conway, located in serene Conway, SC, is an exceptional senior living community. Providing Assisted Living, Memory Care, and Short-term Stay, Spring Oak Conway ensures all residents and their individual needs are well taken care of. The community ensures a comfortable and safe stay for its residents with a round-the-clock team of well-trained and compassionate professionals. Spring Oak Conway promotes a better quality of life with home-like care at their residences.

The community provides a warm and serene environment for seniors to enjoy. Spring Oak Conway includes spacious and top-notch amenities, ensuring the safety and comfort of its residents. With assistance in activities of daily living, residents can expect a worry-free lifestyle where daily chores such as bathing, dressing, and laundry are supported by a dedicated and caring team. As a family-owned community, quality care and compassion for each resident is built into the foundation of Spring Oak Conway.

Contact Spring Oak Conway

Overview of Aiken Memory Care

Aiken Memory Care, nestled in the heart of Aiken, South Carolina, stands as an integral part of the local community, offering comprehensive care services tailored to meet the individual needs of its residents. Positioned near various local attractions, including cafes, restaurants, shopping centers, and outdoor activities, families enjoy convenient access to their favorite spots. The community also offers multiple options for medical care centers and physicians, catering to residents’ specific health requirements. Memory care services at Aiken Memory Care are intricately personalized for each resident. The community offers floor plan options featuring kitchenettes and bathrooms and safety features like fire and medical alert systems for added peace of mind. The core of this community lies in its compassionate staff, transforming the community into a genuine home. Meals, crafted with years of culinary experience, are prepared with care. The array of amenities and services, from indoor common areas to beautiful outdoor spaces cater to various preferences.

Aiken Memory Care is an inviting haven for those seeking a place where the golden years are embraced gracefully. The community’s approachable and supportive staff creates an environment where residents flourish, maintaining independence while receiving the necessary assistance. An array of structured programs ensures a vibrant life with social, educational, and entertaining activities. Aiken Memory Care prioritizes residents’ comfort and dignity within its secured neighborhoods. The dedicated staff ensures a worry-free environment, fostering a sense of dignity for seniors daily. Whether for a visit or shared meals in the cozy dining area, friends and family are warmly welcomed.

Contact Aiken Memory Care

Overview of Myrtle Beach Manor

Located in Myrtle Beach on North Kings Highway, Myrtle Beach Manor operates 111 beds serving short-stay Medicare and private-pay residents with an average stay of 23 days. The facility provides assisted living, skilled nursing, memory care with a dedicated Alzheimer’s unit, and respite care services. Administrator Elizabeth Schmeizl manages day-to-day operations.

The facility holds a 1-star CMS overall rating, 65.9% below the state average, driven by health inspection performance 63.6% below peers.

A July 2025 inspection documented one critical pharmacy violation and two serious deficiencies, triggering a $23,000 penalty from CMS. Across six inspections since 2021, the facility accumulated 17 citations, with serious-level deficiencies running 567% above South Carolina’s average. Primary deficiency areas are resident rights (4), pharmacy services (4), and quality of life and care (3).

Payment suspensions were imposed in April 2024 for 27 days; additional penalties of $9,000 and $4,000 were assessed that same month and in December 2023 respectively.

Registered nurse availability is genuinely strong at 76% above state average with weekend RN coverage 138% above peers.

Despite robust staffing hours, clinical outcomes diverge sharply by length of stay. Long-stay residents experience falls with major injury at 9.8%, or 229% worse than state average, and urinary tract infections at 4.1%, 147% above state norm. Short-stay rehabilitation outcomes diverge positively: 63.1% of patients successfully return to home or community, 25% above state average, with 62.6% maintaining or improving self-care ability at discharge.

Occupancy has declined to 44%, well below the 82.1% state average. The facility reported a $1.2 million operating deficit in 2023, reflecting a pattern of financial losses stretching more than a decade.

Recent renovations include a salon, arts and crafts studio, bistro, activity rooms, and multiple dining venues.

The community is oriented toward short-term Medicare rehabilitation and private-pay residents; the recent critical compliance findings and chronic financial instability warrant thorough evaluation before placement decisions.

Contact Myrtle Beach Manor

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in South Carolina

What's the difference between assisted living and memory care in South Carolina?

Assisted living in South Carolina supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in South Carolina?

Assisted living in South Carolina is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does South Carolina Medicaid cover assisted living?

South Carolina Medicaid does not directly pay room-and-board for assisted living, but most states (including South Carolina) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 233 assisted living facilities in South Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in South Carolina?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in South Carolina, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in South Carolina?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.