Page 12 of Best Assisted Living in South Carolina

Why trust this guide? Our editorial team analyzed 230 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
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Last updated
We analyzed These are the facilities in South Carolina our team has analyzed — not a count of every assisted living provider in South Carolina.
230 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: 34/ 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.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Wellmore of Daniel Island
AL
IL
MC
NH
SNF
Charleston (Daniel Island)
174
Facility 174
SC AVG 90
Rank #16 / 304
Yes
12
Facility 12
SC AVG 34
Rank #183 / 221
--
Union Post Acute
AL
NH
RC
SNF
Ext Union
88
Facility 88
SC AVG 90
Rank #142 / 304
No---
HarborChase of Rock Hill
AL
MC
Rock Hill (Ebenezer)
110
Facility 110
SC AVG 90
Rank #88 / 304
Yes
40
Facility 40
SC AVG 34
Rank #86 / 221
--
Retreat at Wellmore of Lexington
AL
IL
MC
NH
RC
SNF
Lexington
60
Facility 60
SC AVG 90
Rank #206 / 304
Yes---
Fairforest Grove Senior Living
AL
MC
Columbia
66
Facility 66
SC AVG 90
Rank #193 / 304
No
41
Facility 41
SC AVG 34
Rank #79 / 221
StudioA+
The Blake at Woodcreek Farms
AL
MC
Elgin
100
Facility 100
SC AVG 90
Rank #107 / 304
Yes
17
Facility 17
SC AVG 34
Rank #163 / 221
Studio / 1 Bed / 2 BedA+
Langit Assisted Living Facility
AL
North Charleston
70
Facility 70
SC AVG 90
Rank #184 / 304
Yes
61
Facility 61
SC AVG 34
Rank #15 / 221
--
Spring Oak Lexington
AL
MC
Lexington
90
Facility 90
SC AVG 90
Rank #130 / 304
Yes
22
Facility 22
SC AVG 34
Rank #154 / 221
--
HarborChase of Riverwalk
AL
MC
Rock Hill
97
Facility 97
SC AVG 90
Rank #119 / 304
No
20
Facility 20
SC AVG 34
Rank #159 / 221
--
Atria Forest Lake
AL
MC
Columbia
-Yes
65
Facility 65
SC AVG 34
Rank #10 / 221
Private Rooms-

Rank badges are statewide: each community is ranked against every SC community we track that reports that metric, not just the 230 on this page.

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Overview of Wellmore of Daniel Island

Wellmore of Daniel Island is a dreamlike haven where every retiree can find a home that suits their unique needs and preferences. From assisted living to Alzheimer’s and dementia care, skilled nursing, and short-term rehab, the community takes pride in its ability to offer a full range of care options. Independent living, assisted living, memory care, or skilled nursing, the community has it all, making it the perfect choice for those seeking an unparalleled retirement experience. 
The community’s on-site rehab services and heated indoor therapy and classroom aerobic space are ideal for those who want to stay healthy and active. With 11 unique floor plans to choose from, residents can pick the perfect home that fits their lifestyle and preferences. The proximity to the Magnolia Plantation and Gardens adds to the charm of the community, making it a breathtakingly beautiful destination for all. Fine dining options, activity rooms, living rooms, studies, cafe bars, and even a salon and spa are available to ensure that residents have everything they need to thrive.

Contact Wellmore of Daniel Island

Overview of Union Post Acute

Union Post Acute is a nursing home in Union, South Carolina, providing 24-hour skilled nursing care, short-term rehabilitation, and long-term support services. The community is owned by Union Community Healthcare LLC and administered by Christopher Patrie with an 88-bed capacity.

Services include post-acute rehabilitation, short-term recovery programming, licensed nursing support, certified nursing assistants, and continuous 24-hour staffing coverage. Focusing on post-hospital recovery and rehabilitation services, the community is a potential option for those transitioning from acute medical care who require continued skilled nursing oversight and therapy support.

Located in Union County in the Upstate South Carolina region, the community serves a smaller local market where skilled nursing and rehabilitation options may be more limited than in larger metropolitan areas. Its mid-sized 88-bed capacity also provides a balance between personalized attention and the clinical resources needed to support rehabilitation and long-term nursing care programs.

Union Post Acute is well-suited for older adults in Union County and surrounding Upstate communities who require skilled nursing services, post-acute rehabilitation, or long-term care following hospitalization or illness.

Contact Union Post Acute

Overview of HarborChase of Rock Hill

HarborChase of Rock Hill extends a gracious welcome, embracing senior residents with open arms and heartfelt hospitality. Situated in the heart of Rock Hill, close to Piedmont Medical Center, this Assisted Living and Memory Care community considers it a daily blessing to enrich the lives of its exceptional residents.

They wholeheartedly invite you to be a part of their community, where they uphold the highest standards of care in assisted living and are dedicated to embracing each day to its fullest potential. Discover HarborChase of Rock Hill and experience the warmth, respect, and vibrant living that define their exceptional senior community.

Contact HarborChase of Rock Hill

Overview of Retreat at Wellmore of Lexington

Retreat at Wellmore of Lexington is a nonprofit nursing home in Lexington, South Carolina, that offers skilled nursing, rehabilitation, and respite care. Owned by Wellmore of Lexington LLC, as part of the broader Wellmore of Lexington Life Plan campus, this 60-bed community is administered by Marion Griffin Burgess.

Staffing levels consistently exceed South Carolina averages across nearly every major category, starting with registered nurse coverage that averages 50 minutes per resident per day, well above statewide benchmarks. Licensed practical nurse and nurse aide staffing also surpass state averages. Weekend nursing coverage remains particularly strong, with both total nursing hours and weekend RN availability exceeding the South Carolina average. Physical therapy staffing is the only category that falls modestly below benchmark levels, with a difference that is relatively limited compared to its other staffing profile.

On the other hand, quality measure performance presents a more mixed picture, with long-stay emergency department visit rates performing significantly better than the South Carolina average. Short-stay residents also demonstrate strong improvement in self-care ability at discharge. However, several post-acute rehabilitation metrics warrant closer review, including short-stay rehospitalization rates, emergency department utilization, and falls with major injury, which all exceed state averages. Successful return-to-home rates are also slightly below benchmark levels.

Studio to two-bedroom layouts with private bathrooms are offered, along with a variety of shared spaces. Concierge assistance, housekeeping, and weekly laundry service are also available, as well as a 24-hour emergency response system and pet-friendly policies. Since the skilled nursing component is integrated into a full Life Plan campus, residents have access to other levels of care within the same community environment.

Retreat at Wellmore of Lexington appeals to older adults in Lexington County seeking an upscale residential atmosphere, above-average staffing levels, and long-term continuity within a Life Plan community setting. However, interested families are encouraged to carefully consider post-acute rehabilitation services, a strong staffing profile, and premium amenities against the mixed rehabilitation outcome measures when making care decisions.

Contact Retreat at Wellmore of Lexington

Overview of Fairforest Grove Senior Living

Located in the charming state of South Carolina, Fairforest Grove offers a distinct senior living experience that sets it apart. As a regionally owned and managed community by Mainstay Senior Living, this community provides a warm and family-focused environment tailored specifically for seniors.

Unlike corporate-run facilities, Fairforest Grove takes pride in the personal connections formed with residents and their families, fostering a sense of belonging and kinship. From the moment visitors step through our doors, they are greeted with genuine warmth and friendliness. 

Contact Fairforest Grove Senior Living

Overview of The Blake at Woodcreek Farms

Led by Nancy Faulski, The Blake at Woodcreek Farms is a 100-bed assisted living community in Elgin, South Carolina. The community administered by Blake At Woodcreek Farms sits in a quiet, rural setting near Spears Creek Church and operates in a two-story building that feels accessible and grounded.

The Blake at Woodcreek Farms offers flexible housing options suited to different needs and preferences. This includes studio, one-, and two-bedroom floor plans. This variety allows residents to pick a living space appropriate to their independence level and personal style. The car-dependent setting has a Walk Score of 17, typical for this region of South Carolina, so most outings involve a drive to nearby shops, services, or healthcare facilities. Daily life revolves around purposeful activities and engagement. The community organizes art classes, book club meetings, movie nights, exercise classes, gardening projects, and seasonal holiday celebrations. Such programs are tailored to keep occupants mentally and physically active while building friendships and a sense of belonging. The facility also provides a library, fitness center, and community garden, giving residents spaces to learn, move, and grow things. Dining here mirrors a restaurant-style approach with multiple menu options at each meal, allowing occupants to select what appeals to them instead of following a fixed menu. This philosophy extends throughout the community’s daily life approach.

For potential residents and their families, a tour of The Blake at Woodcreek Farms offers a chance to walk through the floor plans, see the activity spaces and dining room in action, and get a sense of how it handles the balance between support and independence that defines good assisted living.

Contact The Blake at Woodcreek Farms

Overview of Langit Assisted Living Facility

Operated by Langit’s Residential Home Care Inc, Langit Assisted Living Facility is a 70-bed, single-story assisted living community in North Charleston, South Carolina. It’s about 2.2 miles from the city center. Langit serves as the administrator. The community is near Westvaco Park, grocery stores, and bus stops, giving residents and visiting family convenient access to everyday errands and outdoor spaces.

Daily life at Langit centers on personal, hands-on support. Residents receive 24-hour staff assistance, medication management, nutritious meals, and individualized care plans based on each person’s needs. Transportation services are also available. Residents can easily attend appointments or enjoy outings without relying on family for every trip.

The community also focuses on helping residents stay socially and physically active. Arts and crafts, light exercise, and organized social events give residents regular opportunities for recreation and connection with neighbors. The building includes thoughtfully designed rooms and shared spaces to provide a more home-like feel than an institutional setting. Pets are welcome, which can make the transition easier for residents who want to keep a companion animal.

The neighborhood has a Walk Score of 61 out of 100. Some errands can be completed on foot, but other trips require driving. The community’s 70-bed size places it in a comfortable middle ground. It is large enough to offer structured programming and 24-hour support, within a personal, home-like setting.

Contact Langit Assisted Living Facility

Spring Oak Lexington

5422 Augusta Rd, Lexington, SC 29072
Overview of Spring Oak Lexington

Spring Oak Lexington is a blissful senior living community located in a quiet neighborhood in Lexington, SC, offering various living options including assisted living, memory care, and short-term stay. Providing a comfortable and safe residence for seniors, the community includes 24-hour assistance from a team of skilled and dedicated professionals. A place where seniors may rest and keep their family’s minds at peace, Spring Oak Lexington Senior Living ensures the happiness and wellness of its residents.

Fostering meaningful connections among its residents, the community conducts enrichment activities and outings. Spring Oak Lexington values the independence and dignity of the residents, providing them with care tailored to their needs. With its eye-pleasing and spacious residences, the community offers care like no other in a family-like environment.

Contact Spring Oak Lexington

Overview of HarborChase of Riverwalk

Located in the heart of Rock Hill, South Carolina, HarborChase of Riverwalk is a community where assisted living and memory care services seamlessly blend within a warm and compassionate environment. In this welcoming haven, cherished relationships take precedence, and residents discover a supportive sanctuary where their well-being is the highest priority.

Explore this picturesque neighborhood, where the commitment to residents’ welfare isn’t just a promise but an integral way of life. This assisted living community prides itself on convenient amenities and specialized care programs meticulously designed to provide exceptional support to residents and their families. HarborChase of Riverwalk is a community where seniors thrive, forge meaningful connections, and relish a personalized and engaging senior living experience.

Contact HarborChase of Riverwalk

Overview of Atria Forest Lake

Atria Forest Lake offers independent living, assisted living, and memory care. They undoubtedly provide the highest quality of care. Management makes it a point that seniors are given the freedom and choice given to each resident and ensures that they attend to the unique needs of each individual with kindness and compassion. They understand that an enriching senior living experience begins with the right lifestyle that suits your needs– while encouraging residents to still live freely on their own terms while receiving the necessary support. Atria Forest Lake has been one of the trailblazers in reinventing the approach to senior living– modern and innovative care.

Atria Forest Lake is a branch of the renowned Atria senior living group. Rest assured that residents are able to experience their array of amenities such as a garden, a salon, and a cafe bistro; along with services such as transportation, housekeeping, and laundry– to name a few of the features that residents from both living options get unlimited access. 

Contact Atria Forest Lake

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 230 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.