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Other Senior care options in South Carolina:

Best Assisted Living in South Carolina

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 366 homes in South Carolina

Sources: CMS Centers for Medicare and Medicaid Services, and South Carolina Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in South Carolina.

Watch this Video to see South Carolina's Top-rated Senior Communities

Compare Assisted Living around South Carolina

The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.

Click column headers to sort
Palmettos of Parklane
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Columbia (Springwood)
85
Facility 85
SC AVG 111
Rank #160 / 312
Yes
27
Facility 27
SC AVG 31
Rank #141 / 232
Suite-
The Retreat at Lady’s Island
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Beaufort
83
Facility 83
SC AVG 111
Rank #163 / 312
No
44
Facility 44
SC AVG 31
Rank #65 / 232
Studio / 1 Bed / 2 Bed-
VIVA Senior Living at Gaffney
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Gaffney
90
Facility 90
SC AVG 111
Rank #132 / 312
No
36
Facility 36
SC AVG 31
Rank #102 / 232
Private / Companion Suite-
The Residences at Greer
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Greer (Maple)
110
Facility 110
SC AVG 111
Rank #90 / 312
Yes
11
Facility 11
SC AVG 31
Rank #188 / 232
Studio / Suite-
Harmony at Columbia
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Columbia
110
Facility 110
SC AVG 111
Rank #90 / 312
Yes
36
Facility 36
SC AVG 31
Rank #102 / 232
Studio / 1 Bed / 2 BedC-
The Bridge at Charleston
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charleston
100
Facility 100
SC AVG 111
Rank #109 / 312
Yes
17
Facility 17
SC AVG 31
Rank #165 / 232
Studio / 1 BedA+
Brookdale Ebenezer Road
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rock Hill (Old Point Station)
52
Facility 52
SC AVG 111
Rank #245 / 312
Yes
39
Facility 39
SC AVG 31
Rank #92 / 232
SuiteA+
Brookdale North Augusta
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

North Augusta (Fairview Gardens)
52
Facility 52
SC AVG 111
Rank #245 / 312
Yes
38
Facility 38
SC AVG 31
Rank #95 / 232
SuiteA+
The Willows of Easley
SC

Senior Communitie

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Easley (North Hills)
50
Facility 50
SC AVG 111
Rank #260 / 312
Yes
8
Facility 8
SC AVG 31
Rank #198 / 232
Studio / 1 Bed / 2 BedA+
Harmony at Five Forks
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Simpsonville (Five Forks Road)
92
Facility 92
SC AVG 111
Rank #127 / 312
Yes
57
Facility 57
SC AVG 31
Rank #23 / 232
Studio / 1 Bed / 2 BedA+
Laurel Crest
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

West Columbia
26
Facility 26
SC AVG 111
Rank #301 / 312
Yes
15
Facility 15
SC AVG 31
Rank #173 / 232
Suite-
Mill Creek Manor
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Columbia (Williamsburg East)
59
Facility 59
SC AVG 111
Rank #228 / 312
Yes
8
Facility 8
SC AVG 31
Rank #198 / 232
Private RoomsA+
Brookdale Anderson
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Anderson (Windsor Place)
160
Facility 160
SC AVG 111
Rank #18 / 312
Yes
43
Facility 43
SC AVG 31
Rank #71 / 232
Studio / 1 Bed / 2 Bed-
Fairforest Grove Senior Living
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Columbia (St. Andrews)
66
Facility 66
SC AVG 111
Rank #199 / 312
No
41
Facility 41
SC AVG 31
Rank #81 / 232
StudioA+
Wildewood Downs Retirement Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Columbia (Williamsburg East)
57
Facility 57
SC AVG 111
Rank #232 / 312
Yes
33
Facility 33
SC AVG 31
Rank #119 / 232
1 Bed / 2 Bed / 3 BedA+
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Overview of The Marsh at Carolina Park

Surrounded by breathtaking scenery and offering high-quality care, The Marsh at Carolina Park proves to be the right choice for seniors in Mount Pleasant, SC. Here, residents are assured of enjoying an elevated lifestyle supported by an expert and compassionate team in independent living, assisted living, and memory care services. The community provides natural settings and resort-style amenities to further enhance comfort and relaxation. In addition to top-quality care, residents can also take great pleasure in engaging activities and social events prepared by a professional team.

The golden years are made even more exciting and fulfilling in this exceptional community, where residents are offered exceptional amenities such as well-designed patios, a salon and a barbershop, and more. Here, the residents can truly kick back, relax, and enjoy the slow pace of life.

Contact The Marsh at Carolina Park

Overview of Mount Pleasant Gardens Alzheimer‘s Special Care Center

Mount Pleasant is one of the trusted memory care communities in Charleston; they provide a warm and comfortable setting for seniors in need of assistance with personal care and daily living activities. The stimulating atmosphere is a modern senior living community that also places importance on growing friendships between staff and residents for a more personal approach to a secure and supportive environment. Mount Pleasant Gardens is proud to offer something for everyone, as they understand and celebrate the uniqueness of their residents.

Residents are guaranteed to live a life of ease with the comfort and convenience found in their all-inclusive amenities and services: from restaurant-style dining to medical assistance– the compassionate care staff ensures that seniors’ lives are enriched as they are encouraged to make the most of each of their experiences.

Contact Mount Pleasant Gardens Alzheimer‘s Special Care Center

Overview of The Reserve Healthcare and Rehabilitation

The Reserve Healthcare and Rehabilitation is located in Hanahan, SC. It offers skilled nursing and in-house therapy services. The facility provides a variety of activities to help residents stay active.

Contact The Reserve Healthcare and Rehabilitation

Overview of Opus Post Acute Rehabilitation

Opus Post-Acute Rehabilitation is located in West Columbia, SC. It offers skilled nursing and in-house therapy services for short-term rehabilitation and long-term care. The facility provides a variety of activities to help residents stay active.

Contact Opus Post Acute Rehabilitation

Overview of The Blake at Woodcreek Farms

Located in Elgin, South Carolina, The Blake at Woodcreek Farms is a premier senior living and memory care community that offers a range of exceptional services. Nestled in a tranquil setting with serene wooded lots and separated from neighboring developments, this private facility provides an ideal environment for aging in place. The Blake at Woodcreek Farms is home to a dedicated staff that strives to ensure residents’ satisfaction and well-being.

With a focus on meeting individual needs, The Blake at Woodcreek Farms offers a variety of services, including independent living, assisted living, and memory care. The community features inviting indoor and outdoor common areas, as well as activity rooms such as a beauty salon and a computer room. A variety of leisure activities and socialization opportunities are available every day. Moreover, residents can maintain an active and engaged lifestyle by taking advantage of convenient transportation services for appointments and outings. 

Contact The Blake at Woodcreek Farms

TerraBella Summit

414 Summit Dr, Greenville, SC 29609
Overview of Terrabella Summit

Nestled in Greenville, South Carolina, Terrabella Summit offers residents an unrivaled senior living experience. The community provides a combination of superior care, lifestyle programs, amenities, and personalized service. Terrabella Summit caters to area seniors who desire round-the-clock service and care, as well as a maintenance-free lifestyle. The community offers two distinct living options – Assisted Living and Memory Care – on a shared campus. This allows the community to satisfy individual senior living needs and provide continuing care solutions as needs change over time. The Assisted Living program unlocks a more active lifestyle, while the secure Memory Care option ensures specialized care and dementia programming in a home-like setting.

Terrabella Summit’s exclusive senior living programs are designed to provide residents with stress-free, easy, and fun living. Residents can enjoy fine dining, socialize with neighbors, take advantage of health and wellness opportunities, and go on scheduled trips. The community also offers a host of amenities, including restaurant-style dining, senior-specific wellness classes, in-house religious services, and a professional beauty salon and barber shop.

Contact TerraBella Summit

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 Belvedere Commons of Seneca

Situated in the heart of Seneca, SC, the Belverde Commons of Seneca is an esteemed senior living community that provides independent living, assisted living, and memory care services. A variety of accommodations ranging from studio and one-bedroom and private and semi-private suites are available depending on personal preferences. This community offers an excellent and dedicated team that ensures immediate care and support for its residents. In terms of memory care, it provides a specialized memory care program regardless of cognitive conditions.

Explore its wonderful amenities and services wherein residents can access wellness programming, outdoor courtyard, and fitness programming. Indulge in 3 delectable meals daily and avail of their weekly housekeeping and laundry. At the Belvedere Commons of Seneca, seniors can truly enjoy an extraordinary living experience.

Contact Belvedere Commons of Seneca

Overview of The Meridian at Carolina Lakes

Located in the scenic neighborhood of English Clover Lane, Indian Land, SC, The Meridian at Carolina Lakes is an outstanding senior living community offering assisted living, memory care, and short-term stays. Experience a relaxing and safe retirement with the spacious and sophisticated residences of The Meridian at Carolina Lakes in a wide array of studio, one-bedroom, and two-bedroom floor plans. The community strives to deliver top-tier care and assistance for seniors to gain meaningful experiences in their golden years.

Participate in engaging activities and meet people with the same interests through exciting programs conducted for enjoyment and wellness. Delightful and nutritious meals are served to meet dietary needs and preferences. With its bright and welcoming environment, The Meridian at Carolina Lakes is a safe place for seniors to enjoy a glorious retirement.

Contact The Meridian at Carolina Lakes

Overview of Oakbrook Health and Rehabilitation Center

Oakbrook Health and Rehabilitation Center is an 88-bed skilled nursing and rehabilitation facility administered by Rusty Flathmann in Summerville, South Carolina. Owned and operated by Oakbrook Health Care LLC in Dorchester County, the facility accepts Medicare, Medicaid, and private pay. It serves short-term rehabilitation and long-term care residents with 110 days average stay. Occupancy stands at 87.1 percent, above South Carolina’s 82.1 percent average.
CMS rates the facility 1 star, 66 percent below South Carolina average, with health inspection and staffing sub-ratings trailing the state by over 60 percent. 10 total health citations have been recorded across four inspections since 2021, below South Carolina’s 13.7 average, though the severity profile is concerning: 1 critical citation and 2 serious citations are on record, with 2 serious citations placing the facility 567 percent above the 0.3 state average. The latest inspection in July 2025 produced a quality of care critical citation; correction status was not confirmed. A $20,000 civil money penalty was assessed on the same date, alongside two $4,000 penalties from February 2025, bringing the three-year total to $29,000. 3 of the 10 citations came from complaint investigations. Staffing is a structural weakness. Total nursing hours reach 3 hours and 4 minutes per resident per day, ranking 101st of 112 South Carolina skilled nursing facilities and 25 percent below the state average of 4 hours and 5 minutes. RN hours at 15 minutes per day are 61 percent below the state average, and weekend RN coverage at 5 minutes per day is 79 percent below South Carolina’s 24 minutes benchmark. Contractor staff account for around 32 percent of all hours, including the majority of CNA and LPN coverage. Long-stay quality measures are rated above average, with hospitalization rates 16 percent better than the state average and strong results on functional decline metrics. Self-care at discharge for short-stay residents at 30 percent is 44 percent below South Carolina’s 53.7 percent average.
Oakbrook Health and Rehabilitation Center serves Dorchester County families primarily in long-term care, where clinical outcome measures are above average. Families should discuss the July 2025 critical citation, weekend RN coverage, and contractor staffing levels with facility leadership before proceeding.

Contact Oakbrook Health and Rehabilitation Center

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
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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 21 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.