Page 2 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
Sprenger Healthcare of Bluffton
AL
IL
MC
NH
RC
SNF
Okatie
60
Facility 60
SC AVG 90
Rank #206 / 304
No---
Rosecrest Community Residential Care
AL
IL
MC
NH
SNF
Inman
45
Facility 45
SC AVG 90
Rank #268 / 304
No---
The Village at Summerville
AL
IL
MC
NH
RC
SNF
Summerville (Palmetto Park)
48
Facility 48
SC AVG 90
Rank #264 / 304
No
45
Facility 45
SC AVG 34
Rank #58 / 221
1 Bed / 2 Bed / 3 Bed-
Franke at Seaside
AL
HOS
IL
MC
NH
SNF
Mt Pleasant
44
Facility 44
SC AVG 90
Rank #269 / 304
No
53
Facility 53
SC AVG 34
Rank #35 / 221
Private RoomsA+
Kempton of Charleston
AL
MC
NH
SNF
Charleston
89
Facility 89
SC AVG 90
Rank #140 / 304
No---
Presbyterian Communities of South Carolina-Clinton
AL
IL
MC
NH
RC
SNF
Clinton
43
Facility 43
SC AVG 90
Rank #281 / 304
Yes---
Wesley Commons
AL
IL
MC
NH
SNF
Greenwood (Parkwood)
80
Facility 80
SC AVG 90
Rank #165 / 304
No--A+
Presbyterian Communities of South Carolina
AL
IL
MC
NH
RC
SNF
Columbia (Seven Oaks)
-Yes
57
Facility 57
SC AVG 34
Rank #22 / 221
Studio-
Palmettos of Garden City
AL
MC
NH
SNF
Murrells Inlet
90
Facility 90
SC AVG 90
Rank #130 / 304
Yes---
Wellmore of Lexington
AL
IL
MC
NH
SNF
Lexington
174
Facility 174
SC AVG 90
Rank #16 / 304
Yes---

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 Sprenger Healthcare of Bluffton

Located in Okatie, South Carolina, Sprenger Healthcare of Bluffton is a nursing home in Beaufort County, along the Bluffton–Hilton Head corridor. The community offers skilled nursing, assisted living, independent living, memory care, and respite services. Sprenger Healthcare of Bluffton, Inc. operates the facility. Janelle Shaw owns it, while Teresa Dixon serves as administrator. Medicare and private pay are accepted, giving families more than one way to cover care.

The 60-bed community is currently near full capacity, with an occupancy rate of 91%. Residents stay an average of about 33 days, a pattern consistent with short-term rehabilitation stays. Total nursing care averages 3 hours and 50 minutes per resident daily. Registered nurses, licensed practical nurses, and nurse aides share that coverage. This hands-on staffing supports residents recovering from surgery, a hospital stay, or an acute illness.

Clinical services focus mainly on short-term recovery. On-site therapies, outpatient therapy, and nurse practitioner services support skilled nursing and rehabilitation. State and federal inspections have often focused on pharmacy services and infection control practices. The facility has addressed and corrected those areas over time. Families touring the community can ask how staff manage these processes.

Residents have access to chef-designed menus based on local cuisine, and meals are served in elegant dining rooms with a restaurant-style setting. Rehabilitation therapies, nursing coverage, and dining services support the community’s short-stay recovery role. Longer-term nursing and memory care are also available for residents who need them.

Contact Sprenger Healthcare of Bluffton

Overview of Rosecrest Community Residential Care

Rosecrest Community Residential Care is a continuing care retirement community in Inman, South Carolina, in Spartanburg County, offering independent living, assisted living, memory care, and skilled nursing under one roof. The community is owned and operated by Lutheran Homes of South Carolina Inc., with Rebecca Mccurry serving as administrator. That full continuum lets residents move between levels of care without relocating as their needs change over time.

The community has 45 beds and recent occupancy of 64.3 percent, leaving room across its care levels. The average length of stay is about 39 days, reflecting a mix of shorter, post-acute residents and those receiving longer-term care. Respite care is also available for families who need a temporary stay option.

Total nursing care per resident averages 5 hours and 3 minutes each day. That total includes 32 minutes of registered nurse time, 1 hour and 15 minutes of licensed practical nurse care, and 2 hours and 19 minutes of nurse aide support per resident daily. Rehabilitation services round out the clinical program, supporting residents recovering from illness, injury, or a hospital stay.

State inspections here have most often touched on pharmacy practices, nutrition, and quality of care documentation. Findings in those areas were addressed and corrected according to the facility’s inspection record.

Rosecrest maintains a dedicated Alzheimer’s unit within its memory care program. Amenities include a wellness center with LifeTrail fitness equipment, a walking trail, a library, a business center, on-site laundry with dry cleaning, and a beauty shop and barber. Community programming rounds out day-to-day life alongside the rehabilitation and nursing services already in place.

The community accepts Medicare and private pay, giving families more than one route to help cover the cost of care. Families touring Rosecrest may want to ask how the memory care unit is staffed day to day.

Contact Rosecrest Community Residential Care

Overview of The Village at Summerville

Nestled in 84 acres of pristine land in South Carolina, The Village at Summerville has been a non-profit organization since 1958, ensuring that the focus remains on providing quality care and services to the residents. The community offers various living options, including independent living, assisted living, memory support, skilled nursing, restorative care, short-term rehab, and outpatient rehab. 
The home boasts breathtaking scenery, from serene small ponds to majestic trees and walking trails. It offers a convenient location close to Interstate 26 and just a stone’s throw away from downtown Charleston, making it a perfect blend of nature and urban convenience.

The living spaces at The Village at Summerville are not only stylish but also spacious and airy, providing residents with a comfortable and welcoming environment. Whether it’s a stroll around the campus or participating in various activities and events, residents can create meaningful connections and lead fulfilling lives in this lovely community.

Contact The Village at Summerville

Overview of Franke at Seaside

Franke at Seaside, a nonprofit retirement community located in the tranquil landscape of Mount Pleasant, South Carolina, offers a vibrant retirement experience. Situated amidst stunning lagoons and serene natural surroundings, this community provides a range of care options, including independent living facilities, residential assisted living, memory support, long-term care, rehabilitation, and nursing services. Its well-designed campus encourages curiosity and adventure, making it an ideal place for mindfulness and a peaceful retirement.

Residents here can also enjoy various amenities, including housekeeping and meal services, along with well-maintained grounds. Located conveniently near downtown Charleston, seniors have easy access to local conveniences. On-campus, they’ll find a full-time chaplain, card room, living room, library, and a hair salon. Concierge services are available as well, and the community is well-equipped with a fitness center offering a variety of programs and activities. Additionally, there’s a heated saltwater swimming pool to enhance the retirement experience. All of this is complemented by a dedicated and exceptional staff, making Franke at Seaside a sought-after destination for independent living homes.

Contact Franke at Seaside

Overview of Kempton of Charleston

Kempton of Charleston is an 89-bed skilled nursing and rehabilitation community in downtown Charleston, South Carolina. It offers nursing home care, assisted living, memory care, and skilled nursing, functioning as a full continuum of care within a Continuing Care Retirement Community, so residents can move between levels of support without leaving the campus. The community is operated by Spring Street Senior Housing Opco LLC and administered by Joe Carr.

Nursing coverage is a defining feature of the home. Registered nurses average 1 hour and 23 minutes per resident each day, and total nursing care runs about 4 hours and 26 minutes per resident daily, with licensed practical nurses contributing roughly an hour and nurse aides adding about 2 hours and 30 minutes. That combination points to a strong clinical presence supporting residents around the clock.

Rehabilitation is a core part of the program, with physical and speech therapy available on a contracted basis for residents recovering from surgery, illness, or hospitalization. The average Medicare stay runs about 19 days, reflecting a focus on short-term, post-acute recovery, while residents receiving assisted living or memory care tend to stay considerably longer. A dedicated Alzheimer’s unit supports residents who need memory care in a more structured setting. Current occupancy sits at 61 percent, which suggests availability for families exploring their options now.

State and federal inspectors have most often focused on pharmacy administration, nutrition, and infection control practices, with identified issues addressed and corrected. Day-to-day life is rounded out by distinctive dining service, organized life enrichment programming, and access to outdoor spaces for residents and visiting family. Families weighing a short-term rehab stay against longer-term memory or assisted living care may want to ask how Kempton structures the transition between those levels of service.

Contact Kempton of Charleston

Overview of Presbyterian Communities of South Carolina-Clinton

Presbyterian Communities of South Carolina-Clinton is a continuing care retirement community in Clinton, South Carolina, offering nursing home, assisted living, independent living, memory care, respite, and skilled nursing services at 801 Musgrove St. The community is operated by Presbyterian Communities of South Carolina and administered by Tamieka Hawkins. With 43 beds, it is a moderately sized setting that can support close staff attention alongside shared programming. It accepts Medicare and private pay, giving families more than one route to cover a stay.

Clinical care here centers on short-term rehabilitation, with respite stays and around-the-clock staffing supporting residents recovering from a hospital stay or surgery. Memory care is delivered through a dedicated Alzheimer’s unit, giving families a distinct option for residents living with dementia. Because the community spans multiple levels of care under one roof, residents can move between rehab, memory care, and longer-term nursing support without changing address.

Occupancy runs around 73 percent, leaving some room for new residents. The average length of stay is 105 days, which points to a community oriented more toward post-acute and transitional rehab than toward permanent residence. That rhythm fits families who need a bridge between a hospital discharge and a return home, or a temporary respite stay while a primary caregiver is away.

Life enrichment programming and volunteer opportunities give residents ways to stay engaged, and an active resident council gives residents a regular voice in community policies and daily life. State inspections here have most often centered on documentation and oversight tied to resident safety, an area that was addressed and corrected, with no financial penalties on record.

Contact Presbyterian Communities of South Carolina-Clinton

Overview of Wesley Commons

Wesley Commons is a vibrant community for residents looking to find a community that feels like home. Adults and seniors can feel confident with the relaxing independent living lifestyle they’ll be able to enjoy during their stay, and their families can rest easy knowing that their loved ones are in the best environment to retire. For over 50 years, management has continuously dedicated itself to ensuring an active and enhanced senior lifestyle in one of Greenwood’s trust retirement communities.
Wesley Commons boasts its independent living options: villa-type or cottages-inspired residential housing around the neighborhood. Adults practice a resident-focused care plan that involves a range of fitness programs, scheduled outings, and engaging programs for holistic wellness.

Contact Wesley Commons

Overview of Presbyterian Communities of South Carolina

Presbyterian Communities of South Carolina in Seven Oaks emphasizes enriching and empowering its seniors’ lives. With an emphasis on short-term and outpatient nursing, management and staff offer best-in-class service when attending to any resident’s needs. The home helps residents thrive, reach their fullest potential, and cultivate holistic wellness. The Presbyterian guarantees unparalleled, luxurious care in a hotel-like community.

All residents receive essential services such as concierge, scheduled transportation, housekeeping, linen services, and housekeeping. One of its specialties is rehabilitation services, focusing on occupational, speech, and physical; 24/7 nursing care, health and wellness activities, therapy coverage, personalized care programs, and routine check-ups– among many others.

Contact Presbyterian Communities of South Carolina

Overview of Palmettos of Garden City

Palmettos of Garden City is a senior living community in Murrells Inlet, South Carolina, serving older adults throughout the South Strand area of Horry County with assisted living and skilled nursing services within a 90-bed capacity. Licensed as a Community Residential Care Facility (CRCF), the community is owned and operated by Palmettos of Garden City LLC and administered by Teriann Cronin. Medicare, Medicaid, and private-pay are also accepted, providing broader financial accessibility for families with varying coverage and long-term care planning needs.

Its occupancy rate of 85.5% exceeds the South Carolina average of 82.1%, indicating steady local demand and limited availability. Additionally, CMS quality ratings place the community slightly above the South Carolina average overall, with particularly strong performance in quality measures and health inspections. Staffing levels also align with statewide averages.

Since 2022, the community has received 15 health citations across three inspections, slightly above the South Carolina average of 13.7 citations. However, all cited deficiencies were categorized as moderate in severity, with no critical or serious citations recorded. This absence of higher-level deficiencies is notable when compared with the statewide average, which includes at least one critical citation. Moreover, a civil money penalty was issued in January 2025, substantially lower than the South Carolina average penalty amount, and no payment denials were identified.

Several quality-of-care indicators perform favorably compared with state averages. Notably, no residents were reported as experiencing depressive symptoms, influenza vaccination rates exceeded statewide averages, and measures related to weight loss and antipsychotic medication use, which is considerably favorable against South Carolina norms. However, families are encouraged to discuss fall rates involving major injury and declines in daily living activities, both of which were measured above state averages.

24-hour staffing support, chef-prepared meals, restaurant-style dining, landscaped courtyards, wellness programming, and an on-site salon are among the services offered in this pet-friendly community. Nursing staff includes registered nurses, licensed practical nurses, and certified nursing assistants, all employed directly by the community without the use of agency nursing contractors, which may help support greater continuity of care and staff familiarity with residents. Its location in Murrels Inlet also offers convenient access to coastal healthcare resources while maintaining proximity to the South Strand lifestyle.

Featuring a variety of payment acceptance, stable staffing structure, and quality measure performance within the local market, Palmettos of Garden City is a strong fit for older adults requiring skilled nursing services, rehabilitation support, or long-term assisted living care, particularly for those utilizing Medicare or Medicaid benefits.

Contact Palmettos of Garden City

Overview of Wellmore of Lexington

Wellmore of Lexington is a 174-bed continuing care retirement campus managed by administrator Crystal C. Butcher and operated by Wellmore of Lexington LLC. The facility blends independent living, assisted living, memory care, and 24-hour skilled nursing, leaning heavily on a short-term rehabilitation model. Admissions mirror this post-acute focus, with 76% using Medicare and 24% paying privately, generating a brief 51-day average stay. On-site features include an indoor therapy pool, a spa and salon, fine dining rooms, and dedicated workout spaces. However, the property faces severe occupancy challenges, sitting at 64.4%, and logged a 2023 operating loss of $1.6 million on $9.8 million in revenue.

Public health summaries show standard to solid daily attention, with overall nursing care averaging 4 hours and 9 minutes per resident to run slightly ahead of the South South Carolina baseline. This model keeps registered nurse coverage 32% above state averages, though the building relies on outside staffing agencies to fill about a quarter of its hours. Clinical tracking records detail a sharp split in patient outcomes; permanent residents maintain a zero percent depression rate and steady daily activity habits, but they experience high rates of pressure ulcers and urinary tract infections.

Short-stay rehab metrics also run behind state targets, with reports noting higher rates of emergency hospital readmissions and a major injury rate from short-term falls that tracks 60% worse than the state average. The operator’s regulatory history includes a low $16,000 in total federal fines over the past three years.

Interested individuals weighing local short-term rehab or extended senior care options can utilize these government tracking dossiers to view the provider’s overall operations. Since the public data notes above-average daily nursing times and strong behavioral health scores alongside clear multi-year financial losses, thin occupancy, and higher short-stay fall risks, the documentation calls for balancing the property’s amenities against its clinical trends.

Contact Wellmore of Lexington

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.