Best Assisted Living in South Carolina

Offering assisted living, memory care, and nursing services, Florence Place Assisted Living & Memory Care is a Community Residential Care Facility (CRCF) in Florence, South Carolina. With a 90-bed capacity, the community is administered by Lorie Hedegor under the ownership of Florence Place Assisted Living & Memory Care LLC. 24-hour staffing and structured social programming are also provided.

Nursing services are confirmed with 24-hour staffing, indicating a clinical staffing baseline above standard CRCF minimums. Three restaurant-style meals are served daily, either in the dining hall or in-room, which benefits memory care residents with varying mobility or appetite patterns.
The community also features secured building access, a fully sprinklered fire safety system, and an emergency system.

With memory care as a confirmed care type alongside assisted living, this location serves a dual-need population across a combined 90-bed campus, making it one of the larger CRCF communities in the Florence area.

As a larger community with on-site nursing services and active daily programming, Florence Place Assisted Living & Memory Care is an ideal option for older adults and families who need assisted living or structured memory care in Florence and the Pee Dee region.

Overview of Sedgewood Manor Health Care Center

Sedgewood Manor Health Care Center is a privately-owned nursing home in Hopkins, South Carolina, providing skilled nursing services, rehabilitation therapy, and long-term residential care. The community is owned by James Hunt, with James M. McCollum as administrator, with affiliation with Mainstay Senior Living, which connects it to a broader regional senior living management organization. Medicare, Medicaid, and private-pay are also accepted.

With an approximately 60.6% occupancy rate, below the South Carolina average of 82.1%, the community has more availability and a quieter residential environment. Furthermore, the average resident stay is approximately 154 days. New admissions are split among private-pay residents, Medicare rehabilitation stays, and Medicaid-supported long-term residents, creating a mixed care environment that includes both short-term recovery and extended residential support.

The community holds a 1-star overall CMS rating, performing below South Carolina averages, mainly due to staffing-related metrics. Total nursing coverage averages 3 hours and 24 minutes per resident each day, placing it in the lower range among the skilled nursing communities in the state. Registered nurse coverage is notably limited at 14 minutes daily per resident, significantly below state averages, while weekend RN availability is also considerably lower than statewide benchmarks. Physical therapy staffing levels are minimal compared with similar communities.

However, licensed practical nurse coverage exceeds the South Carolina average, which reflects more support with consistent bedside nursing care. Despite lower staffing metrics, quality measure performance exceeds the state average by approximately 14.6%, suggesting that resident outcome management and certain clinical care indicators compare more favorably than staffing levels alone might imply.

Inspection history presents a more balanced picture with three health inspections since 2020, slightly fewer than the South Carolina average. Across those inspections, 11 total health citations were recorded, which is below the statewide average of 13.7 citations. Citation frequency per inspection is also modestly above the state average, though the overall compliance history appears comparatively manageable relative to many peer communities.

Featuring a relatively moderate inspection history and stronger quality measure performance, Sedgewood Manor Health Care Center is a suitable option for older adults in Hopkins and the greater Richland County area seeking skilled nursing care, rehabilitation services, or long-term residential support within a smaller community environment. However, staffing levels, rehabilitation coverage, and weekend RN availability call for careful consideration before making a placement decision.

Overview of Compass Post Acute Rehabilitation

Compass Post Acute Rehabilitation is a nursing home in Conway, South Carolina, providing short-term rehabilitation, long-term care, and in-house therapy services. Administered by Raymond Tiller and owned by Carolina Healthcare LLC, with operational support through the Ensign Services network, the community connects to a large national post-acute care organization with established clinical systems, operational support, and staff training resources.

Long-stay hospitalization rates perform significantly better than South Carolina averages, while emergency department visits for long-term residents are also below statewide benchmarks. Short-stay rehabilitation outcomes compare favorably as well, including lower rates of falls with major injury, higher rates of successful discharge to home or community settings, and improved resident self-care ability at discharge. Short-stay emergency department visit rates are also better than the state average, while rehospitalization rates remain generally in line with statewide performance.

On the other hand, physical therapy coverage stands out as a major strength, averaging 13 minutes per resident per day, substantially above the South Carolina average and suggesting a strong emphasis on rehabilitation services. Weekend registered nurse coverage also exceeds statewide benchmarks, while daily RN staffing remains close to average levels. However, licensed practical nurse and nurse aide staffing levels fall below state averages, along with overall weekend nursing coverage.

Amenities and support services include physician oversight, licensed nurses and certified nursing assistants, 24-hour staffing, in-house therapy programming, monthly activity calendars, religious services, and nutritious dining programs. Additionally, a “Stay Active” wellness initiative is available to support engagement and mobility among residents.

Compass Post Acute Rehabilitation is a strong option for older adults in Conway and throughout Horry County who require post-acute skilled nursing care or rehabilitation services after hospitalization, illness, or surgery, particularly those prioritizing physical therapy access, rehabilitation-focused care, and positive discharge outcomes with Medicare or Medicaid coverage.

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.

Overview of The Heritage at Lowman Rehabilitation and Healthcare

The Heritage at Lowman Rehabilitation and Healthcare is a nonprofit continuing care community in Chapin, South Carolina, offering independent living, assisted living, memory care, rehabilitation, and skilled nursing care within a comprehensive Life Plan setting. Operated under Lutheran Homes of South Carolina Inc., the community includes a 176-bed skilled nursing component and ranks among the larger retirement and healthcare campuses serving the greater Columbia, Chapin, and Lexington County region.

As part of Lutheran Homes of South Carolina, the community benefits from the support of a longstanding nonprofit organization with a faith-centered mission and established experience in older adult services. Its multiple levels of care also allow residents to transition within the same residential environment as their health needs evolve.

Services include licensed nurses and certified nursing assistants, rehabilitation programming, memory support services, volunteer opportunities, and various community engagement programs. With the availability of independent living, assisted living, memory care, and skilled nursing within one setting, the community creates continuity that appeals to residents and families seeking long-term stability and coordinated support over time.

Located in the growing Lake Murray and Chapin corridor of Lexington County, the community is set in an area that has become increasingly popular among older adults seeking residential living options near Columbia while maintaining access to healthcare, recreation, and community amenities. Its setting also attracts those looking for a balance between suburban residential living and access to larger metropolitan medical resources.

The Heritage at Lowman Rehabilitation and Healthcare is well-suited for older adults and families in the Chapin, Irmo, and greater Lake Murray region seeking a nonprofit Life Plan community with a faith-informed mission and multiple levels of care.

Overview of Sunflower Springs at Indian Land

Sunflower Springs at Indian Land is an all-inclusive assisted living community in Indian Land, South Carolina, offering personal care. Serving older adults in Lancaster County and the greater Charlotte metropolitan region near the North Carolina border, the community is licensed as a Community Residential Care Facility with 100 beds. Owned by Sunflower Springs ALF of Indian Land LLC and administered by Kayla A. Cline, the community maintains active standing with state regulators, providing families with reassurance regarding current operational status.

A key distinguishing feature of the community is its all-inclusive pricing structure, appealing to families seeking predictable monthly expenses without extensive additional service charges. Restaurant-style dining for all three daily meals, housekeeping and maintenance services, scheduled transportation, crafts and game rooms, and an on-site beauty salon and barber shop are provided, along with organized wellness and social programming. 24-hour staffing and an emergency alert system are also available.

Additional support resources include veterans assistance information, comparison worksheets, and care transition guides intended to help families navigate the assisted living decision-making process. These tools are valuable for those exploring residential care options for the first time or comparing multiple communities within the region.

Located within one of the fastest-growing corridors near the South Carolina and North Carolina border, the community provides convenient access to healthcare providers, retail centers, restaurants, and transportation routes connected to both Fort Mill and the greater Charlotte area. This positioning is also practical for families with loved ones living across state lines or within the broader metropolitan region.

With an all-inclusive approach, strong lifestyle programming, and a convenient Indian Land location, Sunflower Springs at Indian Land is a good option for older adults transitioning from independent home living who value an active lifestyle, predictable monthly costs, and a broad range of included services and amenities.

Administered by Kelly Bryant, Vickery Parke is a Community Residential Care Facility (CRCF) in Central, South Carolina, offering assisted living, nursing services, 24-hour awake care, and a residential daily living program. Owned by Vickery Parke LLC, this community operates with 52 licensed beds in Pickens County.

With a specification of 24-hour awake care staff, the community ensures staff are physically present and alert throughout overnight hours and not just available on-call. Safety features include secured access, a fully sprinklered fire safety system, and a personal emergency response system. Nursing services are also offered.

Housekeeping, laundry services, and restaurant-style meals three times daily served in the dining hall or in-room are offered, with select utilities included. Daily social events and activities, salon and barber services, Wi-Fi access, a charming outdoor courtyard, and walking paths are also available. Notably, the availability of walking paths differentiates the community from smaller CRCF communities in the Pickens County market.

Located between Greenville and Clemson, the community is a relevant option for families and older adults in Pickens County and the surrounding Upstate communities who prefer assisted living close to home without traveling to a larger metro area.

Vickery Parke is a wonderful choice for older adults seeking an independent lifestyle with supportive care.

Overview of Aiken Rehabilitation and Care Center

Aiken Rehabilitation and Care Center is a privately owned nursing home in Aiken, South Carolina, providing short-term rehabilitation, long-term skilled nursing care, respite services, and dietary support. The community is operated by Pepper Hill SNF Operations Holdings LLC, with a 125-bed capacity. Medicare, Medicaid, and private-pay options are all accepted, supporting access for residents with a variety of coverage and financial situations.

The resident mix includes both short-term rehabilitation and long-term care populations, with occupancy averaging 85.1%, above the South Carolina average.

The community holds a 3-star overall CMS rating, performing slightly above the South Carolina average overall. Health inspection performance ranks approximately 9% above the state benchmark, while staffing scores align closely with statewide averages. On the other hand, quality measures fall roughly 43% below South Carolina averages.

Total nursing and licensed practical nurse coverage averages are both higher than the state average, making it one of the community’s strongest staffing indicators. Nurse aide coverage and weekend nursing hours also perform above the state average. Registered nurse staffing, however, is notably lower than average at 23 minutes per resident daily, with weekend RN coverage also significantly below the statewide average.

Inspection performance over the past five years reflects a mixed but generally stable compliance history, with a total of six health inspections. This is above the South Carolina average of 3.9 inspections, and the most recent survey was completed in March 2025. A total of 16 health citations are recorded, slightly above the statewide average, though the average number of citations per inspection remained below state norms, suggesting improving compliance performance over time.

Importantly, no critical or serious citations were identified during the five-year review period. All recorded deficiencies were classified as moderate or minor in severity, and all were corrected. Citation categories included pharmacy services, abuse prevention and neglect safeguards, and quality of care and quality of life standards. A wide range of amenities and social features, including a therapy gym, solariums used for dining and activities, organized outings, transportation services, and seasonal recreational events, are provided.

Aiken Rehabilitation and Care Center is a solid option for older adults in Aiken County seeking post-acute rehabilitation or long-term skilled nursing support, particularly those who prioritize strong licensed practical nurse and nurse aide staffing levels. Interested families with more medically complex conditions, however, should consider its lower-than-average RN and weekend RN coverage when assessing overall clinical oversight needs.

Overview of Sunflower Springs of Lake Wylie

Sunflower Springs of Lake Wylie in Lake Wylie, South Carolina, is a Community Residential Care Facility (CRCF) that provides assisted living, memory care, short-term rehabilitation, and respite services within a larger all-inclusive residential setting for older adults. Owned by Sunflower Springs of Lake Wylie LLC, the community is administered by Catherine Nicole Melton under the SRI Management. With a 101-bed capacity, the community combines long-term residential support with short-term recovery and transitional care options.

Licensed nurses and certified nursing assistants are among the staff available around the clock. Emergency response systems, restaurant-style dining for all daily meals, housekeeping, maintenance services, scheduled transportation, wellness programming, and social activities are also provided. The community’s all-inclusive pricing structure also provides greater predictability for families budgeting for ongoing residential care and support services.

The availability of assisted living, memory care, short-term rehabilitation, and respite care under one roof creates flexibility for both permanent residents and older adults requiring temporary recovery support or caregiver relief.

At 101 beds, the community is among the larger CRCF-licensed assisted living communities serving the Lake Wylie and York County region. Its location near the South Carolina and North Carolina border places residents within the broader Charlotte metropolitan area, offering convenient access to healthcare resources, shopping, and regional services.

Offering short-term rehabilitation and respite support, Sunflower Springs of Lake Wylie appeals to older adults and families seeking an all-inclusive assisted living and memory care community within the Lake Wylie area.

Overview of Seven Oaks Rehabilitation and Healthcare Center

Seven Oaks Rehabilitation and Healthcare Center is a 108-bed nursing home in Columbia, South Carolina, providing a broad range of post-acute, rehabilitative, and long-term care. Operated by St Andrews Operator LLC and administered by Susan Strauss, the community is CMS certified. Care programs include sub-acute care, memory care, rehabilitation therapy, hospice and palliative services, pulmonary care, IV therapy, cardiac care, orthopedic rehabilitation, stroke and neurological recovery, respite care, and 24-hour nursing support.

The range of clinical services is one of the community’s strongest distinguishing characteristics. The combination of pulmonary care, cardiac support, neurological recovery, IV therapy, orthopedic rehabilitation, and sub-acute care allows the community to manage medically complex recovery cases after hospitalization or surgery. Through hospice and palliative care services, residents can stay even during advanced illness or end-of-life transitions, potentially reducing the need for disruptive transfers. Memory care, rehabilitation therapy, and respite care programs are also available.

Located in Columbia, the community serves residents throughout the state capital region, including surrounding portions of Richland and Lexington counties. Its location within a larger metropolitan healthcare network also provides convenient access to hospitals, specialists, and additional medical resources when needed.

Seven Oaks Rehabilitation and Healthcare Center is a great option for older adults in the Columbia area who require advanced post-acute rehabilitation, skilled nursing support, memory care, or long-term medical management, particularly those recovering from various medical conditions and in need of end-of-life care.