Page 21 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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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
Overview of Foothills Assisted Living

Serving older adults throughout Oconee County and the surrounding Blue Ridge foothills region, Foothills Assisted Living is a Community Residential Care Facility in West Union, South Carolina, that offers assisted living and memory care. Owned by Cite Health Management Services Inc. and administered by Kymberly Nichols, the community operates with a 76-bed capacity. Its affiliation with a regional healthcare management organization also provides additional operational and clinical oversight in an area where specialized senior care resources are comparatively limited.

Rehabilitation support, licensed nurses and certified nursing assistants on staff, and 24-hour care coverage are offered, which is valuable in a rural setting where access to healthcare services and therapy programs is more limited outside of residential care communities. Memory care support is also available for residents living with Alzheimer’s disease or other forms of dementia. Programming also focuses primarily on accommodations, assistance with daily living, and healthcare support rather than resort-style amenities or lifestyle-centered offerings. Its location also offers a more rural and nature-oriented setting while still providing structured care and nursing availability.

Prioritizing healthcare staffing, access to rehabilitation, and practical support services over luxury amenities, Foothills Assisted Living is a strong fit for older adults in West Union, Walhalla, Westminster, and nearby Oconee County who require assisted living support, memory care services, or access to rehabilitation within a clinically focused environment.

Contact Foothills Assisted Living

Overview of Inlet Coastal Resort

Inlet Coastal Resort is a family-owned senior living community in Murrells Inlet, South Carolina, that offers assisted living, memory care, and respite care. Licensed as a 62-bed Community Residential Care Facility (CRCF), the community operates under Inlet Coastal Resort LLC, with William Gatti serving as administrator. It also serves older adults throughout the South Strand region of Horry County.

Available accommodations include both private and semi-private suites, while services and amenities feature chef-prepared meals focused on nutrition and flavor, daily activity programming, individualized care planning, onsite therapy services, transportation to medical appointments, social events, and 24-hour staffing support. Rehabilitation services and respite care are also available, along with a combination of extensive amenities. This offers a balance between personalized attention and comprehensive service availability.

Its Murrells Inlet location provides convenient access to healthcare resources such as Grand Strand Medical Center and Waccamaw Community Hospital, while also placing residents near one of the region’s best-known coastal retirement destinations.

Inlet Coastal Resort appeals to older adults seeking a more intimate, owner-operated living environment along the South Carolina coast, particularly those who value individualized care, onsite therapy access, and restaurant-style dining. For families exploring assisted living and memory care options between Myrtle Beach and Pawleys Island, this community stands out for its family ownership model and broad amenity offerings within a smaller community setting.

Contact Inlet Coastal Resort

Overview of Magnolias of Santee

Serving older adults throughout Orangeburg County and the Lake Marion region, Magnolias of Santee is a Community Residential Care Facility (CRCF) in Santee, South Carolina, that offers assisted living and memory care. Licensed with 61 beds, this mid-sized community supports a more personalized atmosphere that can help residents and staff build stronger day-to-day familiarity. It also operates under Cedar Communities at Santee LLC, with Kimberly Faye Harrell serving as administrator.

One of the community’s distinguishing features is its secured memory care setting designed for residents living with Alzheimer’s disease or other forms of dementia. Multiple levels of assistance are available to accommodate residents whose support needs may evolve. Programming also focuses on both personal accommodations and engagement within the broader local community, including civic involvement and references to the history and culture of Santee.

With its smaller capacity, Magnolias of Santee appeals to older adults seeking either traditional assisted living services or the added security of a dedicated memory care environment in the Lake Marion area, particularly those who value a more intimate setting where consistent staff interaction and resident familiarity are easier to maintain. For those navigating memory care decisions in a rural South Carolina setting, this community also offers one of the more specialized residential care options within the surrounding market.

Contact Magnolias of Santee

Overview of English Meadows Carolina Bay Campus

English Meadows Carolina Bay Campus is a Community Residential Care Facility (CRCF) in Hartsville, South Carolina, that offers assisted living, memory care, and respite care. Licensed with 60 beds, the community is owned by Pine Tree Hill AL LLC and administered by Susan Ka-Ran Howle. As part of the English Meadows brand, the community reflects a regional approach focused on personalized care planning and upscale residential accommodations.

One-bedroom options are also available at multiple price points depending on layout and configuration, and dedicated memory care studios are also offered. The variety of floor plans includes standard studios, deluxe studios, shared suites, one-bedroom residences, semi-private layouts, and memory care accommodations, allowing families to select living arrangements that align with both care requirements and budget considerations.

Respite care is available for short-term stays, making the community a potential option for families seeking temporary support during caregiver transitions, recovery periods, or other short-term care situations. The residence operates seven days a week with 24-hour staffing and support services designed to accommodate residents across different levels of assistance and cognitive care needs.

Located in Hartsville, the community benefits from proximity to regional healthcare resources, including Carolina Pines Regional Medical Center. Its Pee Dee region location also provides local access to shopping, dining, and community services while maintaining a quieter residential setting.

With a combination of personalized care and access to Hartsville healthcare resources, English Meadows Carolina Bay Campus is best for older adults and families seeking a moderately sized residential community with memory care support, respite services, flexible floor plan options, and transparent pricing in northeastern South Carolina.

Contact English Meadows Carolina Bay Campus

Overview of Brookstone Terrace of Woodruff

Serving residents throughout Spartanburg County and the surrounding Upstate region, Brookstone Terrace of Woodruff is a Community Residential Care Facility (CRCF) in Woodruff, South Carolina, that offers assisted living and memory care. Licensed with 60 beds, this community is owned and operated by Brookstone Terrace of Woodruff and administered by Amie Shank. Its moderate size supports a more personalized living environment while still providing opportunities for social interaction and structured engagement among residents.

Staffing includes licensed nurses and certified nursing assistants with 24-hour coverage, providing an added level of continuity and oversight for families evaluating safety and care quality. Rehabilitation services are also available on-site, along with dining services and health and wellness programming. The combination of memory care specialization, rehabilitation availability, and around-the-clock clinical staffing provides meaningful support for residents transitioning into higher levels of care.

With convenient access to the broader Spartanburg metropolitan area, the community maintains a quieter residential atmosphere that appeals to families seeking a more community-oriented environment.

Brookstone Terrace of Woodruff is an ideal option for older adults seeking assistance with daily living activities or structured memory care support within a moderately sized residential community that focuses on personalized attention, clinical oversight, and a comfortable Upstate South Carolina setting.

Contact Brookstone Terrace of Woodruff LLC

Overview of English Meadows – Indian Land Campus

Located in the fast-growing Lancaster County, English Meadows – Indian Land Campus is a Community Residential Care Facility (CRCF) in Indian Land, South Carolina, offering assisted living, memory care, independent living, and respite care. Administered by Jacki Picard and owned by Retreat at Indian Land LLC, this community is licensed with 70 beds and luxury-style accommodations.

Four named floor plan types are also available, including an assisted living one-bedroom, assisted living studio, independent living cottage, and memory care studio, covering multiple care levels. Furthermore, the community’s orientation toward luxury-style accommodations positions it as a premium option in the local market.

The Indian Land corridor has seen rapid residential growth as part of the greater Charlotte metro’s southward expansion into Lancaster County, creating strong demand for quality housing for older adults close to suburban amenities. In comparison, the nearby Meridian at Carolina Lakes, which offers 117 beds and memory care, is a useful local comparison for families evaluating nearby assisted living options.

As a moderately sized community, English Meadows – Indian Land Campus is an ideal option for older adults and families in Indian Land and Lancaster County, including those relocating from the Charlotte, North Carolina metro, who value upscale accommodations, published transparent pricing, and a full spectrum of care levels, including memory care.

Contact English Meadows – Indian Land Campus

Pines at Hilton Head

35 Beach City Rd, Hilton Head Island, SC 29926-4725
Overview of Pines at Hilton Head

Situated in one of the Southeast’s most desirable resort islands, Pines at Hilton Head is a Community Residential Care Facility (CRCF) in Hilton Head Island, South Carolina, offering assisted living, memory care, and respite care. With a 72-bed capacity, this community is administered by Laura Camper-Dillittle and owned by Pines-Hilton Head LLC.

Services include respite care, with operating hours of Monday through Sunday from 8:00 AM to 6:00 PM. For context, in the Hilton Head Island care market for older adults, nearby skilled nursing communities like the Preston Health Center carry a 5-star CMS rating with 87.5% occupancy and total nursing hours of 7.43 per resident per day, which is among the highest in South Carolina, and operates under The Cypress Club, a well-regarded nonprofit. Life Care Center of Hilton Head is another 5-star rated community featuring independent living, assisted living, and memory care. These skilled nursing peers reflect the broader quality expectations of the Hilton Head Island care market for older adults.

Pines at Hilton Head is best for older adults in Hilton Head Island and Beaufort County seeking assisted living or memory care within the island community, particularly those aiming to remain on Hilton Head rather than relocating to mainland Bluffton or Savannah for care.

Contact Pines at Hilton Head

Overview of Landings of Georgetown

Located in Georgetown, South Carolina, Landings of Georgetown is a Community Residential Care Facility (CRCF) that offers assisted living, memory care, rehabilitation services, and respite care. Licensed with 68 beds, this community is administered by Colby Bryant under the ownership of Georgetown Opco LLC.

The combination of memory care with nursing services and on-site rehabilitation makes this community a practical option for families whose loved ones have both medical and cognitive needs. Additionally, nursing services, 24-hour staffing, rehabilitation services, and respite care are available, which represents a notably comprehensive service list for a CRCF-licensed community. Dining services are also offered.

Through its Georgetown Opco LLC ownership, the community provides access to the same management family as Crossings of Georgetown, the other CRCF-licensed assisted living community in the region, which sits along the same N Fraser Street corridor. Together, these two communities represent the primary CRCF-licensed assisted living options in Georgetown County, giving families a local choice at 50 and 68 beds, respectively.

As one of the larger assisted living options in Georgetown County, Landings of Georgetown is best for older adults in Georgetown and the Waccamaw Neck region seeking assisted living or memory care with nursing services and access to rehabilitation services.

Contact Landings of Georgetown

Overview of Covenant Place

Featuring a moderately-sized residential setting, Covenant Place is a Community Residential Care Facility (CRCF) in Sumter, South Carolina, that offers assisted living, independent living, respite care, and rehabilitation services. Owned by Sumter Opco LLC and administered by Prinscillia Sumter, the community is licensed with 70 beds.

Licensed nurses and CNAs on staff, 24-hour staffing, rehabilitation services, and respite care are offered, covering a broader service range than many CRCF communities of similar size. Private or semi-private accommodations are also available, along with social activities. The combination of independent living, assisted living, and respite care makes this community one of the more flexible care-model options in the Sumter market.

With a wide range of care options provided in a residential, community-focused setting, Covenant Place is best suited for older adults in Sumter County seeking assisted living or independent living with licensed nursing support and rehabilitation access.

Contact Covenant Place

Overview of Highpoint at Fort Mill

Highpoint at Fort Mill is a resort-style Community Residential Care Facility (CRCF) in Fort Mill, South Carolina, offering independent living, assisted living, and memory care. This 78-bed community is administered by Leslie Walker and owned by HC Fort Mill Management SC LLC in York County. It also accepts Medicare and is pet-friendly.

This community carries one of the most expansive amenity profiles of any CRCF-licensed community in South Carolina, with amenities including chef-prepared cuisine with local, seasonal selections and flexible dining options, a fitness center, a salon and spa, a resort-style swimming pool, a dog park, and a full range of cultural, social, recreational, and educational activities. Along with 24-hour coverage, a doctor on staff and nursing services are available, providing meaningful clinical oversight for a CRCF-licensed community. Medicare acceptance is also an uncommon feature among assisted living communities.

10 named floor plan options are available, including studios, one-bedroom courtyard, one-bedroom deluxe, one-bedroom deluxe with flex space, two-bedroom two-bath, and two-bedroom two-bath cottage. Memory care-specific private studio and one-bedroom accommodations are also provided, giving families a broad range of layout choices across care levels.

Fort Mill is one of the fastest-growing communities in South Carolina, with strong proximity to the Charlotte metro area. The resort-style orientation and wide range of amenities appeal to the active, lifestyle-driven demographic of older adults that characterizes this market.

Offering independent living, assisted living, and memory care under one roof, Highpoint at Fort Mill is best-suited for active older adults in Fort Mill and York County, as well as relocating older adults from the Charlotte metro, who want a full-amenity, lifestyle-forward living community with pet-friendly policies and access to physician services.

Contact Highpoint at Fort Mill

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 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.