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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 Sprenger Healthcare of Bluffton Assisted Living
Sprenger Healthcare of Bluffton Assisted Living is a senior living community located in Bluffton, South Carolina. It offers a variety of services including assisted living, memory care, and rehabilitation. The community focuses on providing compassionate care and modern amenities to enhance the quality of life for its residents.

Contact Sprenger Healthcare of Bluffton Assisted Living

Overview of Landings of Georgetown

The Landings of Georgetown is a senior living facility located in Georgetown, South Carolina. It offers assisted living, memory care, and respite care services designed to support seniors in a safe and nurturing environment. The community focuses on providing personalized care plans and a variety of amenities to enhance the quality of life for its residents.

Contact Landings of Georgetown

Overview of Magnolias of Eutawville

Magnolias of Eutawville is an assisted living facility located in Eutawville, South Carolina. It has been providing personalized assisted living services for seniors for over four decades. The facility offers a wide range of services to meet the unique needs of each resident.

Contact Magnolias of Eutawville

Overview of Sumter Grove Senior Living

Sumter Grove Senior Living is a warm, inviting senior living home that offers affordable family-style independent and assisted living. The community focuses on maintaining family and social relationships to provide residents with the care and companionship they deserve. Visitors and residents often comment on the warmth and friendliness they experience from the very first visit.

Contact Sumter Grove Senior Living

Overview of Clemson Heritage

Clemson Heritage is a senior living community located in Clemson, South Carolina. It offers independent living, assisted living, memory care, and short-term stays. The community focuses on providing personalized care and a vibrant lifestyle for its residents.

Contact Clemson Heritage

Pines at Columbia

190 Mcswain Dr, West Columbia, SC 29169-4825
Overview of Pines at Columbia
The Pines at Columbia is an assisted living community located in West Columbia, South Carolina. It offers a comfortable and engaging environment for residents, providing both independence and assistance. The community focuses on individual needs and promotes a healthy lifestyle through compassionate support and wellness programs.

Contact Pines at Columbia

Overview of English Meadows Carolina Bay Campus

English Meadows Carolina Bay Campus is a premier senior living community in Hartsville, SC. It offers assisted living, memory care, and respite care with personalized care plans and luxurious accommodations. The facility is designed to provide a nurturing environment where seniors can thrive.

Contact English Meadows Carolina Bay Campus

Pines at Hilton Head

35 Beach City Rd, Hilton Head Island, SC 29926-4725
Overview of Pines at Hilton Head
The Pines at Hilton Head is an assisted living and memory care community located in Hilton Head Island, South Carolina. It provides a comfortable and engaging environment for residents, focusing on their individual needs and preferences. The community offers assisted living, memory care, and respite care services.

Contact Pines at Hilton Head

Overview of Wildcat Senior Living
Wildcat Senior Living is a senior living community located in Summerville, SC. It offers a range of services including Independent Living, Assisted Living, and Memory Care. The community is designed to provide a warm, homelike atmosphere with various amenities and support for daily living activities.

Contact Wildcat Senior Living

Overview of Place at Shadow Oaks
The Place at Shadow Oaks is committed to providing a residence that encourages an active lifestyle built around independence, companionship, and security. It offers assisted living services including medication management, bathing, dressing, meals, laundry, and transportation. The facility provides a safe atmosphere with a focus on enabling residents to enjoy their freedom.

Contact Place at Shadow Oaks

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.