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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 Rosewood Assisted Living

Rosewood Assisted Living is an assisted living facility in Los Angeles. It provides support for adults living with mental illness, focusing on medication maintenance, outpatient care, and community engagement. The facility aims to foster a purposeful living mindset among its residents.

Contact Rosewood Assisted Living

Overview of Foothills Assisted Living

Foothills Assisted Living is an assisted living facility located in West Union, South Carolina. It offers personalized care in a warm and welcoming environment, ensuring each resident receives the support they need while maintaining their independence. The facility provides services such as 24/7 care, physical therapy, and memory care assistance.

Contact Foothills Assisted Living

Overview of Windsor House Greenville
Windsor House Greenville is a 50-bed assisted living community located on Pelham Road in Greenville, SC. It is committed to resident comfort, safety, and personal care needs. The community offers enjoyable activities, nutritious meals, and an atmosphere of caring.

Contact Windsor House Greenville

White Oak at North Grove

290 N Grove Medical Park Dr, Spartanburg, SC 29303-4222
Overview of White Oak at North Grove
White Oak at North Grove is a skilled nursing facility located in Spartanburg, SC. It offers long-term nursing care, short-term rehabilitation, and memory care services. The facility is staffed by Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants, providing comprehensive care tailored to individual needs.

Contact White Oak at North Grove

Veteran Village

1200 E National Cemetery Rd, Florence, SC 29506
Overview of Veteran Village
Veteran Village is a facility dedicated to serving veterans in Florence, South Carolina. It offers skilled nursing care in a modern setting with 104 all-private beds. The facility is committed to providing exceptional accommodations and care for its residents.

Contact Veteran Village

Overview of West Village Post Acute
West Village Post Acute is a skilled nursing and rehabilitation facility located in Greenville, South Carolina. It is dedicated to providing personalized rehabilitation and nursing services to all residents. The facility focuses on safety, wellness, and healing for its patients.

Contact West Village Post Acute

Overview of Wellmore of Lexington
Wellmore of Lexington is a luxury senior living community in Lexington, South Carolina. Members enjoy an award-winning wellness program, restaurant-style fine dining, and a vibrant social community. Wellmore of Lexington offers independent living along with a full array of person-centered care services: assisted living, memory care, skilled nursing, and senior rehab.

Contact Wellmore of Lexington

Overview of Medford Nursing Center
Medford Nursing Center is located in Medford, MA. It offers short-term rehabilitation and post-acute care, focusing on providing personal care and fostering meaningful relationships. The facility is committed to developing the physical, emotional, and spiritual potential of its residents.

Contact Medford Nursing Center

Overview of Seneca Health and Rehabilitation Center

Seneca Health and Rehabilitation Center is a 132-bed skilled nursing and rehabilitation facility in Seneca, South Carolina. Owned by Seneca Facility LLC and administered by Kathleen S. Wilson, the community is situated in Oconee County and accredited by The Joint Commission. Medicaid, Medicare, and private pay are accepted. The facility primarily serves long-term care residents, with 61 percent Medicaid admissions and an average stay of 115 days.
CMS rates Seneca Health and Rehabilitation Center at 1 star, 66 percent below the South Carolina average, with all four sub-categories trailing the state benchmark. The health inspection rating is 27 percent below the state average. 18 total health citations were recorded across four inspections since 2021, above the South Carolina average of 13.7. Two serious citations stand out, placing the facility 16th of 23 South Carolina nursing homes in that category and 567 percent above the state average of 0.3 serious citations. Top deficiency categories include quality of life and care, infection control, and resident rights. The most recent inspection in February 2025 produced three infection control citations and a nutrition citation, all corrected. Two civil money penalties totaling $5,000 were assessed in September and October 2023, below the South Carolina average of $34,000, with no payment denials. Meanwhile, staffing runs below state benchmarks across most categories. Total nursing hours reach 3 hours and 28 minutes per resident per day, 15 percent below the South Carolina average of 4 hours and 5 minutes. RN hours at 23 minutes per day are 39 percent below the state average of 38 minutes, and weekend RN coverage at 13 minutes per day is 46 percent below the South Carolina benchmark. Long-stay hospitalization and ED visit rates are better than the South Carolina average, a meaningful upside in a facility serving primarily long-stay residents. Walking ability decline at 36.7 percent of long-stay residents is 126 percent worse than the state average, and the short-stay re-hospitalization rate of 36.2 percent is 47 percent above the 24.7 percent state figure.
Seneca Health and Rehabilitation Center serves Oconee County families primarily in a long-term care capacity. Families considering placement should ask directly about the two serious citations, staffing levels, and current infection control and care planning practices.

Contact Seneca Health and Rehabilitation Center

Overview of Lodge at Wellmore

Lodge at Wellmore is a 60-bed skilled nursing and short-term rehabilitation facility owned by Wellmore of Tega Cay LLC in Tega Cay, South Carolina, part of the Wellmore of Tega Cay luxury continuing care retirement campus in York County. Administered by David M. Dunn, the facility accepts Medicare and private pay and serves primarily short-stay residents, with 62 percent Medicare admissions and an average stay of 39 days.
CMS grades Lodge at Wellmore 3 stars, with a staffing rating 69.5 percent above South Carolina average and a quality measures rating 14.6 percent above state benchmark. Total nursing hours reach 5 hours 4 minutes per resident per day, placing the facility 10th of 112 South Carolina skilled nursing facilities. All six staffing metrics exceed state averages, including weekend total nursing at 4 hours and 49 minutes per day, 44 percent above South Carolina benchmark, and CNA hours at 2 hours 53 minutes per day, 30 percent above state average. Long-stay quality measures are rated significantly above average: hospitalizations at 1.02 per 1,000 resident days are 50 percent better than South Carolina’s 2.03 average, and pressure ulcers at 1.9 percent are 68 percent below the state figure. Return to home for short-stay residents at 64.7 percent is 28 percent better than South Carolina’s 50.6 percent average. The health inspection rating is 27 percent below South Carolina average. 7 total health citations since 2023 include 2 critical and 1 serious citation, all in the quality of care category and all subsequently corrected. 5 civil money penalties totaling $40,000 have been assessed between June 2023 and February 2025, slightly above the South Carolina average of $34,000. Falls with major injury for both short-stay (2.4 percent, 205 percent above state average) and long-stay residents, and a UTI rate of 5.9 percent among long-stay residents (257 percent above state average), are the clearest quality concerns in the outcome data.
Amenities feature on-site rehabilitation services, fine dining, a salon and spa, and a cafe and bar.
Lodge at Wellmore suits York County families and those near Charlotte seeking post-acute rehabilitation in a luxury CCRC setting. Families should discuss the quality of care citations and falls prevention protocols with the facility before placement.

Contact Lodge at Wellmore

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.