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Compare Assisted Living around South Carolina
The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.
| Palmettos of Parklane |
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 (Springwood) | 85
Facility
85
SC AVG
90
Rank
#159 / 309 | Yes |
27
Facility
27
SC AVG
32
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
90
Rank
#162 / 309 | No |
44
Facility
44
SC AVG
32
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
90
Rank
#132 / 309 | No |
36
Facility
36
SC AVG
32
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
90
Rank
#90 / 309 | Yes |
11
Facility
11
SC AVG
32
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
90
Rank
#90 / 309 | Yes |
36
Facility
36
SC AVG
32
Rank
#102 / 232 | Studio / 1 Bed / 2 Bed | A+ |
| The Bridge at Charleston |
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.
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). | Charleston | 100
Facility
100
SC AVG
90
Rank
#109 / 309 | Yes |
17
Facility
17
SC AVG
32
Rank
#165 / 232 | Studio / 1 Bed | A+ |
| 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
90
Rank
#242 / 309 | Yes |
39
Facility
39
SC AVG
32
Rank
#92 / 232 | Suite | A+ |
| 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
90
Rank
#242 / 309 | Yes |
38
Facility
38
SC AVG
32
Rank
#95 / 232 | Suite | A+ |
| The Willows of Easley |
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
90
Rank
#257 / 309 | Yes |
8
Facility
8
SC AVG
32
Rank
#198 / 232 | Studio / 1 Bed / 2 Bed | A+ |
| Harmony at Five Forks |
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. | Simpsonville (Five Forks Road) | 92
Facility
92
SC AVG
90
Rank
#127 / 309 | Yes |
57
Facility
57
SC AVG
32
Rank
#23 / 232 | Studio / 1 Bed / 2 Bed | - |
| 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
90
Rank
#297 / 309 | Yes |
15
Facility
15
SC AVG
32
Rank
#173 / 232 | Suite | - |
| Mill Creek Manor |
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) | 59
Facility
59
SC AVG
90
Rank
#225 / 309 | Yes |
8
Facility
8
SC AVG
32
Rank
#198 / 232 | Private Rooms | B+ |
| Brookdale Anderson |
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.
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).
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
90
Rank
#20 / 309 | Yes |
43
Facility
43
SC AVG
32
Rank
#71 / 232 | Studio / 1 Bed / 2 Bed | - |
| Fairforest Grove Senior Living |
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 (St. Andrews) | 66
Facility
66
SC AVG
90
Rank
#196 / 309 | No |
41
Facility
41
SC AVG
32
Rank
#81 / 232 | Studio | A+ |
| Wildewood Downs Retirement Community |
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). | Columbia (Williamsburg East) | 57
Facility
57
SC AVG
90
Rank
#229 / 309 | Yes |
33
Facility
33
SC AVG
32
Rank
#119 / 232 | 1 Bed / 2 Bed / 3 Bed | A+ |
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Overview of Rolling Green Village Assisted Living Facility
Rolling Green Village Assisted Living Facility is a 52-bed nursing home in Greenville, South Carolina, offering skilled nursing, assisted living, memory care, and rehabilitation services. Operated by the nonprofit Rolling Green Village on a 175-acre campus, the community has been continuously operating for 49 years. The facility accepts Medicare and private pay. CMS rates the facility 4 stars overall, 36.5% above the South Carolina average, driven by an exceptional staffing score. Nurse staffing averages 7 hours and 30 minutes per resident per day, ranking second among 112 South Carolina skilled nursing facilities and nearly double the state average of 4 hours and 5 minutes. That level of direct-care coverage is a meaningful differentiator for residents with complex post-acute needs. The inspection record is mixed. Three inspections since 2022 have produced 5 citations, well below the South Carolina average of 13.7, ranking 11th in the state in citation count. At 1.67 citations per inspection, compared with a state mean of 3.44, the per-visit rate is similarly clean. The facility has carried no fines and no payment denials in the past three years. Two of the five citations involved critical quality-of-care findings from February 2023, both of which were later corrected. A moderate abuse/neglect citation from April 2024 is also corrected. The below-average Health Inspection sub-rating reflects those complaint-driven findings rather than standard inspection performance. The facility provides rehabilitation services and a dedicated Alzheimer’s unit anchoring the care model, supported by on-site speech, physical, and occupational therapy staff. Dining includes multiple venues with a private dining room. With a 19-day average length of stay and a payer mix oriented toward Medicare and private pay, the facility suits short-term post-acute rehabilitation as well as residents seeking memory care within a nonprofit, campus-style continuum in Greenville County.
Overview of Rosecrest Community Residential Care
Rosecrest Community Residential Care provides independent living, assisted living, memory care, and short-term rehabilitation services in Inman, South Carolina. Lutheran Homes of South Carolina Inc. operates the nonprofit 45-bed continuing care retirement community, which serves residents across Spartanburg County. The community holds a 4-star CMS overall rating. Health Inspection performance is 45.5% above the South Carolina average, the strongest of its sub-ratings. Staffing runs at the state average, with total adjusted nurse hours of 5 hours and 3 minutes per resident per day, which is 23% above the state benchmark, ranking it 13th out of 112 South Carolina skilled nursing facilities. Quality Measures are 14% below the state average, the one drag on an otherwise strong profile. The facility’s current occupancy is 64.3%, well below the South Carolina average of 82.1%, suggesting availability across care levels. The facility accepts Medicare and private pay; Medicaid is not accepted. Respite care is available. Amenities include a Wellness Center, LifeTrail fitness equipment, a walking trail, and an on-site beauty shop and barber. The community’s continuum of care from independent living through memory care and skilled nursing serves older adults and families planning ahead for changing care needs, including those seeking a single community that can accommodate progression from assisted living to memory care or post-acute care in Spartanburg County.
Overview of Presbyterian Communities of South Carolina-Clinton
Presbyterian Communities of South Carolina–Clinton is a 43-bed nonprofit nursing home at 801 Musgrove St in Clinton, South Carolina, operated by Presbyterian Communities of South Carolina. The community offers short-term rehabilitation, memory care through a dedicated Alzheimer’s unit, and respite stays, with 24-hour staffing. CMS rates the facility 5 stars overall, placing its inspection performance 81.8% above the South Carolina average and its Quality Measures 43.3% above state peers. That inspection standing is among the stronger records in Laurens County and reflects consistent performance on recent standard surveys. The community’s program offerings include wellness and life enrichment, volunteer engagement, and vital living programming. Occupancy is 73.1%, below the South Carolina average of 82.1%, indicating current availability. Residents stay at an average of 105 days, which orients the community toward post-acute and transitional care rather than long-term residence. Presbyterian Communities of South Carolina–Clinton is best suited for residents seeking short-term rehabilitation or transitional memory care within a nonprofit, mission-driven setting in Clinton, SC.
Lexington Medical Center Extended Care offers long-term care, short-term rehabilitation, memory care, and respite care in Lexington, South Carolina. Lexmed Inc operates the 388-bed nursing home under the Lexington County Health Services District. The facility is the largest certified skilled nursing facility in South Carolina by bed count and accepts Medicare, Medicaid, and private pay. CMS rates the facility 1 out of 5 stars overall. Health Inspection sub-rating runs 63.6% below the South Carolina average, the primary driver of the overall score. Quality Measures also trail the state benchmark by 42.7%. Staffing is the one clear strength: nurse staffing averages 4 hours and 27 minutes per resident per day, 9% above the South Carolina average. Weekend nursing coverage is 13% above the state norm, which is meaningful in a facility of this size and acuity. The facility is supported by on-site physical, occupational, and respiratory therapy staff. Occupancy is 81.7%, essentially in line with the state average. The average length of stay of 152 days indicates a predominantly long-term resident population. Lexington Medical Center Extended Care is best suited for residents seeking long-term care and post-acute recovery in Lexington County, with the capacity and therapy staffing to support complex, ongoing care needs.
Located in Laurens, South Carolina, Martha Franks Baptist Retirement Community is an 82-bed Life Plan community offering independent living, assisted living, memory care, skilled nursing, and rehabilitation services. South Carolina Baptist Ministries for the Aging Inc. operates the nonprofit community under a Christ-centered mission, one of the few continuing care retirement communities in Laurens County. CMS rates the facility at 2 stars overall, driven by a Health Inspection sub-rating roughly 27% below the South Carolina average. Staffing tells a different story: nurse staffing averages 5 hours and 1 minute per resident per day, about 36% above the state average, ranking it 13th among 112 South Carolina skilled nursing facilities. Quality Measures are also above the state average. The 2-star overall reflects inspection performance, not care delivery. The community accepts Medicare, Medicaid, and private pay. Amenities include a chapel, library, bistro, beauty and barber shop, wellness facilities, and Southern-style dining. Respite care and home care services round out a continuum designed to support residents as their needs shift without requiring relocation to another facility. Its occupancy rate is below the South Carolina average of 82%, suggesting current availability across care levels. Martha Franks Baptist Retirement Community is a good fit for residents and families seeking a faith-based Life Plan community with strong staffing and a full continuum of care, particularly those prioritizing continuity of placement as care needs evolve.
Overview of Rice Estate Rehabilitation and Healthcare
Rice Estate Rehabilitation and Healthcare is an 80-bed continuing care retirement community at 100 Finley Rd in Columbia, South Carolina, operated by Lutheran Homes of South Carolina Inc, a nonprofit organization. The community offers independent living, assisted living, memory support, rehabilitation, and long-term nursing care in Richland County. Staffing is a clear strength. Nurse aide staffing averages 3 hours and 10 minutes per resident per day, 43% above the South Carolina average. Weekend total nursing hours average 4 hours and 24 minutes daily, 31% above the state norm. That level of direct-care coverage continues throughout the week. On quality outcomes, long-stay residents perform significantly above the South Carolina average on CMS quality measures. Short-stay residents are rehospitalized at a rate of 21.5%, roughly 13% better than the state average of 24.7%. The campus includes Courtyard Gardens, a fitness room, a private dining room adjacent to the Magnolia Dining Room, and access to protected wetlands and walking areas, a setting that distinguishes the property from typical urban nursing facilities. The facility also provides memory support and respite care services. Rice Estate serves residents seeking a nonprofit, continuum-of-care community in Columbia, with particular depth in post-acute rehabilitation and memory support.
Overview of Palmetto Patriots Home
Palmetto Patriots Home is a facility dedicated to serving Veterans in Gaffney, South Carolina. It offers a range of services including medical care, nursing care, rehabilitative therapy, and recreational activities. The home is designed to provide a supportive environment for Veterans to lead active and fulfilling lives.
Sumter East Health and Rehabilitation Center is a facility dedicated to providing exceptional resident-centered care. It offers skilled nursing care, rehabilitation services, and various activities to promote well-being. The center is designed to create a healing environment for both short-term and long-term residents.
Overview of Bishop Gadsden Episcopal Retirement Community
Bishop Gadsden Episcopal Retirement Community is a vibrant life plan community located in Charleston, SC. It offers a range of services including independent living, assisted living, skilled care, and memory support. The community is known for its exceptional architecture, design, and approach to care, providing residents with a fulfilling lifestyle.
Overview of Nhc Healthcare Charleston
NHC HealthCare Charleston is a skilled nursing facility located in Charleston, SC. It offers a range of services including skilled nursing care, rehabilitation, and long-term care. The facility is dedicated to providing personalized care in a comfortable and supportive environment.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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 322 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.
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