Page 3 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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Last updated
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

Compare Assisted Living around South Carolina

Info below is compiled from the SC Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Brightwater Assisted Living
AL
IL
MC
NH
SNF
Myrtle Beach
56
Facility 56
SC AVG 90
Rank #228 / 304
Yes---
Harmony at Columbia
AL
IL
MC
Columbia
110
Facility 110
SC AVG 90
Rank #88 / 304
Yes
36
Facility 36
SC AVG 34
Rank #100 / 221
Studio / 1 Bed / 2 BedA+
The Blake at Carnes Crossroads
AL
MC
RC
Summerville
114
Facility 114
SC AVG 90
Rank #78 / 304
Yes
19
Facility 19
SC AVG 34
Rank #160 / 221
Studio / 1 Bed / 2 BedA+
Brookdale Ebenezer Road
AL
Rock Hill (Old Point Station)
52
Facility 52
SC AVG 90
Rank #239 / 304
Yes
39
Facility 39
SC AVG 34
Rank #90 / 221
SuiteA+
TerraBella Summerville
AL
MC
Summerville
63
Facility 63
SC AVG 90
Rank #202 / 304
Yes
36
Facility 36
SC AVG 34
Rank #100 / 221
Private / Companion SuitesA
Brookdale North Augusta
AL
North Augusta (Fairview Gardens)
52
Facility 52
SC AVG 90
Rank #239 / 304
Yes
38
Facility 38
SC AVG 34
Rank #93 / 221
SuiteA+
Pines at Greenville Assisted Living & Memory Care
AL
MC
RC
Greenville
68
Facility 68
SC AVG 90
Rank #190 / 304
Yes
15
Facility 15
SC AVG 34
Rank #171 / 221
studioA
Rice Estate Rehabilitation and Healthcare
AL
HOS
IL
MC
NH
RC
SNF
Columbia
80
Facility 80
SC AVG 90
Rank #165 / 304
No--A+
The Bridge at Charleston
AL
NH
SNF
Charleston
100
Facility 100
SC AVG 90
Rank #107 / 304
Yes
17
Facility 17
SC AVG 34
Rank #163 / 221
Studio / 1 BedA+
Mill Creek Manor
AL
IL
MC
Columbia (Williamsburg East)
59
Facility 59
SC AVG 90
Rank #222 / 304
Yes
8
Facility 8
SC AVG 34
Rank #196 / 221
Private RoomsB+

Rank badges are statewide: each community is ranked against every SC community we track that reports that metric, not just the 230 on this page.

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Overview of Brightwater Assisted Living

Brightwater Assisted Living is a privately-owned senior living community in Myrtle Beach, South Carolina, offering assisted living, memory care, skilled nursing, and short-term rehabilitation. Licensed as a Community Residential Care Facility (CRCF) with 56 beds, the community is owned by Brightwater Retirement LLC and administered by David Dunn, with management affiliated with the Maxwell Group. Medicare and private-pay arrangements are also accepted. Notably, the community received six national awards, a distinction that places it among the more highly recognized senior living providers in the Grand Strand market.

CMS ratings position the community well above South Carolina averages overall, with particularly strong performance in staffing measures. Moreover, total nursing care hours average five hours per resident per day, exceeding statewide benchmarks and ranking among the stronger staffing levels among skilled nursing communities in the state. Weekend nursing coverage and staff-to-resident ratio also significantly outperform the South Carolina average. Health inspection scores are similarly above statewide benchmarks, reflecting generally favorable regulatory performance.

Since 2022, the community has received 15 health citations, including two categorized as critical in severity. While this exceeds the South Carolina average for critical citations, no serious citations were identified, and all deficiencies have been corrected. Additionally, a civil money penalty was issued in July 2023, substantially below the South Carolina average penalty amount, and no payment denials were reported.

Several long-stay quality indicators compare favorably with state averages, with measures related to declines in daily living activities, urinary tract infection rates, and vaccination coverage performing particularly well. Other measures, including rates of bowel and bladder incontinence, falls with major injury, and pressure ulcers, were also above state averages and can be worthwhile discussion points for families evaluating care needs and clinical oversight.

An indoor heated therapy pool, secured courtyard spaces, wellness classes, concierge services, transportation assistance, a professional salon, pet-friendly accommodations, and a 24-hour emergency response system are among the amenities available. Dining services are made-to-order restaurant-style meals.

Combining elevated staffing levels, rehabilitation-focused amenities, and broad care offerings, Brightwater Assisted Living is well-suited for older adults seeking rehabilitation, assisted living, skilled nursing, or memory care services within a highly staffed and amenity-rich environment in the Myrtle Beach area, particularly families exploring Medicare-supported or private-pay senior care options.

Contact Brightwater Assisted Living

Overview of Harmony at Columbia

Administered by Cathy Cassanova, Harmony at Columbia is a 110-bed assisted living community on Clemson Road in Columbia, South Carolina. Operated by Columbia Al Operations Llc and established four years ago, it offers occupants flexibility in housing with studio, one-bedroom, and two-bedroom floor plans to fit different preferences and needs.

The home’s neighborhood has a Walk Score of 36, meaning a few errands are walkable, with most trips needing a car. This suburban setting can suit residents and families wanting a calmer environment over busier commercial areas. As an assisted living community, the facility is tailored to support older adults needing help with everyday activities like meals, medication management, bathing, and dressing, while encouraging as much independence as possible. Such home types typically pair daily personal care with a residential feel, which lots of families find more personal and less institutional than larger communities.

For families contemplating Harmony at Columbia, personally visiting is the best way to know the community’s daily culture, see available units, meet the team, and get a feel of whether it correctly fits a loved one.

Contact Harmony at Columbia

Overview of The Blake at Carnes Crossroads

Focusing on assisted living, The Blake at Carnes Crossroads is a trusted senior living community set in the beautiful Summerville, SC. The community features a variety of beautifully designed and spacious floor plans ranging from studio to two-bedroom apartments, promising comfort and security like no other. With a dedicated and well-trained team providing top-tier care and support around the clock, seniors optimize their freedom and do what they love.

Enjoy fun activities and meet people with the same interests through exciting programs. Moreover, the community serves delightful and nutritious meals for residents to feel good and satisfy their dietary needs. Have the time of your life within the bright and spacious spaces of The Blake at Carnes Crossroads and experience new things surrounded by a friendly and supportive community.

Contact The Blake at Carnes Crossroads

Overview of Brookdale Ebenezer Road

Brookdale Ebenezer Road offers a unique assisted living experience that defies the typical senior living community. This quaint campus in Rock Hill, South Carolina, provides residents with a luxury feel, from the comfortable living quarters to the inviting common areas. Residents can enjoy the freedom of assisted living, where the community handles the cooking, cleaning, and other chores, allowing them to focus on pursuing their passions and hobbies.

The dedicated staff provides peace of mind and enhances the quality of life, supporting residents’ independence on their own terms. The community’s landscaped grounds, walking paths, and gardens create a serene, resort-like atmosphere. Residents can explore the charming city of Rock Hill, visiting local attractions, cultural centers, and outdoor recreation. The community’s robust activities calendar caters to residents’ interests, from Wii bowling and arts and crafts to devotional services and social events, fostering a vibrant, welcoming environment. Residents can also savor delicious, chef-prepared meals tailored to their preferences.

Contact Brookdale Ebenezer Road

TerraBella Summerville

335 Midland Pkwy, Summerville, SC 29485
Overview of TerraBella Summerville

Located in Summerville, South Carolina, TerraBella Summerville is a premier senior living community. The town is known for its annual Sweet Tea Festival, local eateries, boutiques, and Farmer’s Market. Residents can enjoy easy access to shopping at Tanger Outlets and downtown Charleston for big city fun. The community features southern charm with updated elements, including a fenced-in courtyard surrounded by beautiful Magnolia trees. TerraBella Summerville offers two lifestyle options: Senior Assisted Living and Memory Care. The Senior Assisted Living program blends independence with support for daily needs, while the Memory Care program provides a safe, comfortable setting for seniors living with memory-related conditions. The community’s loving staff and compassionate caregivers deliver personalized care to residents and their loved ones.

The community’s amenities include in-house religious services, senior-specific wellness classes, a professional beauty salon and barber shop, a private courtyard and community garden, on-site physical, occupational, and speech therapies, and handicap accessibility throughout the entire community. TerraBella Summerville offers a worry-free way of life that residents decidedly deserve.

Contact TerraBella Summerville

Overview of Brookdale North Augusta

Nestled in North Augusta, South Carolina, Brookdale North Augusta offers assisted living where residents can pursue their passions and live their best life. The community provides a variety of choices for how to spend time, whether pursuing an old interest like gardening or learning something new like tai chi. Residents can focus on the things they love while the staff handles daily tasks and little things. Brookdale North Augusta offers a selection of pet-friendly floor plans to fit each resident’s style, and 24/7 emergency staff is available.

The assisted living program supports residents with daily living while allowing them to maintain their freedom and dignity. The community calendar includes activities like gardening club, bingo, movie matinees, Bible study, and volunteering. Residents can enjoy restaurant-style dining with menu options like pork roast, battered cod, and chicken, with their feedback and favorite recipes incorporated. Brookdale North Augusta is conveniently located near medical facilities and offers easy access to the city’s amenities, allowing residents to live an enriched and fulfilling lifestyle.

Contact Brookdale North Augusta

Overview of Pines at Greenville Assisted Living & Memory Care

At The Pines at Greenville, residents can truly be themselves. This Greenville, South Carolina Community offers an array of services, including residential assisted living and engaging memory care activities, all aimed at providing a comfortable and enriching experience.

Residents can look forward to movie nights, restaurant-style dining, fitness classes, and more, including specialized memory care activities. Thorough health assessments are conducted to determine the appropriate level of care, keeping families well-informed. The facility’s commitment to handling housekeeping, home maintenance, and meal preparation also helps reduce stress and brings peace of mind to seniors and their families.

Contact Pines at Greenville Assisted Living & Memory Care

Overview of Rice Estate Rehabilitation and Healthcare

Located on Finley Road, Rice Estate Rehabilitation and Healthcare is a continuing care community in Columbia’s Richland County. Lutheran Homes of South Carolina Inc operates the community, while Daniel John Amodio serves as administrator. It offers independent living, assisted living, memory support, rehabilitation, and long-term nursing care under one roof. Residents can move between care levels as their needs change without relocating to another facility.

The 80-bed community has been operating for 18 years. Its current occupancy rate is 86%. Residents stay an average of about 67 days, which is a pattern that reflects post-acute rehabilitation admissions alongside residents receiving ongoing nursing care. Most new residents use private pay, while Medicare covers shorter-term rehabilitation stays. Families have different ways to fund care based on the type of stay.

Nursing coverage is a notable part of daily life. Total nursing care averages 4 hours and 38 minutes per resident daily. Registered nurses provide 40 minutes of that time, and nurse aides contribute close to 3 hours per resident each day. This staffing gives residents regular clinical oversight and hands-on daily assistance.

Rehabilitation is a main focus, with dedicated short-term rehabilitation services alongside general rehabilitation and nursing programs. The community also offers a memory support program and respite care for families needing temporary care.

Residents can gather in the Magnolia Dining Room or one of the private dining rooms. They can spend time in the courtyard gardens or use walking paths beside the property’s protected wetlands. Other amenities include a fitness room, card room, common laundry room, and an on-site beauty and barber salon.

Families touring the community may ask how the memory support and short-term rehabilitation programs are structured because both programs are particular strengths within the community.

Contact Rice Estate Rehabilitation and Healthcare

The Bridge at Charleston

2590 Elms Plantation Blvd, Charleston, SC 29406
Overview of The Bridge at Charleston

Serving residents and families since 2001, The Bridge at Charleston is a skilled nursing and assisted living community administered by Katheryn G. Daugherty at 2590 Elms Plantation Boulevard in Charleston, South Carolina. Operated by Charleston Retirement Investors LLC, the 100-bed community features a two-story building with studio and one-bedroom options built to handle an array of care needs.

The Bridge at Charleston provides multiple levels of care in one place: skilled nursing, assisted living, and nursing home services. This continuum approach lets occupants access the support level appropriate to their health status, whether recuperating from an acute illness, managing chronic conditions, or receiving long-term care. The facility is in a car-dependent area with a Walk Score of 17. In turn, most errands and activities outside the home need transportation.

When scheduling visits and outings from the facility, families and visitors must plan appropriately.

Contact The Bridge at Charleston

Overview of Mill Creek Manor

Welcome to Mill Creek Manor, a premier senior living community in Columbia, South Carolina. Located near Sesquicentennial Park, Mill Creek Manor offers a range of living options, including Independent Living, Assisted Living, and Memory Care. Residents can enjoy an active and fulfilling lifestyle in a beautiful setting.

The community features spacious living areas, delightful dining experiences, and a calendar of special events. For those needing additional support, Mill Creek Manor offers assisted living services, including medication management and personalized care. With a focus on maintaining family and social relationships, Mill Creek Manor provides a warm and welcoming environment where residents receive exceptional care tailored to their unique needs. Discover the comfort and vibrant lifestyle that Mill Creek Manor has to offer.

Contact Mill Creek Manor

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
No paid rankings Communities cannot pay to influence placement.
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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.