Page 3 of Best Assisted Living in South Carolina

Why trust this guide? Our editorial team analyzed 237 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.
237 homes
Other senior care options in South Carolina:

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-ranked to lowest-ranked based on our 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
Wesley Commons
AL
IL
MC
NH
SNF
Greenwood (Parkwood)
80
Facility 80
SC AVG 77
Rank #89 / 213
No--A+
Myrtle Beach Manor
AL
MC
NH
RC
SNF
Myrtle Beach
111
Facility 111
SC AVG 77
Rank #32 / 213
Yes
41
Facility 41
SC AVG 31
Rank #45 / 150
Studio / 1 Bed-
The Oaks of Orangeburg
AL
HC
IL
NH
Orangeburg (Felder)
122
Facility 122
SC AVG 77
Rank #17 / 213
Yes-SuiteA+
The Artisan Mount Pleasant
AL
IL
MC
Mt Pleasant
112
Facility 112
SC AVG 77
Rank #31 / 213
No
40
Facility 40
SC AVG 31
Rank #48 / 150
Studio / 1 Bed / 2 Bed-
Portside at Grande Dunes
AL
IL
MC
RC
Myrtle Beach
120
Facility 120
SC AVG 77
Rank #19 / 213
Yes
36
Facility 36
SC AVG 31
Rank #59 / 150
Studio / 1 Bed / 2 Bed-
Lake Wylie Assisted Living and Memory Care
AL
MC
Lake Wylie
-Yes
45
Facility 45
SC AVG 31
Rank #34 / 150
Studio / 1 Bed / 2 BedA+
The Meridian at Carolina Lakes
AL
MC
NH
Indian Land (Old Point Station)
117
Facility 117
SC AVG 77
Rank #23 / 213
Yes
42
Facility 42
SC AVG 31
Rank #41 / 150
Studio / 1 Bed / 2 Bed-
The Meridian at Carolina Lakes
AL
MC
Indian Land (Old Point Station)
117
Facility 117
SC AVG 77
Rank #23 / 213
Yes
42
Facility 42
SC AVG 31
Rank #41 / 150
Studio / 1 Bed / 2 Bed-
TerraBella Thornblade
AL
MC
RC
Greer
100
Facility 100
SC AVG 77
Rank #47 / 213
Yes
50
Facility 50
SC AVG 31
Rank #27 / 150
Studio / 1 Bed / 2 Bed-
Harmony at Five Forks
AL
IL
MC
Simpsonville
92
Facility 92
SC AVG 77
Rank #60 / 213
Yes
57
Facility 57
SC AVG 31
Rank #12 / 150
Studio / 1 Bed / 2 Bed-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other SC assisted living community we track that reports that metric, not just the 237 on this page. See how we rank facilities

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Overview of The Legacy at Southpointe Drive

In the very heart of the vibrant Greenville community, The Legacy at Southpointe Drive sits as an awe-inspiring and luxurious assisted living and memory care community that promises to deliver the ultimate care experience for its residents. Basked in a serene residential environment, this community offers the perfect balance of personal freedom and intentional care that guarantees a remarkable stay for its guests. The spacious, cozy, and well-appointed rooms create an inviting and warm atmosphere that residents will surely find irresistible. With the reliable emergency response system that we have in place, residents are assured of their safety at all times. 

Their dedicated staff provides housekeeping, laundry, and maintenance services, ensuring that residents are relieved of any mundane chores and can focus on the more enjoyable aspects of life. With seasonal menus available, seniors are spoilt for choice, and their reliable transportation services to physician, dental, therapy, specialist, and optometrist appointments take away any worries that residents may have. At The Legacy at Southpointe Drive, they create harmonious living space that perfectly reflects the tastes and preferences of its residents.

Contact The Legacy at Southpointe Drive

Overview of The Oaks of Orangeburg

The Oaks of Orangeburg, a 122-bed church-affiliated nursing facility at 1000 Methodist Oaks Dr in Orangeburg, South Carolina, has operated as a nonprofit since 1956 under the leadership of owner-operator Joseph Fowler.

Spanning 650 acres with nearly 300 living accommodations, the community provides nursing home, independent living, assisted living, and home care across a 3-story building. It accepts Medicare (average 22-day stay), Medicaid (average 9-month stay), and private pay (average 1–2 month stay) populations. Minimum resident age is 55 years; pets are permitted.

The campus features recreational facilities and programming: fitness center, heated pool with personal training programs, exercise classes, bocce games, kayaking, and arts and crafts activities. Operational services include round-the-clock security and scheduled transportation to local medical appointments.

The facility operates at an annual deficit of $263,500 and occupies 76.8% of beds; below the South Carolina average of 82.1%.

Its location, in rural Orangeburg County, registers a walk score of 0 (completely car-dependent); the nearest hospital lies 5.31 miles away.

Nurses provide 2 hours 59 minutes of care per resident per day; 27% below the South Carolina average of 4 hours 5 minutes. Ranked 105th of 112 state facilities in nurse-to-resident ratios, the facility’s weekend coverage drops to 2 hours 25 minutes per resident; still 27% below state norms.

Of 209 total staff, contractors account for 12.2% of quarterly hours; the staff-to-resident ratio of 1.83:1 aligns with the state average.

Payroll represents 55.9% of revenue.

A June 2025 complaint investigation identified a critical deficiency for improper resident restraint (marked corrected). Over five inspections since 2021, the facility accumulated 23 health citations (99th of 113 statewide). Recent citations span Quality of Care (November 2024), pharmacy errors, nutrition practices, and others.

Federal fines totaled $122,000 across 14 penalty actions over three years; 264% above the state average.

Most significantly, preventive care falls far short of standards: pneumococcal vaccination coverage reaches only 26.9% for short-stay residents (66% worse than the 79.5% state average) and 35.8% for long-stay residents (60% worse than 90.5%). Influenza vaccination rates track similarly low at 26.6% and 62.7% respectively. Functional decline and high-risk events score better than state average, but falls with major injury occur at 5.6%; 89% worse than the state average of 3.0%.

The community is organized for short-term Medicare rehabilitation and longer-stay private-pay and Medicaid admissions on a rural, car-dependent campus where low staffing levels and vaccine compliance gaps present measurable clinical risk.

Contact The Oaks of Orangeburg

Overview of The Meridian at Carolina Lakes

Located in the scenic neighborhood of English Clover Lane, Indian Land, SC, The Meridian at Carolina Lakes is an outstanding senior living community offering assisted living, memory care, and short-term stays. Experience a relaxing and safe retirement with the spacious and sophisticated residences of The Meridian at Carolina Lakes in a wide array of studio, one-bedroom, and two-bedroom floor plans. The community strives to deliver top-tier care and assistance for seniors to gain meaningful experiences in their golden years.

Participate in engaging activities and meet people with the same interests through exciting programs conducted for enjoyment and wellness. Delightful and nutritious meals are served to meet dietary needs and preferences. With its bright and welcoming environment, The Meridian at Carolina Lakes is a safe place for seniors to enjoy a glorious retirement.

Contact The Meridian at Carolina Lakes

Overview of The Meridian at Carolina Lakes

The Meridian at Carolina Lakes is an assisted living and memory care community in the Old Point Station neighborhood of Indian Land, South Carolina, about five miles from the city center in Lancaster County. It is operated by Msa Fort Mill Operating LLC and administered by Mary L. Brakefield, and it belongs to the wider Meridian family of senior living communities. Atrium Health Pineville sits roughly eleven miles away, which gives families a nearby reference point for hospital care and specialist appointments.

The community is one of the larger options in the area, with 117 beds across a three story building. Residents choose from studio, one bedroom, and two bedroom apartments, with floor plans ranging from just over 300 square feet up to 868 square feet in the largest layouts. That spread means a resident can pick a compact space or something closer to the footprint of a small apartment, depending on how much room they want and whether a couple is moving in together. Pets are welcome, which matters for anyone who does not want to leave a companion animal behind.

Care is supported around the clock, with 24 hour professional care and supervision along with access to therapy services on site. Because the community offers memory care alongside assisted living, it can serve residents whose needs change over time without requiring a move to a different address. Maintenance services handle the practical upkeep of daily life, so residents are not managing repairs or household chores.

Day to day life leans social, with a calendar of activities and recreational programming, fitness and recreation options, and transportation services for errands and appointments. Dining is served in al fresco and poolside settings, which suits residents who like to eat outdoors when the weather in the Carolinas allows. The surrounding area scores 42 out of 100 for walkability, so a few nearby services are reachable on foot while most trips will involve a car or the community’s transportation. Families touring the community may want to ask how the memory care and assisted living programming work together as needs shift.

Contact The Meridian at Carolina Lakes

Overview of Lake Wylie Assisted Living and Memory Care

Lake Wylie Assisted Living and Memory Care is renowned as an exceptional senior living community, offering top-tier assisted living and memory care services. With a focus on safety, security, and comfort, the residential community provides a nurturing environment supported by skilled and compassionate team. Understanding the unique needs of those with memory impairment, the team crafts personalized care plans tailored to each individual, ensuring residents receive the specialized support they require for Alzheimer’s, Dementia, and other cognitive changes.

At Lake Wylie, a purposeful and engaging lifestyle is prioritized for community members. A diverse range of activities and events is designed to foster wellness and social interaction, while the culinary team prepares delicious, nutritious meals to support overall health. With professional and trained team dedicated to providing high-quality care and respect, residents can rest assured they’re in good hands. From assistance with daily tasks to 24-hour support, Lake Wylie offers first-class assisted living care in a home-like setting, allowing residents to enjoy independence with peace of mind.

Contact Lake Wylie Assisted Living and Memory Care

TerraBella Thornblade

1560 Thornblade Blvd, Greer, SC 29650
Overview of TerraBella Thornblade

Located in Greer, South Carolina, TerraBella Thornblade provides an exceptional Assisted Living and Memory Care experience to area seniors. The community offers comfortable interiors and service-rich senior lifestyle programs, cultivating a warm and welcoming environment with attentive, compassionate care. Residents benefit from daily dining programs, scheduled activities and events, and more. TerraBella Thornblade is trusted by local families for affordable, person-centered senior living. The community’s cozy suites, apartment homes, and well-appointed common areas create a warm setting for daily life. Best-in-class lifestyle programs and friendly care professionals make TerraBella Thornblade the first choice for high-quality, person-centered Assisted Living in the area. Apartment features include private bathrooms, kitchenettes with refrigerators, emergency response systems, and medication assistance.

The community offers suites, one-bedroom, and two-bedroom apartments for both Assisted Living and Memory Care. TerraBella Thornblade’s dedicated team delivers the finest-quality senior living and care, along with a fun, fulfilling way of life. Community amenities include three chef-prepared meals daily, scheduled activities and social gatherings, complimentary transportation, an on-site beauty salon, weekly housekeeping and laundry, a media room and library, and short-term respite care stays.

Contact TerraBella Thornblade

Overview of The Artisan Mount Pleasant

The Artisan Mount Pleasant offering luxury independent living, assisted living, and memory care stands as one of the trusted communities in the city. The elegant home presents a sprightly filled ambiance– a sublime environment that matches your lifestyle. There is a list of living options with customized care created to fit the needs of each individual. The Artisan Mount Pleasant approaches modern senior care through their person-centered service.

Expect residential houses with fully equipped amenities to help with the residents’ daily duties– a movie theater, art studio, walking paths, and courtyards, are just a few of their forward-thinking amenities. The well-trained staff on duty tend to your needs– on top of the services they offer: housekeeping and maintenance, cleaning, and transportation, among others.

Contact The Artisan Mount Pleasant

Portside at Grande Dunes

901 Portside Dr, Myrtle Beach, SC 29572
Overview of Portside at Grande Dunes

Portside at Grande Dunes in Myrtle Beach, South Carolina, envisions a community where every resident is valued as a unique individual, and their lifestyle and interests are celebrated. The mission of this community is to exceed expectations by offering various living options like assisted living, independent living, and memory care and providing daily wellness, cultural, and educational programs. The community’s values are rooted in creating an environment where residents can live their best life, feeling at home and understood.

Portside at Grande Dunes provides a range of living options, including studio, one-bedroom, and two-bedroom apartment styles for Independent Living, Assisted Living, Memory Care, and Short-Term/Respite Stays. The amenities and facilities reflect a commitment to personalized care, offering diverse living arrangements to cater to individual needs and preferences. Residents can choose from companion suite and studio apartment styles in Memory Care, ensuring a comfortable and supportive environment. The community stands as a welcoming home that prioritizes the well-being and fulfillment of its residents.

Contact Portside at Grande Dunes

Overview of Wesley Commons

Wesley Commons is a vibrant community for residents looking to find a community that feels like home. Adults and seniors can feel confident with the relaxing independent living lifestyle they’ll be able to enjoy during their stay, and their families can rest easy knowing that their loved ones are in the best environment to retire. For over 50 years, management has continuously dedicated itself to ensuring an active and enhanced senior lifestyle in one of Greenwood’s trust retirement communities.
Wesley Commons boasts its independent living options: villa-type or cottages-inspired residential housing around the neighborhood. Adults practice a resident-focused care plan that involves a range of fitness programs, scheduled outings, and engaging programs for holistic wellness.

Contact Wesley Commons

Overview of Myrtle Beach Manor

Myrtle Beach Manor provides assisted living, memory care, respite care, and skilled nursing in Myrtle Beach, SC. A dedicated Alzheimer’s unit is also provided through the memory care programs for those at risk of wandering, and respite care offers a short stay when a resident’s usual caregiver needs to travel or recover.

The range of care can suit a resident whose needs grow over time, since care levels can continue within the same community. The community has a 111-bed capacity, including studios and one-bedroom layouts. Studios have one private space, while a one-bedroom layout separates the sleeping and living areas.

Total nurse staffing is 5 hours and 1 minute per resident per day, representing the daily nursing time allocated to each resident. Medicare and private pay are also accepted, with Medicare covering short-term skilled care after a hospital stay, while private pay means paying directly for care. Pets are allowed, so a resident can continue living with a small animal companion.

A Walk Score of 41 places the area in a car-dependent setting, meaning most errands require a car or a ride. A resident who no longer drives would need transportation for those trips. Elizabeth Schmeizl serves as administrator, and SNH Sc Tenant operates the community.

Contact Myrtle Beach 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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in South Carolina at a glance

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: 31/ 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: 77The average licensed bed capacity across facilities in South Carolina. Individual facilities can vary widely from this average.
National Average: 90
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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 237 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.