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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 Harmony at Columbia

As its name suggests, Harmony at Greensboro ensures that the environment of the community is serene and harmonious. The name also suggests that senior living is supposed to be calming and balanced– a freeing lifestyle with the necessary support. The elegant community is an independent living and memory care community with personal care. Residents of the community wholly receive a strong sense of freedom with no shame of being able to receive additional assistance, especially because Harmony at Greensboro is a home that is able to let their chosen lifestyle for their needs.

Harmony offers an elevated lifestyle because of their marvelous level of care and complete attention to the needs of their residents; as well as residents being able to practice a stress-free and well-balanced lifestyle. Highlights of their amenities and services include laundry services, transportation services, healthy and savory chef-prepared meals, memory retention activities, and fitness activities. 

Contact Harmony at Columbia

Overview of Lancaster Grove Senior Living

Overlooking the neighborhood of Lancaster, SC, Lancaster Grove Senior Living is an idyllic senior living community that provides assisted living, memory care, and respite care. The community provides a wonderful place for an active yet relaxing lifestyle with its carefully curated accommodations and inviting common spaces. Residents can live their lives with confidence knowing that a reliable care team is always available to offer them a helping hand.

Dedicated to filling its residents’ day to day life with meaningful interactions and experiences, the community conducts a vibrant range of activities all year round. The hassles of cooking and cleaning are removed from residents’ lives giving them more time for more meaningful activities. Here, residents are offered with all the conveniences they need to fully enjoy their retirement years.

Contact Lancaster Grove Senior Living

Overview of Oaks at Seneca

Oaks at Seneca is a vibrant senior living community that prioritizes personal care, dignity, and independence. Nestled in the charming town of Seneca, South Carolina, this community offers residents a truly empowered lifestyle. Residents can expect a warm, family-like atmosphere, with opportunities to forge meaningful connections with peers, staff, and the local community. The community’s dedicated care partners provide personalized support, ensuring residents’ needs are met with empathy and trust.

Dining is a highlight, with a restaurant-style experience featuring delicious, nutritious meals prepared by expert chefs and dietitians. Residents can enjoy these meals on their own schedule, fostering a sense of freedom and flexibility. Thoughtfully designed apartment suites and secure neighborhoods create a comfortable, convenient, and safe living environment. At Oaks at Seneca, seniors can truly thrive and embrace the next chapter of their lives

Contact Oaks at Seneca

Overview of Revela at Mt. Pleasant Assisted Living

Experience the joys of Revela at Mt. Pleasant’s assisted living community, and take the first step towards a fulfilling and engaging lifestyle. Nestled in the coastal beauty of Mt. Pleasant, SC, Mt. Pleasant is an assisted living community that was thoughtfully designed with senior residents’ lifestyles in mind, offering modern studio homes and tailored amenities to create an enriching senior living experience. The studio apartments feature hardwood flooring and expansive windows that provide picturesque views of the lush Charleston surroundings. Senior residents get access to an array of community amenities and services that elevate their daily living, including delightful restaurant-style dining, a community library, and the convenience of an on-site beauty salon.

Located just a short distance from Charleston, residents can indulge in day trips to the downtown area or local spots like Shem Creek Park. Transportation services make it easy to explore the local culture, and with a prime location off Route 17, accessing the area’s attractions becomes a breeze.

Contact Revela at Mt. Pleasant Assisted Living

Overview of Magnolia Manor Greenwood

Magnolia Manor in Greenwood is a rehabilitation and skilled nursing community that offers all-inclusive healthcare. Specializing in short-term and long-term nursing care, expect to be treated with kindness and immense patience for a more personal approach to nursing. Magnolia Manor is where seniors can thrive and feel rejuvenated during their recovery.

Contact Magnolia Manor Greenwood

Overview of Oaks at Charleston

Oaks at Charleston boasts an elegant and welcoming atmosphere that ensures a kind of service delivered with compassion and respect. The newly built grand retirement home specializes in assisted living and memory care with short-term stays available. The cozy homey environment strives in giving compassionate and loving care to seniors. Oaks may be a new home, but it’s on its way to being the premiere upscale assisted living home in Charleston. 

Management and staff have also been an embodiment of dedication and professionalism to providing healthy and well-balanced holistic wellness for residents. Its boastful community services include medication management, 24-hour availability of caregivers, transportation and housekeeping, and wellness programs. 

Contact Oaks at Charleston

Overview of Colonial Gardens Assisted Living & Memory Care

Considerably one of the most affordable assisted living facilities in Miami, Colonial Assisted Living is guaranteed to be a safe community with a warm and welcoming environment that makes it easier for residents to feel comfortable in their new home. Colonial Assisted Living, as its name fairly suggests that the staff and management handles assisting residents while they live their independence in a worry-free environment.

The facility prides itself on the exceptional service provided by their staff who have wholeheartedly done their job in ensuring kindness and compassion to their patients or members of the community. Colonial Assisted Living has been praised as the best assisted living in Miami, for the way they approach senior care to residents, as applauded and respected by many families– considerably making them not only affordable but accessible.

Contact Colonial Gardens Assisted Living & Memory Care

Overview of The Palmettos of Mauldin

The Palmettos of Mauldin is a peaceful abode offering both assisted living and memory care services. With a splendid selection of one and two bedroom floor plans available, residents can take solace in the fact that they will find a home that perfectly suits their preferences and lifestyle. In addition to this, the community also offers respite stays to ensure that all seniors have access to exceptional care whenever they require it. At The Palmettos, every resident can receive specialized services such as diabetic and incontinence care, medication management, non-ambulatory care, and much more. The staff and ancillary services are also provided to ensure that each and every senior is able to avail themselves of comprehensive care, tailored to their unique needs.

More than just a place of residence, The Palmettos boasts a vibrant and supportive environment, radiating with warmth and positivity, that truly feels like home. As a community operated by the esteemed National Healthcare Corporation, residents can expect nothing but premier service from a team of RNs, LPNs, and attentive caregivers who are always on-hand to provide the highest quality of care possible.

Contact The Palmettos of Mauldin

Overview of Viva Senior Living at Easley

Viva Senior Living at Easley is an outstanding community set in the thriving neighborhood of Easley, SC, offering assisted living and respite care. Residents can keep their peace of mind with a compassionate and well-trained team helping with their daily living activities and household responsibilities. Beautifully furnished and spacious accommodations are available in a cozy and welcoming environment, so residents can feel a sense of belonging during their stay.

Residents will not run out of things to do with a thoughtfully curated calendar of enriching programs and exciting events. Mealtimes promote social interaction and satisfy nutritional needs with delicious and well-balanced dining options. A 24-hour emergency call system, medication management, and transportation services are provided for residents’ safety. The community is ideal for those needing assistance to live comfortably in retirement, especially with its top-notch services and state-of-the-art amenities.

Contact VIVA Senior Living at Easley

Spring Oak Conway

2310 Us-378, Conway, SC 29527
Overview of Spring Oak Conway

Spring Oak Conway, located in serene Conway, SC, is an exceptional senior living community. Providing Assisted Living, Memory Care, and Short-term Stay, Spring Oak Conway ensures all residents and their individual needs are well taken care of. The community ensures a comfortable and safe stay for its residents with a round-the-clock team of well-trained and compassionate professionals. Spring Oak Conway promotes a better quality of life with home-like care at their residences.

The community provides a warm and serene environment for seniors to enjoy. Spring Oak Conway includes spacious and top-notch amenities, ensuring the safety and comfort of its residents. With assistance in activities of daily living, residents can expect a worry-free lifestyle where daily chores such as bathing, dressing, and laundry are supported by a dedicated and caring team. As a family-owned community, quality care and compassion for each resident is built into the foundation of Spring Oak Conway.

Contact Spring Oak Conway

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.