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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.

Explore home photos

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 Wescott Plantation

Harmony at Wescott Plantation is a senior living community in Summerville. It proudly offers a range of lifestyle options, including Independent Living, Assisted Living, and Memory Care apartments, ensuring that senior residents can select the living arrangement that aligns with their preferences and evolving needs.

Here, residents enjoy more free time and energy to pursue their passions and independence. The community fosters an environment where residents can embrace the joys of life, knowing that their well-being and contentment are at the forefront of every consideration. Harmony at Wescott Plantation is more than just a place to reside; it’s a haven of convenience, comfort, and active engagement, marked by an ambiance of understated elegance. Here, residents have the privilege of crafting the lifestyle they desire while assuring their families that the future is well planned for.

Contact Harmony at Wescott Plantation

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

Overview of Merrill Gardens at Columbia

Merrill Gardens at Columbia is an assisted living facility located in Columbia, South Carolina, offering independent living and hospice services on-site. The community is part of Merrill Gardens Senior Living, a senior care company, and provides vision care to its residents. The costs at Merrill Gardens at Columbia start at $3,225 and range up to $6,585, with the average price being $4,905, which is more than the average cost of assisted living in the area. The community is pet-friendly, and while South Carolina requires three meals to be provided per day, it can accommodate vegan or vegetarian diets.

Residents at Merrill Gardens at Columbia are required to have a scheduled, structured activity every day, and the community offers a variety of activities, including musical performances and social outings. The facility is located near five hospitals, with the two closest being Palmetto Health Richland and Palmetto Health Baptist, and has above-average reviews for the area. Merrill Gardens at Columbia offers 120 independent living and assisted living apartments, with concierge services, scheduled transportation, 24-hour staffing, and weekly housekeeping. The community features a variety of amenities, including a pet-friendly environment, pool, fitness programs, outdoor areas, and social outings, allowing residents to choose from a range of options to suit their individual needs and preferences.

Contact Merrill Gardens at Columbia

The Bridge at Charleston

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

The Bridge at Charleston is a luxurious Century Park community situated in South Carolina, offering assisted living to its residents. The community provides a serene sanctuary for the elderly to enjoy their retirement in comfort while being surrounded by a range of natural and cultural attractions. Residents can explore nearby museums, markets, and breathtaking beaches that are ideal for relaxation and recreation.

With advanced sign-in and health screening technology, the community ensures that residents are safe and secure at all times. They have a wellness center, hair salon, and scheduled transportation services to cater to the various needs of residents. Residents can also enjoy the vibrant ambiance of the library, coffee room, or craft room. The beautifully landscaped grounds add to the overall charm of the home, providing residents with an elegant and refreshing environment to come home to.

Contact The Bridge at Charleston

Overview of Waterstone on Augusta

Waterstone on Augusta is a premier assisted living and memory care facility that strives to enhance the lives of every senior through an amazing team and a purposeful living approach in downtown Greenville. The spacious and airy community offers a small village peace that’s ideal for seniors. Residents at Waterstone on Augusta are treated to physician and therapy services that promote their overall wellness. The vibrant arts scene, annual festivals, and museums within the vicinity add to the charm of this globally recognized American city.

The community is active and offers a vibrant calendar of activities that includes movie nights, holiday events, spiritual events, outings, exercises, and more. The housekeeping and laundry services ensure that the community is always neat and tidy, while the Wi-Fi and basic cable connection provide residents with access to their favorite entertainment. Moreover, the chef-inspired meals served at the community are always delightful and satisfy the most discerning palates.

Contact Waterstone on Augusta

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 Windrush at Garden City

Set in the beautiful town of Murrells Inlet, SC, the Windrush at Garden City is an inviting senior living community offering affordable family-style residential assisted living care. This community provides assisted living services along with exceptional, immediate care from a team of experienced, certified healthcare professionals available 24/7. Residents can select from a variety of clean, comfortably equipped, and home-like accommodations, ranging from cozy suites to spacious apartments.

The community offers several amenities and services, including on-site health services and a variety of community spaces. They also offer secured access for increased safety. Monthly and seasonal activities are thoughtfully designed for the residents such as crafts, movies, games, fitness activities, and many more. With Windrush at Garden City, the goal is to promote peace of mind and well-being for its residents and their families.

Contact Windrush at Garden City

Overview of The Legacy of Camden

Located in the inviting community of Camden, SC, the Legacy of Camden is a vibrant senior living community offering assisted living services. Here, residents can select from a wide range of accommodations including one-bedroom, two-bedroom, and studio. With its trained and dedicated team, this community renders an emergency response team and round-the-clock personalized care services.

Committed to delivering high-quality amenities and services, residents can avail of weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Satisfy your cravings with chef-prepared delectable meals and snacks daily. Participate in a full-packed schedule of life-enrichment activities and social events. Meet new companions and share meaningful memories within the beautiful spaces of this community. At the Legacy of Camden, seniors can truly enjoy a glorious retirement.

Contact The Legacy of Camden

Overview of Myrtle Beach Grove Senior Living

Take in the warmth of Happy Woods Court, Myrtle Beach, SC, with the extraordinary senior living community of Myrtle Beach Grine Senior Living providing assisted living, companion living, memory care, and respite care. With a wide selection of snug and sophisticated studios, seniors enjoy a relaxing and safe time. The community works closely with its residents to ensure they receive the highest quality of care and support from a competent and highly skilled team.

Flourish and live your best life with engaging activities and energizing programs conducted for leisure and wellness. Feel good with healthy and tasty meals catering to dietary needs and preferences. Myrtle Beach Grove Senior Living is an incredible community that strives to provide a safe place for seniors to enjoy a hassle-free retirement surrounded by a supportive environment and serene spaces.

Contact Myrtle Beach Grove Senior Living

Overview of The Palmettos of Charleston

The Palmettos is an assisted living facility located in the charming Charleston area and is affiliated with the highly respected NHC Healthcare. Here, residents enjoy a wonderful balance of both independence and privacy, with the added peace of mind that comes from knowing they are receiving the highest quality care from a physician-founded facility. At The Palmettos, open communication is a cornerstone of the community’s values, with residents evaluated on a case-by-case basis to ensure that their individual needs and preferences are met with compassion and understanding.
The home offers a wide range of services, including specialized care for memory-related issues, along with amenities like an on-site salon, library, and resource center, hobby center, and even a theater with a DVD player. Each apartment is individually controlled, providing residents with comfortable heating and cooling, while housekeeping and laundry services ensure that they never need to worry about the details of daily life. Safety is a top priority at The Palmettos, with arm and fire protection, sprinkler systems, and additional services like optical care and transportation available as well. The facility even welcomes pets and encourages residents to personalize their space by bringing in their furniture and other cherished items from home.

Contact The Palmettos of Charleston

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.