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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 Manning Square

Manning Square is an assisted living place in Greer that continues to excel in creating a lifestyle that suits the needs of its residents. The upscale community offers many opportunities for blossoming friendships between staff and residents. Cultivating personal growth and holistic wellness is what they are known for. As proud members of Navion Senior Solutions, residents learn to live vibrant social lives during their golden years.

Manning Square offers many activities and amenities that cater to the interests of every senior– it features a recreational room, transportation services, in-house maintenance service, seasonal menus served daily, social activities, and wellness programs, ensuring that residents stay entertained and engaged throughout the day.

Contact Manning Square

Overview of White Oak Manor Lancaster

Set in a peaceful area in Lancaster, SC, White Oak Manor Lancaster is an inviting senior living community, offering long term nursing care, as well as short term rehabilitation. Featuring 132 units of comfortably designed accommodations, the community ensures every resident are provided with a living space that matches their needs. A team of registered nurses, licensed practical nurses, certified nursing assistants, physicians, and therapists work hand-in-hand in creating residents’ individualized care plans, ensuring they are provided with the care they need.

Thanks to the community’s prime location, residents also enjoy easy access to the city’s local amenities, including attractions, restaurants, shops, and parks that provide plenty of opportunities for recreation. Committed to enhancing residents’ overall quality of life, the community makes sure they are provided with services that cater to their overall needs. With its expansive services, residents of White Oak Manor Lancaster are guaranteed to enjoy a speedy recovery and comfortable living experience.

Contact White Oak Manor Lancaster

Overview of Hitchcock Square

Settled in the welcoming community of Aiken, SC, the Hitchcock Square is a trusted senior living community offering assisted living services. Here, residents can select from a wide range of accommodations including one-bedroom and studio. With its trained and engaging 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. Relive yourself with its illuminated entryways and participate in a full-packed schedule of life-enrichment activities and social events. Meet new friends and share meaningful memories within its beautiful spaces. At the Hitchcock Square, seniors can truly acquire a retirement worth remembering.

Contact Hitchcock Square

Overview of Helena Square

Located in the heart of Port Royal, SC, the Helena Square is a prominent senior living community providing assisted living services. A wide array of well-appointed and spacious accommodations with several floor plans ranging from one-bedroom to studio are available. Having a highly equipped and compassionate team, this community offers an emergency response team and round-the-clock personalized care services.

The community is committed to providing a perfect balance between personal freedom and intentional care wherein residents can enjoy delightful and healthy meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Participate in diverse social activities and community events. Explore other beautiful spaces such as the illuminated entryways. With the Helena Square, seniors are assured of a classic retirement.

Contact Helena Square

Overview of Cypress Square

Nestled in the vibrant community of Summerville, SC, the Cypress Square is a stunning senior living community providing assisted living services. A wide range of well-appointed and spacious accommodations including one-bedroom and studio are available. Having a trained and dedicated team, this community offers an emergency response team and round-the-clock personalized care services.

True to its goal of promoting a perfect balance between personal freedom and intentional care, residents can enjoy weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Experience delicious dining with delightful meals and snacks every day. Engage in diverse social activities and community events. Explore other beautiful spaces such as the illuminated entryways. Equipped with the right tools and people, seniors can never go wrong with Cypress Square.

Contact Cypress Square

Overview of Myrtle Beach Manor

Located in the peaceful community of North Myrtle Beach Manor, the Myrtle Beach Manor is a vibrant senior living community that provides assisted living, memory care, and respite care services. A variety of luxurious accommodations are available ranging from one-bedroom to studio and studio with kitchenette. With its trained and compassionate team, residents can receive personalized care based on their needs. As for its memory care services, the Signature Memory Care Neighborhood is created to give a peaceful and secured community for its residents.

With its top-tier amenities and services, residents can enjoy a full-service salon, an arts and crafts studio, a bistro, activity rooms, a main and private dining room, warm and cozy fireside seating, and many more. True to its dedication to promoting a holistic approach to care and support, seniors are guaranteed a promising retirement.

Contact Myrtle Beach Manor

Overview of Oaks at Greenwood

Embrace vibrant living with compassionate support at Oaks at Greenwood in Greenwood, SC, an excellent senior living community offering assisted living and respite care. Residents can choose from a variety of floor plans, including a studio, one-bedroom, and two-bedroom apartments they can customize with their favorite furniture and treasured mementos. Offering

24-hour personal assistance, an emergency system, and a maintenance team available anytime, the community guarantees residents a lifestyle free of maintenance worries and filled with plenty of opportunities to do new things. At Oaks at Greenwood, residents enjoy every minute with services that support their ideal senior lifestyle. From a full calendar of activities to various amenities, there’s plenty to do to stay engaged and active. Residents enjoy physical therapy on-site, pharmacy services, salon services, and an enriched and meaningful dining experience featuring carefully-prepared meals. At Oaks at Greenwood, there’s plenty of ways to enjoy every minute of your retirement experience.

Contact Oaks at Greenwood

Longwood Plantation

1687 Longwood Rd Ne, Orangeburg, SC 29118
Overview of Longwood Plantation

Longwood Plantation is an esteemed assisted living community in Orangeburg, SC, that offers 24-hour care. With its home-like setting, the community strives to keep residents’ comfortable and safe. Here, residents can freely interact with their surroundings with a variety of recreational activities and cozy communal spaces.

Wellness programs, light exercises, and social events are just some of the community’s calendar of activities, dedicated to residents’ leisure and well-being. With a dining room, sun room, and spacious living room, residents have more opportunities to interact with their peers. As one of the best options for retirement in Orangeburg, South Carolina, this senior living community is dedicated to improving residents’ living experiences.

Contact Longwood Plantation

Overview of The Legacy of Orangeburg

Based in the enticing community of Orangeburg, SC, the Legacy of Orangeburg is a peculiar senior living community offering assisted living services. Here, residents can select from a wide range of accommodations including one-bedroom, two-bedroom, studio, deluxe, and suite. With its trained and engaging 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 Orangeburg, seniors can truly acquire a classic retirement.

Contact The Legacy of Orangeburg

Overview of The Legacy of Lexington

Burrowed in the quiet place of Lexington, SC, the Legacy of Lexington is an enticing senior living community offering assisted living services. Here, residents can select from a wide array of spacious and comfortable accommodations ranging from one-bedroom to two-bedroom and suite. With its highly skilled and hardworking team, this community offers an emergency response system and 24/7 personalized care services.

With its top-tier amenities and other services, residents can enjoy delectable meals and snacks daily, weekly housekeeping and laundry services, in-house maintenance services, and free transportation to all professional services. Engage in diverse social activities and community events. Meet new companions and share meaningful memories within the beautiful spaces of this community. At the Legacy of Lexington, seniors are guaranteed a wonderful retirement.

Contact The Legacy of Lexington

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.