Page 32 of Best Senior Communities in South Carolina

Why trust this guide? Our editorial team analyzed 359 senior communities in SC using SC Dept. of Public Health (DPH) data, inspection records, complaints, amenities, and facility-level details. How we rank senior communities in SC
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We analyzed These are the facilities in South Carolina our team has analyzed — not a count of every senior community provider in South Carolina.
359 homes
Other senior care options in South Carolina:
Avg Walk Score: 34/ 100The average Walk Score across facilities in South Carolina. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 90The average licensed bed capacity across facilities in South Carolina. Individual facilities can vary widely from this average.
National Average: 90
Overview of Florence Place Assisted Living & Memory Care

Offering assisted living, memory care, and nursing services, Florence Place Assisted Living & Memory Care is a Community Residential Care Facility (CRCF) in Florence, South Carolina. With a 90-bed capacity, the community is administered by Lorie Hedegor under the ownership of Florence Place Assisted Living & Memory Care LLC. 24-hour staffing and structured social programming are also provided.

Nursing services are confirmed with 24-hour staffing, indicating a clinical staffing baseline above standard CRCF minimums. Three restaurant-style meals are served daily, either in the dining hall or in-room, which benefits memory care residents with varying mobility or appetite patterns.
The community also features secured building access, a fully sprinklered fire safety system, and an emergency system.

With memory care as a confirmed care type alongside assisted living, this location serves a dual-need population across a combined 90-bed campus, making it one of the larger CRCF communities in the Florence area.

As a larger community with on-site nursing services and active daily programming, Florence Place Assisted Living & Memory Care is an ideal option for older adults and families who need assisted living or structured memory care in Florence and the Pee Dee region.

Contact Florence Place Assisted Living & Memory Care

Overview of Highpoint at Fort Mill

Highpoint at Fort Mill is a resort-style Community Residential Care Facility (CRCF) in Fort Mill, South Carolina, offering independent living, assisted living, and memory care. This 78-bed community is administered by Leslie Walker and owned by HC Fort Mill Management SC LLC in York County. It also accepts Medicare and is pet-friendly.

This community carries one of the most expansive amenity profiles of any CRCF-licensed community in South Carolina, with amenities including chef-prepared cuisine with local, seasonal selections and flexible dining options, a fitness center, a salon and spa, a resort-style swimming pool, a dog park, and a full range of cultural, social, recreational, and educational activities. Along with 24-hour coverage, a doctor on staff and nursing services are available, providing meaningful clinical oversight for a CRCF-licensed community. Medicare acceptance is also an uncommon feature among assisted living communities.

10 named floor plan options are available, including studios, one-bedroom courtyard, one-bedroom deluxe, one-bedroom deluxe with flex space, two-bedroom two-bath, and two-bedroom two-bath cottage. Memory care-specific private studio and one-bedroom accommodations are also provided, giving families a broad range of layout choices across care levels.

Fort Mill is one of the fastest-growing communities in South Carolina, with strong proximity to the Charlotte metro area. The resort-style orientation and wide range of amenities appeal to the active, lifestyle-driven demographic of older adults that characterizes this market.

Offering independent living, assisted living, and memory care under one roof, Highpoint at Fort Mill is best-suited for active older adults in Fort Mill and York County, as well as relocating older adults from the Charlotte metro, who want a full-amenity, lifestyle-forward living community with pet-friendly policies and access to physician services.

Contact Highpoint at Fort Mill

TerraBella James Island

1501 Secessionville Rd, Charleston, SC 29412
Overview of TerraBella James Island

Discover the pinnacle of senior living at TerraBella James Island, a leading senior living community in Charleston, SC, offering assisted living and respite care. The community features studios and one-bedroom apartments designed to provide privacy and comfort with accessibility to numerous amenities, activities, and dining options. Residents revel in a variety of engaging social events and activities, complemented by the attentive support of a dedicated team trained to provide excellent assistance and personal care.

With their notable Fast Track program, new residents can move in within as little as 24 hours when necessary. Offering comprehensive recovery support under the expert care of a well-trained team, residents are guaranteed to receive the utmost care even as their needs change. Honoring veterans, the community offers a special veteran program that helps new residents who are past servicemen and women to save a lot from huge discounts.

Contact TerraBella James Island

Overview of Brightwater Assisted Living

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

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

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

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

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

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

Contact Brightwater Assisted Living

Overview of Angel Oak Nursing and Rehabilitation Center

Operated by Angel Oak Nursing and Rehabilitation Center LLC and administered by Sheila Dugosh, Angel Oak Nursing and Rehabilitation Center is a skilled nursing home in Myrtle Beach, South Carolina, near the Socastee area. Families can use Medicare, Medicaid, or private pay to cover care costs. The 88-bed home operates at 88% occupancy, reflecting steady demand for its services.

Residents stay an average of 73 days because of the facility’s focus on post-acute rehabilitation and recovery. The shorter average stay suggests many residents return home or move to a lower level of care once their condition improves. The facility specializes in dementia and Alzheimer’s care alongside post-acute rehabilitation services. With this combination, residents can be supported as they recover from surgery or a hospital stay, who also have memory care needs or early cognitive changes.

Nurse staffing averages 3 hours and 26 minutes of nursing care each day. Registered nurses provide 22 minutes of daily care, nurse aides contribute 1 hour and 54 minutes, and licensed practical or vocational nurses provide another 22 minutes. The facility has 24-hour staffing and also offers respite care and rehabilitation services. The staffing structure supports residents as they work to regain strength, mobility, and daily function.

The facility is located near the Socastee area, so Myrtle Beach hospitals and medical services are accessible. Families evaluating Angel Oak Nursing and Rehabilitation Center should take a tour of the facility and learn more about its memory care and rehabilitation programs.

Contact Angel Oak Nursing and Rehabilitation Center

Overview of Sprenger Healthcare at Port Royal Assisted Living

Sprenger Healthcare at Port Royal Assisted Living is a 59-bed skilled nursing and assisted living community that’s part of a continuing care retirement campus in Port Royal, Beaufort County, South Carolina. Services feature skilled nursing, short-term rehabilitation, respite care, and memory care. Administered by Teresa Griffing and owned by Sprenger Healthcare of Port Royal Inc., the facility accepts Medicare and private pay and serves primarily short-stay residents. Average stay is 31 days, and 64 percent of admissions are on private pay.

CMS rates Sprenger Healthcare at Port Royal Assisted Living 5 stars, 70.6 percent above South Carolina’s average, with above-average scores across all four sub-categories. The health inspection record is exceptional: 2 total citations across 2 inspections since 2021, ranking the facility 2nd of 113 South Carolina nursing homes by total citations and 1st in the state by citations per inspection. Zero critical or serious citations recorded, with both citations moderate and promptly corrected, and no penalties in the past three years. The health inspection sub-rating is 81.8 percent above South Carolina’s average. Long-stay functional outcomes are consistently strong. Only 3.1 percent of long-stay residents experienced increased need for daily activity assistance, 76 percent better than South Carolina’s 13.1 percent average, and 3.7 percent saw walking ability worsen, 77 percent better than the state figure. Antipsychotic use at 1.8 percent is 88 percent below South Carolina’s 14.5 percent average, and zero long-stay residents were recorded with depressive symptoms against a 2.8 percent state average. Falls with major injury at 10.6 percent among long-stay residents are 255 percent above the 3.0 percent state average, the single most significant quality concern that should be addressed with clinical leadership.

Confirmed amenities include a nurse practitioner and home health services on-site, a therapy gym, a bar with daily happy hour, and a chapel.
Sprenger Healthcare at Port Royal Assisted Living is best for Beaufort County families seeking a 5-star rated community with an outstanding clean inspection record and functional outcome measures for longer-stay residents. Families should ask about fall prevention protocols before continuing.

Contact Sprenger Healthcare at Port Royal Assisted Living

Overview of Sprenger Healthcare of Bluffton Assisted Living

Licensed as a 58-bed Community Residential Care Facility (CRCF), Sprenger Healthcare of Bluffton Assisted Living in Okatie, South Carolina, serves older adults throughout the Bluffton and Hilton Head Island region with assisted living, memory care, and rehabilitation. Administered by Teresa Griffing, the community is owned by Sprenger Healthcare of Bluffton Inc., as part of the larger Sprenger Healthcare network, which provides access to the resources and operational experience of a regional healthcare provider.

Operating under the Centers for Medicare & Medicaid Services (CMS), the community’s quality measures place it in the highest performance tier of Significantly Above Average for long-term residents. Meanwhile, hospitalization rates measured 0.39 per 1,000 resident days, substantially lower than the South Carolina average of 2.03. Short-stay residents also received an Above Average overall rating, including a fall-with-major-injury rate of 0.0% and a successful return-to-home rate of 62.5%, both outperforming state benchmarks.

Clinical staffing indicators show registered nurse coverage above state averages, with RN care time averaging 43 minutes per resident per day and weekend RN coverage averaging 30 minutes daily. These staffing levels may provide families with additional reassurance regarding continuity of care beyond standard weekday hours. Nurse aide and licensed practical nurse staffing levels were slightly below state averages, which may be relevant for families comparing day-to-day personal assistance coverage. Physical therapy time averaged three minutes per resident per day, below statewide benchmarks, while emergency department visit rates for both long-stay and short-stay residents exceeded state averages.

Rehabilitation programs, respite care, home health support, on-site nurse practitioner services, and both on-site and outpatient therapy options are offered, along with a care team consisting of licensed nurses and certified nursing assistants. This blend of rehabilitation resources, nursing support, and wellness-focused amenities positions the community as both a post-acute recovery option and a longer-term assisted living setting. Additionally, the culinary program highlights chef-designed menus with contemporary and locally inspired cuisine served in formal dining settings.

With strong long-stay quality outcomes, elevated RN staffing levels, and location within the growing Bluffton and Hilton Head coastal corridor, Sprenger Healthcare of Bluffton Assisted Living is best for older adults who require a higher level of clinical oversight, especially those transitioning from hospitalization or skilled nursing care who may benefit from structured rehabilitation and ongoing medical support in South Carolina’s Lowcountry region.

Contact Sprenger Healthcare of Bluffton Assisted Living

Overview of Clemson Downs Assisted Living

Located in Clemson, South Carolina, Clemson Downs Assisted Living is a continuing care retirement community that offers independent living, assisted living, skilled nursing care, and memory care. This 56-bed community is licensed as a Community Residential Care Facility (CRCF), with ownership of CARC Inc. and administration of James A. Hill. With a continuing care retirement community model, the community allows residents to transition between different levels of care without leaving the campus, providing added continuity and long-term planning stability that differs from many standalone assisted living communities in Pickens County.

Licensed nurses and certified nursing assistants are provided, with additional access to onsite rehabilitation services and a dedicated memory support program for residents living with cognitive conditions. A full-course restaurant-style meal service, as well as a hot buffet, salad bar, full-service grill, and a casual dining venue known as The Bistro make up the community’s dining services, which differentiates it from similar communities.

Additional services and programming include concierge in-home care support and organized activities and outings. Its location near Clemson University also offers residents proximity to cultural programs, sporting events, educational opportunities, and other activities associated with a college-town setting.

Offering a continuum of care, Clemson Downs Assisted Living is great for older adults in the Clemson, Seneca, and Anderson areas who value the long-term stability of a continuing care campus and want access to multiple levels of support within one community, particularly those seeking both healthcare continuity and an active lifestyle in the Upstate region.

Contact Clemson Downs Assisted Living

Overview of Trinity on Laurens

Trinity on Laurens is a Community Residential Care Community (CRCF) in Aiken, South Carolina, offering independent living, assisted living, and short-term respite care. Operated by Lutheran Homes of South Carolina Inc. and administered by Heather E. Dorries, the community has 55 licensed beds, making it a moderately sized assisted living community within the state.

As part of a nonprofit, faith-based continuing care retirement network, the community provides multiple levels of support designed to accommodate changing care needs over time. Independent living, assisted living, and short-term respite stays are all available, giving families flexibility when planning for long-term living arrangements or temporary recovery support. Compared with other CRCFs in South Carolina, the community maintains a smaller and more intimate residential environment that appeals to residents seeking a quieter and more personalized setting.

Care and lifestyle services include structured respite care and individualized dining support tailored to resident preferences. Meanwhile, staff members are also trained to recognize personal tastes and dietary needs, helping create a more comfortable and resident-focused dining experience that goes beyond standard care services.

Offering both independent and assisted living options, the community can accommodate individuals or couples with varying levels of care needs who wish to remain under one roof even as their needs change. Its location in Aiken also provides convenient proximity to medical services, retail centers, restaurants, and parks for residents who enjoy staying connected to the surrounding area.

Trinity on Laurens is ideal for older adults and families seeking nonprofit ownership, experienced leadership, and a continuum of care within a welcoming downtown community setting in Aiken.

Contact Trinity on Laurens

Overview of Magnolias of Eutawville

Magnolias of Eutawville, located along the Lake Marion corridor in Orangeburg County, South Carolina, is a 53-bed assisted living community. Legally operated by Magnolias of Eutawville LLC and directed by administrator Scott Lockwood, the facility brings more than 40 years of local operating experience to the region. The residential scale provides a smaller community setting focused on personal attention for its residents.

The daily program coordinates a dedicated Wellness Program alongside structured, health-centered activities and personalized social events for individual needs. This localized care model primarily serves older adults and families from Eutawville, Holly Hill, and the surrounding Orangeburg and Calhoun County areas. The long-standing infrastructure offers a stable residential alternative in a rural geographic market where senior housing choices are otherwise limited.

Prospective residents seeking regional care options can reach the Eutawville administrative office to check on current bed openings.

Contact Magnolias of Eutawville

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Senior Communities in South Carolina

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 359 senior communities in South Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community 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 senior communities 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.