Other senior care options in South Carolina:

Page 13 of Best Nursing Homes in South Carolina

Why trust this guide? Our editorial team analyzed 132 nursing homes in SC using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in SC
Reviewed by
Last updated
Jul 2026
We analyzed
132 homes
Other senior care options in South Carolina:
Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in South Carolina. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.9/ 5The average Staffing Rating across all CMS-certified nursing homes in South Carolina. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.7/ 5The average Health Inspection Rating across all CMS-certified nursing homes in South Carolina. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around South Carolina

Info below is compiled from CMS reports & the SC Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Still Hopes Episcopal Retirement Community
NH
AL
IL
MC
SNF
West Columbia (Still Hopes Drive)
22
Facility 22
SC AVG 90
Rank #301 / 307
96.4%
Facility 96.4%
SC AVG 84.8
Rank #11 / 94
+14%- +65%-
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
5
Facility 5
SC AVG 13.7
Rank #14 / 119
1.3
Facility 1.3
SC AVG 3.4
Rank #3 / 119
121A+
63
Facility 63
SC AVG 32
Rank #14 / 230
Frances Case
$28.0MFiscal year ending 09/2023
Facility $28.0MFiscal year ending 09/2023
SC AVG $13.0M
Rank #2 / 121
$23.0MFiscal year ending 09/2023
Facility $23.0MFiscal year ending 09/2023
SC AVG $5.4M
Rank #3 / 121
82.2%Fiscal year ending 09/2023
Facility 82.2%Fiscal year ending 09/2023
SC AVG 44%
Rank #38 / 121
425401
The Village at Summerville
NH
AL
IL
MC
RC
SNF
Summerville (Palmetto Park)
48
Facility 48
SC AVG 90
Rank #266 / 307
83.3%
Facility 83.3%
SC AVG 84.8
Rank #73 / 94
-2%
4.14
Facility 4.14
SC AVG 4.00
Rank #41 / 118
+3%+4%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
2
Facility 2
SC AVG 13.7
Rank #2 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
-40-
45
Facility 45
SC AVG 32
Rank #58 / 230
Presbyterian Communities Of South Carolina
$23.7MFiscal year ending 12/2023
Facility $23.7MFiscal year ending 12/2023
SC AVG $13.0M
Rank #10 / 121
$11.7MFiscal year ending 12/2023
Facility $11.7MFiscal year ending 12/2023
SC AVG $5.4M
Rank #6 / 121
49.2%Fiscal year ending 12/2023
Facility 49.2%Fiscal year ending 12/2023
SC AVG 44%
Rank #75 / 121
425389
TidePointe, a Vi Community
NH
AL
IL
RC
SNF
Hilton Head Island
25
Facility 25
SC AVG 90
Rank #296 / 307
--
5.57
Facility 5.57
SC AVG 4.00
Rank #7 / 118
+120%+39%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
6
Facility 6
SC AVG 13.7
Rank #20 / 119
3.0
Facility 3.0
SC AVG 3.4
Rank #54 / 119
-26A
6
Facility 6
SC AVG 32
Rank #205 / 230
Sandra Gilliam
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
SC AVG $13.0M
Rank #91 / 121
$5.3MFiscal year ending 12/2023
Facility $5.3MFiscal year ending 12/2023
SC AVG $5.4M
Rank #65 / 121
70.5%Fiscal year ending 12/2023
Facility 70.5%Fiscal year ending 12/2023
SC AVG 44%
Rank #18 / 121
425351
Linville Court at The Cascades Verdae
NH
AL
IL
MC
SNF
Greenville (Cascades Verdae)
44
Facility 44
SC AVG 90
Rank #271 / 307
92.3%
Facility 92.3%
SC AVG 84.8
Rank #41 / 94
+9%
6.16
Facility 6.16
SC AVG 4.00
Rank #5 / 118
+3%+54%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
6
Facility 6
SC AVG 13.7
Rank #20 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
141-
8
Facility 8
SC AVG 32
Rank #196 / 230
Banyan Greenville LLC
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
SC AVG $13.0M
Rank #8 / 121
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
SC AVG $5.4M
Rank #37 / 121
94.6%Fiscal year ending 12/2023
Facility 94.6%Fiscal year ending 12/2023
SC AVG 44%
Rank #119 / 121
425392
Nhc Healthcare Charleston
NH
HC
HOS
SNF
Charleston
132
Facility 132
SC AVG 90
Rank #37 / 307
--
5.09
Facility 5.09
SC AVG 4.00
Rank #11 / 118
+37%+27%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
4
Facility 4
SC AVG 13.7
Rank #8 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
-81A+-Gregory Bartlett
$16.1MFiscal year ending 12/2023
Facility $16.1MFiscal year ending 12/2023
SC AVG $13.0M
Rank #20 / 121
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
SC AVG $5.4M
Rank #15 / 121
56.3%Fiscal year ending 12/2023
Facility 56.3%Fiscal year ending 12/2023
SC AVG 44%
Rank #69 / 121
425381
Nhc Healthcare Anderson
NH
HC
HOS
SNF
Anderson
290
Facility 290
SC AVG 90
Rank #2 / 307
96.0%
Facility 96.0%
SC AVG 84.8
Rank #17 / 94
+13%
3.53
Facility 3.53
SC AVG 4.00
Rank #81 / 118
-13%-12%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
6
Facility 6
SC AVG 13.7
Rank #20 / 119
3.0
Facility 3.0
SC AVG 3.4
Rank #54 / 119
-278--Bradley Moorhouse
$28.4MFiscal year ending 12/2023
Facility $28.4MFiscal year ending 12/2023
SC AVG $13.0M
Rank #3 / 121
$17.7MFiscal year ending 12/2023
Facility $17.7MFiscal year ending 12/2023
SC AVG $5.4M
Rank #4 / 121
62.5%Fiscal year ending 12/2023
Facility 62.5%Fiscal year ending 12/2023
SC AVG 44%
Rank #71 / 121
425052
Nhc Healthcare Clinton
NH
HC
HOS
SNF
Clinton
131
Facility 131
SC AVG 90
Rank #53 / 307
96.6%
Facility 96.6%
SC AVG 84.8
Rank #10 / 94
+14%
3.83
Facility 3.83
SC AVG 4.00
Rank #60 / 118
+20%-4%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
5
Facility 5
SC AVG 13.7
Rank #14 / 119
1.7
Facility 1.7
SC AVG 3.4
Rank #11 / 119
-127--Charles Holder
$12.8MFiscal year ending 12/2023
Facility $12.8MFiscal year ending 12/2023
SC AVG $13.0M
Rank #46 / 121
$8.3MFiscal year ending 12/2023
Facility $8.3MFiscal year ending 12/2023
SC AVG $5.4M
Rank #36 / 121
64.7%Fiscal year ending 12/2023
Facility 64.7%Fiscal year ending 12/2023
SC AVG 44%
Rank #68 / 121
425071
Rolling Green Village Assisted Living Facility
NH
AL
IL
MC
SNF
Greenville
52
Facility 52
SC AVG 90
Rank #241 / 307
--
7.49
Facility 7.49
SC AVG 4.00
Rank #2 / 118
+18%+87%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
5
Facility 5
SC AVG 13.7
Rank #14 / 119
1.7
Facility 1.7
SC AVG 3.4
Rank #11 / 119
218A+-Rolling Green Village
$24.4MFiscal year ending 12/2023
Facility $24.4MFiscal year ending 12/2023
SC AVG $13.0M
Rank #14 / 121
$10.9MFiscal year ending 12/2023
Facility $10.9MFiscal year ending 12/2023
SC AVG $5.4M
Rank #9 / 121
44.7%Fiscal year ending 12/2023
Facility 44.7%Fiscal year ending 12/2023
SC AVG 44%
Rank #62 / 121
425160
Rock Hill Post Acute Care Center
NH
SNF
Rock Hill
99
Facility 99
SC AVG 90
Rank #118 / 307
87.7%
Facility 87.7%
SC AVG 84.8
Rank #63 / 94
+3%
3.83
Facility 3.83
SC AVG 4.00
Rank #60 / 118
-41%-4%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
7
Facility 7
SC AVG 13.7
Rank #29 / 119
2.3
Facility 2.3
SC AVG 3.4
Rank #29 / 119
-87--Steven Powell
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
SC AVG $13.0M
Rank #78 / 121
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
SC AVG $5.4M
Rank #73 / 121
58.1%Fiscal year ending 12/2023
Facility 58.1%Fiscal year ending 12/2023
SC AVG 44%
Rank #40 / 121
425159
Kempton of Charleston
NH
AL
MC
SNF
Charleston
89
Facility 89
SC AVG 90
Rank #142 / 307
--
4.44
Facility 4.44
SC AVG 4.00
Rank #31 / 118
+8%+11%
$6.0k
Facility $6.0k
SC AVG $34.8k
Rank #61 / 120
4
Facility 4
SC AVG 13.7
Rank #8 / 119
2.0
Facility 2.0
SC AVG 3.4
Rank #14 / 119
-20--Spring Street Senior Housing Opco LLC---425418
Nhc Healthcare Parklane
NH
HC
HOS
SNF
Columbia
180
Facility 180
SC AVG 90
Rank #7 / 307
--
5.05
Facility 5.05
SC AVG 4.00
Rank #14 / 118
-24%+26%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
17
Facility 17
SC AVG 13.7
Rank #88 / 119
5.7
Facility 5.7
SC AVG 3.4
Rank #110 / 119
-104--William Birmingham
$21.1MFiscal year ending 12/2023
Facility $21.1MFiscal year ending 12/2023
SC AVG $13.0M
Rank #12 / 121
$11.4MFiscal year ending 12/2023
Facility $11.4MFiscal year ending 12/2023
SC AVG $5.4M
Rank #12 / 121
54%Fiscal year ending 12/2023
Facility 54%Fiscal year ending 12/2023
SC AVG 44%
Rank #88 / 121
425352
Wildewood Downs Retirement Community
NH
AL
IL
MC
SNF
Columbia (Williamsburg East)
57
Facility 57
SC AVG 90
Rank #228 / 307
28.1%
Facility 28.1%
SC AVG 84.8
Rank #92 / 94
-67%
5.41
Facility 5.41
SC AVG 4.00
Rank #9 / 118
+300%+35%
$3.7k
Facility $3.7k
SC AVG $34.8k
Rank #54 / 120
13
Facility 13
SC AVG 13.7
Rank #70 / 119
4.3
Facility 4.3
SC AVG 3.4
Rank #90 / 119
-16-
33
Facility 33
SC AVG 32
Rank #117 / 230
Diana Chavis
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
SC AVG $13.0M
Rank #39 / 121
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
SC AVG $5.4M
Rank #60 / 121
92.9%Fiscal year ending 12/2023
Facility 92.9%Fiscal year ending 12/2023
SC AVG 44%
Rank #97 / 121
425385
Preston Health Center
NH
MC
SNF
Hilton Head Island
77
Facility 77
SC AVG 90
Rank #177 / 307
--
7.43
Facility 7.43
SC AVG 4.00
Rank #3 / 118
+33%+86%
$8.0k
Facility $8.0k
SC AVG $34.8k
Rank #68 / 120
5
Facility 5
SC AVG 13.7
Rank #14 / 119
2.5
Facility 2.5
SC AVG 3.4
Rank #34 / 119
141--The Cypress Club Inc
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
SC AVG $13.0M
Rank #7 / 121
$13.3MFiscal year ending 12/2023
Facility $13.3MFiscal year ending 12/2023
SC AVG $5.4M
Rank #5 / 121
193.8%Fiscal year ending 12/2023
Facility 193.8%Fiscal year ending 12/2023
SC AVG 44%
Rank #79 / 121
425325
Lakes at Litchfield Assisted Living
NH
AL
IL
MC
SNF
Pawleys Island
79
Facility 79
SC AVG 90
Rank #172 / 307
--
4.83
Facility 4.83
SC AVG 4.00
Rank #20 / 118
-57%+21%
$5.2k
Facility $5.2k
SC AVG $34.8k
Rank #59 / 120
9
Facility 9
SC AVG 13.7
Rank #44 / 119
2.3
Facility 2.3
SC AVG 3.4
Rank #29 / 119
-14A+-Litchfield Retirement LLC
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
SC AVG $13.0M
Rank #34 / 121
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
SC AVG $5.4M
Rank #75 / 121
141.7%Fiscal year ending 12/2023
Facility 141.7%Fiscal year ending 12/2023
SC AVG 44%
Rank #110 / 121
425380
Veterans Victory House
NH
SNF
Walterboro
220
Facility 220
SC AVG 90
Rank #3 / 307
84.0%
Facility 84.0%
SC AVG 84.8
Rank #71 / 94
-1%
4.28
Facility 4.28
SC AVG 4.00
Rank #34 / 118
+23%+7%
$0
Facility $0
SC AVG $34.8k
Rank #1 / 120
10
Facility 10
SC AVG 13.7
Rank #49 / 119
3.3
Facility 3.3
SC AVG 3.4
Rank #64 / 119
1185--South Carolina Department Of Veterans Affairs
$21.7MFiscal year ending 06/2024
Facility $21.7MFiscal year ending 06/2024
SC AVG $13.0M
Rank #15 / 121
$9.8MFiscal year ending 06/2024
Facility $9.8MFiscal year ending 06/2024
SC AVG $5.4M
Rank #19 / 121
44.8%Fiscal year ending 06/2024
Facility 44.8%Fiscal year ending 06/2024
SC AVG 44%
Rank #99 / 121
425386
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Nursing Home Explorer
Overview of Ashley River Healthcare

Ashley River Healthcare is a nursing home in Charleston, South Carolina, that provides 24-hour skilled nursing care, short-term rehabilitation, and long-term support services. Operated by Orange Grove Healthcare Inc., the community is also affiliated with the Ensign Services network. Participating in both Medicare and Medicaid programs, the community has confirmed physician oversight and 24-hour staffing support.

Available services include in-house rehabilitation therapy, skilled nursing support, and a “Stay Active” wellness program intended to encourage engagement and mobility among residents. Acceptance of both Medicare and Medicaid also widens accessibility for those with varying financial and coverage needs. Its connection to the Ensign Services network also provides operational support through standardized clinical practices, compliance resources, and staff development programs.

In comparison with the Charleston skilled nursing market, two nearby nursing communities report strong CMS performance metrics. Bishop Gadsden Episcopal Retirement Community holds a 5-star overall CMS rating and staffing levels reported above the South Carolina average, while Kempton of Charleston also maintains a 5-star CMS rating. These communities serve as useful benchmarks for families comparing local skilled nursing and rehabilitation options.

Offering skilled nursing services, post-acute rehabilitation, or long-term care support under Medicare or Medicaid coverage, Ashley River Healthcare is a suitable option for older adults in the Charleston area.

Contact Ashley River Healthcare

Overview of Seven Oaks Rehabilitation and Healthcare Center

Seven Oaks Rehabilitation and Healthcare Center is a 108-bed nursing home in Columbia, South Carolina, providing a broad range of post-acute, rehabilitative, and long-term care. Operated by St Andrews Operator LLC and administered by Susan Strauss, the community is CMS certified. Care programs include sub-acute care, memory care, rehabilitation therapy, hospice and palliative services, pulmonary care, IV therapy, cardiac care, orthopedic rehabilitation, stroke and neurological recovery, respite care, and 24-hour nursing support.

The range of clinical services is one of the community’s strongest distinguishing characteristics. The combination of pulmonary care, cardiac support, neurological recovery, IV therapy, orthopedic rehabilitation, and sub-acute care allows the community to manage medically complex recovery cases after hospitalization or surgery. Through hospice and palliative care services, residents can stay even during advanced illness or end-of-life transitions, potentially reducing the need for disruptive transfers. Memory care, rehabilitation therapy, and respite care programs are also available.

Located in Columbia, the community serves residents throughout the state capital region, including surrounding portions of Richland and Lexington counties. Its location within a larger metropolitan healthcare network also provides convenient access to hospitals, specialists, and additional medical resources when needed.

Seven Oaks Rehabilitation and Healthcare Center is a great option for older adults in the Columbia area who require advanced post-acute rehabilitation, skilled nursing support, memory care, or long-term medical management, particularly those recovering from various medical conditions and in need of end-of-life care.

Contact Seven Oaks Rehabilitation and Healthcare Center

Overview of Bishop Gadsden-Gadsden Glen Center for Health and Rehab

Bishop Gadsden – Gadsden Glen Center for Health and Rehab is a nursing home in Charleston, South Carolina, that provides memory care, short-term rehabilitation, skilled nursing services, and respite care. Administered by Jonna Cook, the community is operated by Bishop Gadsden Episcopal Retirement Community as a part of the larger retirement campus. With 24-hour staffing, the community serves as the primary health and rehabilitation component within one of Charleston’s most established nonprofit retirement campuses.

Generally, the community holds a 5-star overall CMS rating, the highest designation awarded by CMS. Health inspection performance exceeds South Carolina averages by a significant margin, while staffing levels also outperform state benchmarks. Total nursing coverage across the campus averages approximately 5.57 hours per resident per day.

Inspection history across the broader campus reflects comparatively favorable regulatory performance, with citation counts remaining below South Carolina averages on a per-inspection basis. While the Gadsden Glen Center operates as part of the larger Bishop Gadsden campus, a separate CMS star rating for the specific licensed nursing component was not independently listed in the available source material.

Amenities and services include shared spaces, a wellness center, and fitness programs. Religious services are also available, which aligns with the Episcopal mission and heritage of the broader retirement community. BG Therapy, the community’s in-house rehabilitation program, also supports short-term rehabilitation and recovery services alongside ongoing skilled nursing and respite care.

Located on James Island near Charleston’s medical corridor, the community offers access to healthcare providers, hospitals, and specialist services while maintaining a quieter Lowcountry residential setting.

Known for strong staffing levels, extensive amenities, faith-based values, and a comprehensive continuum of care, Bishop Gadsden – Gadsden Glen Center for Health and Rehab is an excellent option for older adults and families in the Charleston area seeking skilled nursing care, memory support, or post-acute rehabilitation within a well-established nonprofit retirement campus.

Contact Bishop Gadsden-Gadsden Glen Center for Health and Rehab

Overview of Presbyterian Communities of South Carolina-Columbia

Presbyterian Communities of South Carolina-Columbia is a skilled nursing home in Lexington. Presbyterian Communities of South Carolina operates it, and Meredith Hughes administers it. The facility is for patients who need nursing care and rehabilitation after a hospital stay or illness.

The 91-bed community provides rehabilitation services, respite care, and short-term rehab programs. Staffing support is available around the clock to accommodate residents’ daily medical and personal care needs. These offerings make it well-suited for seniors recovering from surgery, a serious illness, or a major health event. Families seeking temporary respite care will also benefit while a loved one heals.

Families considering Presbyterian Communities of South Carolina-Columbia should visit the facility to understand the care routines. They can also ask about specific programs or services they are looking for.

Contact Presbyterian Communities of South Carolina-Columbia

The Woodlands at Furman

1500 Trailhead Ct, Greenville, SC 29617
Overview of The Woodlands at Furman

The Woodlands at Furman is located on Trailhead Court in Greenville, South Carolina, about 7.4 miles from the downtown area. It’s structured as a “life plan community,” which means it houses nursing care, assisted living, independent living, and memory care all under one roof. From a planning perspective, I find that kind of setup quite efficient; it’s designed to help you avoid the logistical and emotional stress of moving to a new campus if your care needs happen to evolve later on.

The community is in a mid-rise building, and they offer one-, two-, and three-bedroom floor plans. That’s a wider range of layouts than you usually find in standard skilled nursing facilities, which suggests they’re oriented toward long-term residency rather than just short-term rehab, though they do have rehabilitation services on-site if you need them.

The daily staffing numbers break down to 1 hour and 26 minutes of RN care, 53 minutes of LPN/LVN support, and 3 hours and 14 minutes from nurse aides per resident. The neighborhood itself is very car-dependent, with a Walk Score of 10. You won’t find much within easy walking distance, so visiting family or running errands will definitely require a car.

A major logistical point to factor into your financial planning: The Woodlands at Furman is not a CMS-certified provider for Medicare or Medicaid. They are private-pay only. If you were counting on those government programs to cover costs, you’ll need to look at other options or verify their status directly before making any commitments.

Ultimately, this is a campus designed for someone who wants to plant roots in one place through multiple stages of life, from active living to more intensive support, without having to relocate.

Contact The Woodlands at Furman

Overview of Summit Hills Assisted Living Community

Summit Hills Assisted Living Community is a Community Residential Care Facility (CRCF) in Spartanburg, South Carolina, offering assisted living, memory care, skilled nursing, and short-term rehabilitation services. Licensed with 79 beds, the community is administered by Jana Marie Crowe and owned by Summit Hills LLC. It is also affiliated with the Maxwell Group, the regional organization that also operates Brightwater Assisted Living in Myrtle Beach.

The community is also a six-time National Award winner, reflecting a level of recognition not commonly found among assisted living providers in the Spartanburg market. Medicare is also accepted.

Clinical and support services are among the most comprehensive available in the local assisted living market, which include rehabilitation services, respite care, nursing support, physician services with a doctor on staff, and 24-hour staffing coverage. A 24-hour emergency call system is also available on-site. Wellness programming, housekeeping services, concierge support, medication management, personal transportation, pet-friendly accommodations, and organized social events are also offered, along with made-to-order meals.

Among similar assisted living communities in the Spartanburg area, the community’s Medicare acceptance and on-site physician access is a notable distinction. Located in Spartanburg, the community also provides convenient access to Spartanburg Medical Center and the broader Upstate healthcare network.

Summit Hills Assisted Living Community is best for older adults seeking a community that combines extensive clinical support with a more upscale residential experience, particularly older adults requiring rehabilitation, memory care, or higher-acuity assisted living services. Its physician presence, Medicare participation, and robust amenity offerings also appeal to families prioritizing both care depth and quality-of-life features.

Contact Summit Hills Assisted Living Community

Overview of Wesley Commons Assisted Living Facility & Special Care House

Featuring a 150-acre wooded campus, Wesley Commons Assisted Living Facility & Special Care House is part of a Life Plan Community in Greenwood, South Carolina, that offers independent living, assisted living, memory support, rehabilitation, and respite care. Licensed as a Community Residential Care Facility (CRCF), this 70-bed community is administered by Doris E. Davis and operated by Wesley Commons, a nonprofit organization centered on resident dignity, independence, and long-term support.

With the Special Care House, the community’s dedicated memory care component provides a more intentional and specialized approach to cognitive support rather than a shared or integrated care arrangement. Rehabilitation support, respite care, and independent living cottages are also provided, along with licensed care and support services across multiple levels of the campus.

Additionally, its 150-acre wooded setting provides access to natural surroundings, outdoor recreation, and a quieter residential atmosphere, which is uncommon among senior living communities of similar scale. Its Greenwood location also offers convenient access to regional healthcare resources, including Self Regional Healthcare and other local medical providers.

Offering specialized memory support programming, rehabilitation services, and long-term care continuity, Wesley Commons Assisted Living Facility & Special Care House appeals to older adults and families seeking a campus-based continuing care environment with a strong nonprofit mission, extensive outdoor space, and access to multiple levels of support within one setting.

Contact Wesley Commons Assisted Living Facility & Special Care House

Overview of Covenant Place

Featuring a moderately-sized residential setting, Covenant Place is a Community Residential Care Facility (CRCF) in Sumter, South Carolina, that offers assisted living, independent living, respite care, and rehabilitation services. Owned by Sumter Opco LLC and administered by Prinscillia Sumter, the community is licensed with 70 beds.

Licensed nurses and CNAs on staff, 24-hour staffing, rehabilitation services, and respite care are offered, covering a broader service range than many CRCF communities of similar size. Private or semi-private accommodations are also available, along with social activities. The combination of independent living, assisted living, and respite care makes this community one of the more flexible care-model options in the Sumter market.

With a wide range of care options provided in a residential, community-focused setting, Covenant Place is best suited for older adults in Sumter County seeking assisted living or independent living with licensed nursing support and rehabilitation access.

Contact Covenant Place

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

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in South Carolina

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 nursing home care?

Yes — South Carolina Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 132 nursing homes in South Carolina. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home 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 nursing homes 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.