Columbia has 33 state-licensed assisted living communities: 16 larger communities and 17 small residential homes (16 or fewer residents). The median cost of assisted living in South Carolina is $5,350 a month (CareScout 2025), against $6,200 nationally.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
Both are licensed by South Carolina as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. South Carolina words these licenses as “Community Residential Care Facility” (25), “Community Residential Care Facility (Alzheimer's unit)” (8).
Every assisted living community South Carolina licenses in Columbia, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
33 shown
| Community | Size | Price |
|---|---|---|
| Vitality Living Columbiamemory care1951 Clemson Rd | Large118 residents | Get pricing |
| Harmony Collection at Columbia (al/mc)memory care2300 Clemson Rd | Large110 residents | Get pricing |
| Palmettos of Parklanememory care7811 Parklane Rd | Large85 residents | Get pricing |
| Fairforest Grove Senior Living120 Fairforest Rd | Large66 residents | Get pricing |
| Forest Lake Manor4405 Forest Dr | Large60 residents | Get pricing |
| Mill Creek Manormemory care651 Polo Rd | Large59 residents | Get pricing |
| Wildewood Downs Assisted Living Communitymemory care731 Polo Rd | Large57 residents | Get pricing |
| Brookdale Harbisonmemory care51 Woodcross Dr | Large52 residents | Get pricing |
| Merrill Gardens at Columbiamemory care2205 Gregg St | Large52 residents | Get pricing |
| Springtree Manor251 Springtree Dr | Large52 residents | Get pricing |
| Art of Living Crcf534 Wil Stel Rd | Mid-size40 residents | Get pricing |
| Rice Estate - Assisted Living100 Finley Rd | Mid-size40 residents | Get pricing |
| Westside Residential Home4112 Hartford St | Mid-size38 residents | Get pricing |
| Walters Residential Care821 Duke Ave | Mid-size35 residents | Get pricing |
| Harmony Collection at Columbia (il)memory care2232 Clemson Rd | Mid-size25 residents | Get pricing |
| Eugenia's Residential Care Facility2232 Heyward Brockington Rd | Mid-size23 residents | Get pricing |
| Joy Community Care Home6800 Doby Dr | Small home10 residents | Get pricing |
| Rockhaven Community Care Home524 Rockhaven Dr | Small home10 residents | Get pricing |
| Rouse Community Care Home #39316 Wilson Blvd | Small home10 residents | Get pricing |
| Addison's Community Care Home4013 Percival Rd | Small home9 residents | Get pricing |
| Flanagan Community Care Home665 Sharpe Rd | Small home9 residents | Get pricing |
| Joanne's Community Care Home II756 Farrowood Dr | Small home9 residents | Get pricing |
| Rouse Community Care Home #28809 Wilson Blvd | Small home9 residents | Get pricing |
| Williams Community Care Home7705 Richard St | Small home9 residents | Get pricing |
| Ida Lane I Crcf120 Ida Ln | Small home8 residents | Get pricing |
| Ida Lane II Crcf124 Ida Ln | Small home8 residents | Get pricing |
| Kensington I100 Kensington Rd | Small home8 residents | Get pricing |
| Kensington II Group Home120 Kensington Rd | Small home8 residents | Get pricing |
| Rouse Community Care Home #1102 Ballenton Rd | Small home8 residents | Get pricing |
| Beckman I Crcf611 Beckman Rd | Small home6 residents | Get pricing |
| Beckman II Crcf581 Beckman Rd | Small home6 residents | Get pricing |
| Builders Care Home731 Sims Ave | Small home6 residents | Get pricing |
| Mary's Residential #2633 Sharpe Rd | Small home5 residents | Get pricing |
The median cost of assisted living in South Carolina is $5,350 a month ($64,200 a year), below the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
South Carolina publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: dph.sc.gov. Ask the community for its most recent inspection report too; they have to keep it.
South Carolina licenses 33 assisted living communities in Columbia as of September 2026: 16 larger communities and 17 small residential homes of 16 or fewer residents, with about 1,050 licensed spots in all.
The median cost of assisted living in South Carolina is $5,350 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet, or ask a Lilisity advisor for current prices.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. South Carolina's Medicaid agency or your local Area Agency on Aging can tell you what's available.
South Carolina publishes its licensing records at dph.sc.gov. You can also ask any community for its most recent state inspection report.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
