Best Senior Living in Charleston, South Carolina
21 communities found
Charleston lists 30 senior living options, 22 residential communities and 8 agencies, with an average rating of 4.2 across 27 rated communities and 1,541 reviews read. Medicare star ratings are available for 8 communities, averaging 3.9, with three earning five stars and none rated only one star.
- 29options listed
- 4.2average rating, 27 rated
- 1,474family reviews read
- 1small homes, 10 or fewer
Bishop Gadsden Episcopal Retirement Community
Charleston, South Carolina
4.8(80)
Skilled Nursing / Long Term Care
Kempton Of Charleston
Charleston, South Carolina
4.7(59)
Assisted LivingMemory CareSkilled Nursing / Long Term Care
From $4,500/moRevela at Daniel Island
Charleston, South Carolina
4.7(35)
Assisted Living
Ashley River Healthcare
Charleston, South Carolina
4.6(151)
Skilled Nursing / Long Term Care
Ashley Gardens Assisted Living & Memory Care
Charleston, South Carolina
4.7(26)
Independent Living
Ashley Park by Barclay House
Charleston, South Carolina
4.6(71)
Independent Living
The Palmettos of Charleston
Charleston, South Carolina
4.8(14)
Assisted LivingMemory Care
Indigo Hall Assisted Living and Memory Care
Charleston, South Carolina
4.6(51)
Assisted LivingIndependent LivingMemory Care+1 more
Wellmore of Daniel Island
Charleston, South Carolina
4.5(127)
Assisted LivingMemory CareSkilled Nursing / Long Term Care
Lenevar Community Residence
Charleston, South Carolina
4.6(12)
Assisted Living
TerraBella James Island
Charleston, South Carolina
4.5(8)
Assisted LivingMemory Care
The Peninsula of Charleston Sales Gallery
Charleston, South Carolina
Assisted LivingIndependent LivingMemory Care+1 more
Best-rated senior living in Charleston
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
Bishop Gadsden Episcopal Retirement Community
4.8 (80 reviews)· Skilled Nursing / Long Term Care· 41 units
Bishop Gadsden Episcopal Health Care Center is a small, Episcopal-affiliated skilled nursing and long-term care community with a 4.7 rating from 79 Google reviews.
- 2
4.7 (59 reviews)· Assisted Living, Memory Care, Skilled Nursing / Long Term Care· 23 units
- 3
4.7 (35 reviews)· Assisted Living
Revela at Daniel Island offers assisted living and independent living, holding a 4.7 rating from 32 Google reviews.
- 4
4.6 (151 reviews)· Skilled Nursing / Long Term Care· 125 units
Ashley River Healthcare focuses on short-term rehabilitation and long-term skilled nursing, with a 4.6 Google rating and a 4-star Medicare.gov rating.
- 5
Ashley Gardens Assisted Living & Memory Care
4.7 (26 reviews)· Independent Living
Ashley Gardens Assisted Living & Memory Care holds a 4.6 rating from 24 Google reviewers, though no detailed comments were provided.
- 6
4.6 (71 reviews)· Independent Living
Ashley Park by Barclay House is an independent living community rated 4.6 out of 5 based on 71 Google reviews.
- 7
4.8 (14 reviews)· Assisted Living, Memory Care
The Palmettos of Charleston offers personalized care plans, recently remodeled interiors, and a dedicated memory care area, run by National HealthCare Corporation.
- 8
Indigo Hall Assisted Living and Memory Care
4.6 (51 reviews)· Assisted Living, Independent Living, Memory Care, Skilled Nursing / Long Term Care
Indigo Hall offers assisted living, memory care, and skilled nursing with personalized daily support and a secured memory care environment, rated 4.7 from 50 reviews.
- 9
4.5 (127 reviews)· Assisted Living, Memory Care, Skilled Nursing / Long Term Care· 60 units
Wellmore of Daniel Island offers a full continuum of care from independent living through skilled nursing and rehabilitation, rated 4.5 from 126 reviews.
- 10
4.6 (12 reviews)· Assisted Living· 8 units
What families say about senior living in Charleston
Counted across the review summaries of 26 Charleston communities: the share whose families mention each theme.
Families most often praise caring, attentive staff, noted in 50% of 28 communities, along with medical and nursing care at 36% and activities and social life at 32%. Communication with families and cost and billing each come up as concerns in 82% of communities, while building upkeep is mentioned in 21% and staff attitude in 11%.
Praised most
- Caring, attentive staff 54%
- Medical and nursing care 38%
- Activities and social life 35%
- Memory care 23%
- Value for money 15%
Concerns raised
- Cost and billing 81%
- Communication with families 77%
- Building and upkeep 15%
- Staff attitude 12%
“I am a home health nurse and have had many patients at the Palmettos. They are always pleasant and kind and take excellent care of their residents. I would highly recommend them for anyone needing assisted living or memory care services.”
“Wow… Ashley River is where you want to be for rehab! The therapy team here is exceptional. Thank you all for what you do, EVERYDAY!”
“The staff is kind, patient, and genuinely caring. The facility is clean, welcoming, and it’s clear the residents are treated with compassion and respect. It’s comforting to know there are places like this that provide such great care. Highly recommend!”
Senior Living in Charleston: the figures
- •Of the 9 with a known size, 1 have ten residents or fewer, 3 have 11 to 60, and 5 have more than 60.
- •8 nursing homes carry a Medicare star rating, averaging 3.9 out of 5: 6 rated four stars or better, 1 rated one star.
- •Most common amenities: 24-hour staff (23), medication management (22), emergency call system (22), gathering / activity spaces (19), housekeeping (19), wheelchair accessible (18).
How families pay for senior living in South Carolina
Most South Carolina families pay for assisted living, memory care and independent living out of their own pockets at first, drawing on savings, pensions, Social Security and often the proceeds from selling a home. Long-term care insurance, when a family already holds a policy, can offset part of the monthly cost as well. Veterans and surviving spouses who meet the eligibility rules may qualify for VA Aid and Attendance, a benefit paid in addition to a standard VA pension that can be put toward the cost of care.
The full picture for the state: Senior Living in South Carolina.
Senior Living near Charleston
Cities within about 35 miles with senior living inventory, and how families rate it.
| City | Communities | RatingAverage rating | Distance |
|---|---|---|---|
| North Charleston6.3 mi | 23 | 4.1 / 5 | 6.3 mi |
| Mount Pleasant9.2 mi | 29 | 4.4 / 5 | 9.2 mi |
| Goose Creek13.8 mi | 12 | 4.5 / 5 | 13.8 mi |
| Summerville16.9 mi | 16 | 4.2 / 5 | 16.9 mi |
All of South Carolina: Senior Living in South Carolina. Closer to home? Compare senior living near you, sorted by distance.
About these figures
Computed on October 23, 2026 from the 29 communities listed in Charleston, 1,474 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.
Reading on this
Guides from MyLivingChoice that families in Charleston ask about.
- Home Care in South Carolina: Agencies, Medicare Home Health Ratings, and What It Costs
- Nursing Home vs. Assisted Living: Which Level of Care Does Your Loved One Actually Need?
- Signs It Is Time to Move From Home Care to Assisted Living
Not in Charleston? Senior living near me finds communities around wherever you are.
Senior Living in Charleston: Common Questions
How many senior living communities are in Charleston, South Carolina?
MyLivingChoice lists 29 senior living communities in Charleston, South Carolina, each with photos, care details, and reviews from families.
How much does senior living cost in Charleston?
Among Charleston communities that publish pricing, senior living starts around $4,500/month, with an average published starting rate near $4,523/month. Final costs depend on care needs and apartment choice.
Which senior living communities in Charleston are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include Care Companions Home Care (5★, 14 ratings), Home Instead (4.9★, 107 ratings), Bishop Gadsden Episcopal Retirement Community (4.8★, 80 ratings).
What types of senior care are available in Charleston?
Beyond senior living, Charleston has assisted living (12 communities), skilled nursing / long term care (10 communities), memory care (9 communities), independent living (7 communities), at-home care (4 communities). Every option is listed with photos, reviews, and contact details.
How do families rate senior living in Charleston?
Families rate Charleston senior living communities 4.2 out of 5 on average, across 1,474 public Google reviews of local communities.
What do families praise, and complain about, in Charleston senior living communities?
Across the review summaries of 26 Charleston communities, the most common praise is caring, attentive staff (mentioned for 54%), medical and nursing care (mentioned for 38%), activities and social life (mentioned for 35%). The most common concerns are cost and billing (81%), communication with families (77%), building and upkeep (15%).
Are there small senior living homes in Charleston?
Yes. Of the 9 Charleston communities with a known size, 1 has ten residents or fewer, 3 have 11 to 60, and 5 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.
How do Charleston nursing homes score on Medicare's star ratings?
8 Medicare-certified nursing homes in Charleston carry an overall star rating, averaging 3.9 out of 5. 6 are rated four stars or better and 1 is rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.
Prefer to stay home?
Home care agencies serving Charleston bring help to the house: daily living, companionship, and respite for family caregivers.
