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Assisted living in South Carolina

South Carolina licenses assisted living through DPH Healthcare Quality (formerly DHEC), under the license types Community Residential Care Facility (Alzheimer's unit flag). South Carolina does not publish a downloadable list with capacity. CDC's 2020 survey estimated 310 residential care communities with 18,100 beds. HUD's active-loan file shows 6 FHA-insured assisted living loans in South Carolina with $21.8 million outstanding as of September 30, 2026.

Licensing

Licensing agency: DPH Healthcare Quality (formerly DHEC)
License types: Community Residential Care Facility (Alzheimer's unit flag)
Official program page: dph.sc.gov
Facility list: ArcGIS (2026-10-23)

Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.

CDC survey profile (2020)

The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.

Measure	South Carolina	US
Communities	310	30,600
Beds	18,100	1,197,600
Average beds per community	57	39
For-profit	87.5%	81.9%
Chain affiliated	74.9%	61.4%
Medicaid certified	35.6%	43.6%
Dementia-only communities	n/a	10.5%
Dementia-only or with a dementia unit	43.5%	20.5%
Residents 85 and older	43.4%	49.9%
Residents with Alzheimer disease or other dementias	46.0%	42.1%

Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.

HUD Section 232 assisted living loans

Active FHA loans: 6
Outstanding: $21.8 million
Median note rate: 3.82%
Endorsed since FY2001: 15

Since fiscal 2001 HUD has endorsed 15 FHA-insured assisted living loans in South Carolina for $57.3 million of original principal, 4 of them for new construction or substantial rehabilitation, and 2 since fiscal 2021. 2 of today's active loans carry a note rate of 5% or more. The active file also lists 3 board and care loans in the state.

Property (HUD name)	City	Units	Endorsed	Rate	Balance	Matures
Lancaster Grove Senior LivingFHA 05422125	Lancaster	95	Feb 2025	6.42%	$8,797,181	Mar 2060
Village Cove Assisted LivingFHA 05422129	Hilton Head Island	42	Apr 2026	5.55%	$3,725,290	May 2061
Longwood Plantation Assisted LivingFHA 05422088	Orangeburg	37	Jun 2014	4.35%	$2,705,105	Jul 2049
Wesley CourtFHA 05422094	Boiling Springs	122	Sep 2016	2.88%	$2,458,966	Oct 2051
Emerald Gardens of GreenwoodFHA 05422089	Greenwood	53	Jun 2014	2.92%	$2,324,853	Jul 2049
Shadow Oaks Residential Care FFHA 05443071	Aiken	56	Nov 1997	3.30%	$1,755,314	May 2039

Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.

Own or are buying an assisted living or memory care building in South Carolina? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.

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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.