Columbia Senior AdvisorCayce is the small city on the Congaree just south of West Columbia, with about 13,680 residents in 2025 Census estimates and the Riverwalk along its edge. Lexington Regional Rehabilitation Hospital is in Cayce.
DPH's roster shows no assisted living or nursing home with a Cayce mailing address, so Cayce families choose among the licensed options a few minutes away in West Columbia, Lexington and downtown Columbia. The tables below rank the nearest ones by straight-line distance.
How much licensed senior care does Cayce, SC have?
Cayce had about 13,680 residents in Census Bureau estimates for July 1, 2025, and DPH lists 0 senior-serving assisted living facilities and 0 nursing homes with Cayce addresses.
| Found in Cayce | Not found in Cayce | |
|---|---|---|
| Licensed with a local address (DPH) | In-home care providers: 4 | — |
| No local license on file | — | Assisted living (CRCFs), Nursing homes, Adult day care, Home health agencies, Hospice programs, Hospice houses |
| Secured Alzheimer's units | — | None flagged in Cayce |
Is there any licensed assisted living in Cayce?
No senior-serving CRCF lists a Cayce address right now; the closest licensed CRCF is SC Episcopal Home at Still Hopes (CRCF) in West Columbia, roughly 0.4 miles from the middle of the area.
| Facility | Miles away | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 |
|---|---|---|---|---|
| SC Episcopal Home at Still Hopes (CRCF) 1 Still Hopes Dr, 29169 | 0.4 | 48 | Unit + care | 0 |
| Southern Heritage 1713 Charleston Hwy, 29169 | 1.2 | 10 | No | 0 |
| Laurel Crest 100 Joseph Walker Dr, 29169 | 1.5 | 26 | Unit + care | 0 |
| Pines at Columbia 190 Mcswain Dr, 29169 | 3.2 | 90 | No | 0 |
Which nursing homes are nearest to Cayce?
None lists a Cayce address; the nearest CMS-certified home is South Carolina Episcopal Home at Still Hope in West Columbia, about 0.4 miles away, with a CMS rating of 5 of 5.
| Facility | Miles away | CMS overall rating | Licensed beds | Deficiencies cited |
|---|---|---|---|---|
| South Carolina Episcopal Home at Still Hope 1 Still Hopes Dr, 29169 | 0.4 | 5 of 5 | 70 | 0 |
| Opus Post Acute Rehabilitation 300 Agape Dr, 29169 | 2.6 | 3 of 5 | 98 | 1 |
| Millennium Post Acute Rehabilitation 2416 Sunset Blvd, 29169 | 2.8 | 2 of 5 | 132 | 3 |
How many in-home care agencies are based in Cayce?
4 licensed in-home care providers list a Cayce office on DPH's data; these agencies send aides for bathing, dressing, meals and companionship rather than medical care.
All of them appear in the in-home care roster, filterable by city. The license shows DPH has approved the agency's screening and supervision of aides; ask each one about shift minimums and who covers when an aide is out sick.
How close is Cayce to a hospital?
From the middle of the area, the nearest general hospitals on DPH's list are Prisma Health Baptist (about 2.3 miles) and Lexington Medical Center (about 3.3 miles).
Prisma Health Richland is about 3.7 miles away. All are straight-line distances, good for comparing places but not for estimating drive times.
Where can Cayce families get free senior help?
Older adults in Lexington County are served by the Central Midlands Council of Governments Area Agency on Aging in Columbia ((803) 376-5390), which handles information and referral, in-home services assessments, the regional long-term care ombudsman program and SHIP Medicare counseling.
Licensing complaints go to DPH Healthcare Quality at 1-800-922-6735; suspected abuse or neglect of an adult living at home goes to DSS Adult Protective Services at 1-888-227-3487. Prisma Health SeniorCare PACE-Midlands (formerly Palmetto SeniorCare) serves Lexington County.
