Columbia Senior AdvisorFairfield County lies north of Columbia along Interstate 77, with Winnsboro as its seat and Ridgeway and Jenkinsville among its communities; about 20,340 people lived there on July 1, 2025.
It has the oldest population of the six counties, 29.2% aged 65 or older with a median age of 51.3, yet no hospital of its own. Its licensed care is two nursing homes in Ridgeway and three adult day centers in Winnsboro, so many families also look south to Columbia.
How many seniors and licensed care options does Fairfield County, SC have?
Fairfield County had about 5,947 residents aged 65 and older (29.2% of 20,340), including 492 aged 85 and older, on July 1, 2025, and DPH lists 0 senior-serving CRCFs and 2 nursing homes there.
| Found in Fairfield County | Not found in Fairfield County | |
|---|---|---|
| Licensed with a local address (DPH) | Nursing homes: 2, Adult day care: 3, In-home care providers: 3 | — |
| No local license on file | — | Assisted living (CRCFs), Home health agencies, Hospice programs, Hospice houses |
| Secured Alzheimer's units | 1 building | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which facilities are licensed in Fairfield County?
Every licensed community residential care facility and nursing home in Fairfield County on DPH's data (as of November 6, 2026) appears below with licensed beds, Alzheimer's flags and license status.
| Facility | License type | Licensed beds | Alzheimer's unit / care (DPH) | City | DPH orders since Jan 2025 |
|---|---|---|---|---|---|
| Pruitthealth-Ridgeway 213 Tanglewood Ct, 29130 | NH | 150 | Unit + care | Ridgeway | 0 |
| Ridgeway Manor Healthcare Center 117 Bellfield Rd, 29130 | NH | 112 | No | Ridgeway | 0 |
Which home health, hospice and adult day providers are based in Fairfield County?
DPH's data shows 0 home health agencies, 0 hospice programs and houses and 3 adult day centers at Fairfield County addresses, plus 3 in-home care providers.
- Active Day of Winnsboro, Winnsboro: adult day care facility
- Chappell Adult Care LLC, Winnsboro: adult day care facility
- Precious Adult Care, Winnsboro: adult day care facility
Where do Fairfield County families get free senior help?
Older adults in Fairfield 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.
Its services include information and referral, assessments for in-home services, the regional Long Term Care Ombudsman Program, family caregiver support, legal assistance, advance directives and SHIP Medicare counseling. Licensing complaints go to DPH Healthcare Quality at 1-800-922-6735, and suspected abuse of an adult at home to DSS Adult Protective Services at 1-888-227-3487. SCDHHS lists no PACE organization for Fairfield County; Community Choices fills that role for eligible residents.
Which hospitals are closest to Winnsboro, SC?
From Winnsboro, the county seat, the nearest general hospital on DPH's list is Prisma Health Baptist Parkridge, about 19.5 miles away in a straight line, and downtown Columbia is about 27 miles away.
Next come MUSC Health Columbia Medical Center-Northeast (about 20 miles) and Prisma Health Richland (about 24 miles). These are straight-line distances, not driving routes.
