Columbia Senior AdvisorLexington County lies west of the Congaree River and around Lake Murray, with Lexington as its seat and West Columbia, Cayce, Irmo, Chapin, Gaston, Swansea and Batesburg-Leesville among its towns; about 317,588 people lived there on July 1, 2025.
Census estimates put 19.3% of residents at 65 or older, with a median age of 40.4. Lexington Medical Center in West Columbia anchors the county's health care, and Lexington has the Midlands' only inpatient hospice house.
How many seniors and licensed care options does Lexington County, SC have?
Lexington County had about 61,136 residents aged 65 and older (19.3% of 317,588), including 6,039 aged 85 and older, on July 1, 2025, and DPH lists 19 senior-serving CRCFs and 9 nursing homes there.
| Found in Lexington County | Not found in Lexington County | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 19, Nursing homes: 9, Adult day care: 4, Home health agencies: 8, Hospice programs: 4, Hospice houses: 1, In-home care providers: 47 | — |
| No local license on file | — | All categories present |
| Secured Alzheimer's units | 9 buildings | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which facilities are licensed in Lexington County?
Every licensed community residential care facility and nursing home in Lexington 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 |
|---|---|---|---|---|---|
| Brookwood Community Residence 181 Brookwood Dr, 29006 Disability / mental health residence | CRCF | 8 | No | Batesburg-Leesville | 0 |
| Colonial Gardens Alzheimer's Special Care Center 3565 Sunset Blvd, 29169 | CRCF | 66 | No | West Columbia | 0 |
| Generations of Batesburg 111 Generations Blvd, 29006 | CRCF | 88 | No | Batesburg-Leesville | 0 |
| Generations of Chapin 431 E Boundary St, 29036 | CRCF | 56 | No | Chapin | 0 |
| Generations of Irmo 7142 Woodrow St, 29063 | CRCF | 78 | Unit + care | Irmo | 0 |
| Harbison Shores 990 Columbia Ave, 29063 | CRCF | 82 | Unit + care | Irmo | 0 |
| Highlands Senior Living Gaston 3959 Fish Hatchery Rd, 29053 | CRCF | 92 | No | Gaston | 0 |
| Lakeside Place Senior Living 487 Hwy 378, 29072 | CRCF | 90 | Unit + care | Lexington | 0 |
| Laurel Crest 100 Joseph Walker Dr, 29169 | CRCF | 26 | Unit + care | West Columbia | 0 |
| Legacy of Lexington 218 Old Chapin Rd, 29072 | CRCF | 49 | No | Lexington | 0 |
| Lexington Memory Care 886 Park Rd, 29072 | CRCF | 48 | Unit + care | Lexington | 0 |
| Lighthouse Residential Care Facility 4033 Delree St Lot # 31, 29170 | CRCF | 10 | No | West Columbia | 0 |
| New Light Community Care 120 Addy Ln, 29072 | CRCF | 14 | No | Lexington | 0 |
| Oakleaf Village of Lexington 800 N Lake Dr, 29072 | CRCF | 100 | Care only | Lexington | 0 |
| Pines at Columbia 190 Mcswain Dr, 29169 | CRCF | 90 | No | West Columbia | 0 |
| Presbyterian Communities of South Carolina-Columbia 700 Davega Dr, 29073 | CRCF | 91 | Unit + care | Lexington | 0 |
| SC Episcopal Home at Still Hopes (CRCF) 1 Still Hopes Dr, 29169 | CRCF | 48 | Unit + care | West Columbia | 0 |
| Southern Heritage 1713 Charleston Hwy, 29169 | CRCF | 10 | No | West Columbia | 0 |
| Spring Oak Lexington 5422 Augusta Rd, 29072 | CRCF | 90 | Care only | Lexington | 0 |
| Wellmore of Lexington 200 Wellmore Dr, 29072 | CRCF | 174 | Unit + care | Lexington | 0 |
| Laurel Crest Retirement Community 100 Joseph Walker Dr, 29169 | NH | 12 | No | West Columbia | 0 |
| Lexington Medical Center Extended Care 815 Old Cherokee Rd, 29072 | NH | 388 | Unit + care | Lexington | 0 |
| Millennium Post Acute Rehabilitation 2416 Sunset Blvd, 29169 | NH | 132 | No | West Columbia | 0 |
| NHC Healthcare Lexington 2993 Sunset Blvd, 29169 | NH | 170 | No | West Columbia | 0 |
| Opus Post Acute Rehabilitation 300 Agape Dr, 29169 | NH | 98 | No | West Columbia | 0 |
| Presbyterian Communities of South Carolina-Columbia 700 Davega Dr, 29073 | NH | 44 | No | Lexington | 0 |
| Retreat at Wellmore of Lexington 200 Wellmore Dr Bldg #4, 29072 | NH | 60 | No | Lexington | 0 |
| Seven Oaks Rehabilitation and Healthcare Center 3514 Sidney Rd, 29210 | NH | 108 | No | Columbia | 0 |
| South Carolina Episcopal Home at Still Hope 1 Still Hopes Dr, 29169 | NH | 70 | No | West Columbia | 0 |
Which home health, hospice and adult day providers are based in Lexington County?
DPH's data shows 8 home health agencies, 5 hospice programs and houses and 4 adult day centers at Lexington County addresses, plus 47 in-home care providers.
- Amedisys Home Health of Lexington, Lexington: home health agency
- Inspirium Ihc Midlands LLC, Columbia: home health agency
- Integral Home Health LLC, West Columbia: home health agency
- Intramed, West Columbia: home health agency
- Medical Services of America Home Health, Irmo: home health agency
- NHC Homecare-Midlands, West Columbia: home health agency
- Presbyterian Communities of SC Home Health Agency, Columbia: home health agency
- Still Hopes Home Health, West Columbia: home health agency
- Abbey Road Hospice, Columbia: hospice program
- All Seasons Hospice, Irmo: hospice program
- Amedisys Hospice of Columbia, West Columbia: hospice program
- Compass Hospice, Lexington: hospice program
- Lexington Community Hospice House, Lexington: inpatient hospice facility
- Active Day of Cayce, West Columbia: adult day care facility
- Hopebridge Hollies of Active Day, West Columbia: adult day care facility
- Hopebridge Oaks of Active Day, West Columbia: adult day care facility
- SC Episcopal Home at Still Hopes Adult Day Care, West Columbia: adult day care facility
Where do Lexington County 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.
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. Prisma Health SeniorCare PACE-Midlands (formerly Palmetto SeniorCare) serves Lexington County.
How far do Lexington County residents travel for hospital care?
From Lexington, the county seat, the nearest general hospital on DPH's list is Prisma Health Baptist Parkridge, about 8.9 miles away in a straight line, and downtown Columbia is about 14 miles away.
Next come Lexington Medical Center (about 9 miles) and Prisma Health Baptist (about 13 miles). These are straight-line distances, not driving routes.
